ArticleBMJ (Clinical research ed.)1993
Accuracy of diagnosis of psychosis on general practice computer system.
Article in BMJ (Clinical research ed.), 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.
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Who cites it
66 citing papers in PubMed, 4 syntheses or guidelines pooled it, 198 citations in OpenAlex.
- Validity of diagnostic coding within the General Practice Research Database: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Pooled it
- Validation and validity of diagnoses in the General Practice Research Database: a systematic review.British journal of clinical pharmacology · 2010Pooled it
- Variations in rates of comorbid substance use in psychosis between mental health settings and geographical areas in the UK. A systematic review.Social psychiatry and psychiatric epidemiology · 2009Pooled it
- Systematic review of scope and quality of electronic patient record data in primary care.BMJ (Clinical research ed.) · 2003Pooled it
- Comparative cardiometabolic safety and effectiveness of aripiprazole in people with severe mental illness: A target trial emulation.PLoS medicine · 2025Observational
- External validation of a prognostic model to improve prediction of psychosis: a retrospective cohort study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Delirium risk and mortality in people with pre-existing severe mental illness: a retrospective cohort study using linked datasets in England.Psychological medicine · 2024Article
- Article
- Inequalities in glycemic management in people living with type 2 diabetes mellitus and severe mental illnesses: cohort study from the UK over 10 years.BMJ open diabetes research & care · 2021Article
- Severe mental illness diagnosis in English general hospitals 2006-2017: A registry linkage study.PLoS medicine · 2020Article
- Post-diagnostic antipsychotic use and cancer mortality: a population based cohort study.BMC cancer · 2020Article
- Fate of the metabolically healthy obese-is this term a misnomer? A study from the Clinical Practice Research Datalink.International journal of obesity (2005) · 2019Article
- Improving the Detection of Individuals at Clinical Risk for Psychosis in the Community, Primary and Secondary Care: An Integrated Evidence-Based Approach.Frontiers in psychiatry · 2019Review
- Association of Primary Care Consultation Patterns With Early Signs and Symptoms of Psychosis.JAMA network open · 2018Article
- Adverse obstetric and neonatal outcomes complicated by psychosis among pregnant women in the United States.BMC pregnancy and childbirth · 2018Article
- Severe mental illness and chronic kidney disease: a cross-sectional study in the United Kingdom.Clinical epidemiology · 2018Article
- Mortality gap for people with bipolar disorder and schizophrenia: UK-based cohort study 2000-2014.The British journal of psychiatry : the journal of mental science · 2017Article
- Type 2 diabetes mellitus in people with severe mental illness: inequalities by ethnicity and age. Cross-sectional analysis of 588 408 records from the UK.Diabetic medicine : a journal of the British Diabetic Association · 2017Article
- Statin prescribing for people with severe mental illnesses: a staggered cohort study of 'real-world' impacts.BMJ open · 2017Article
- Adverse Renal, Endocrine, Hepatic, and Metabolic Events during Maintenance Mood Stabilizer Treatment for Bipolar Disorder: A Population-Based Cohort Study.PLoS medicine · 2016Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the accuracy of diagnoses of schizophrenia and non-affective psychosis entered by general practitioners on a computer system. To compare recording of clinical events on computer with written records.
designExamination of case notes of all patients with a computer diagnosis of psychosis. Search of 8000 randomly selected patient records to identify patients with psychosis not recorded on computer and comparison of 141 computer and written entries for prescribing and consultation in each practice.
setting13 London practices on the VAMP research bank.
main outcome measuresAccuracy of record of psychosis compared with ICD 9, American Psychiatric Association diagnostic manual, and syndrome checklist criteria.
resultsComputer search revealed 102 patients with schizophrenia, 78 with other psychoses, and 71 with non-affective psychosis who had adequate case notes. The sensitivity and positive predictive value of the computer diagnosis of schizophrenia were 88% (95% confidence interval 62% to 98%) and 71% (48% to 88%). For all non-organic psychoses sensitivity was 91% (74% to 97%) and positive predictive value was 91% (74% to 98%). On average 95% of all known prescriptions and 74% of all consultations were recorded on computer compared with 42% and 75% in written records.
conclusionsRecording of psychotic illness on the VAMP computer is accurate and complete. Prescribing was more fully recorded on the computer than on the written records. Computer databases of well motivated general practitioners could be used for research.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.