Nationwide validation study of diagnostic algorithms for inflammatory bowel disease in Korean National Health Insurance Service database
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Chang Kyun | - |
dc.contributor.author | Ha, Hyo Jung | - |
dc.contributor.author | Oh, Shin Ju | - |
dc.contributor.author | Kim, Jung-Wook | - |
dc.contributor.author | Lee, Jung Kuk | - |
dc.contributor.author | Kim, Hyun-Soo | - |
dc.contributor.author | Yoon, Soon Man | - |
dc.contributor.author | Kang, Sang-Bum | - |
dc.contributor.author | Kim, Eun Soo | - |
dc.contributor.author | Kim, Tae Oh | - |
dc.contributor.author | Na, Soo-Young | - |
dc.contributor.author | Lee, Jun | - |
dc.contributor.author | Kim, Sang-Wook | - |
dc.contributor.author | Koo, Hoon Sup | - |
dc.contributor.author | Park, Byung Kyu | - |
dc.contributor.author | Lee, Han Hee | - |
dc.contributor.author | Kim, Eun Sun | - |
dc.contributor.author | Park, Jae Jun | - |
dc.contributor.author | Kwak, Min Seob | - |
dc.contributor.author | Cha, Jae Myung | - |
dc.contributor.author | Ye, Byong Duk | - |
dc.contributor.author | Choi, Chang Hwan | - |
dc.contributor.author | Kim, Hyo Jong | - |
dc.date.available | 2020-11-10T06:47:59Z | - |
dc.date.issued | 2020-05 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.issn | 1440-1746 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/28115 | - |
dc.description.abstract | Background and Aim We conducted a nationwide validation study of diagnostic algorithms to identify cases of inflammatory bowel disease (IBD) within the Korea National Health Insurance System (NHIS) database. Method Using the NHIS dataset, we developed 44 algorithms combining the International Classification of Diseases (ICD)-10 codes, codes for Rare and Intractable Diseases (RID) registration and claims data for health care encounters, and pharmaceutical prescriptions for IBD-specific drugs. For each algorithm, we compared the case identification results from electronic medical records data with the gold standard (chart-based diagnosis). A multiple sampling test verified the validation results from the entire study population. Results A random nationwide sample of 1697 patients (848 potential cases and 849 negative control cases) from 17 hospitals were included for validation. A combination of the ICD-10 code, >= 1 claims for health care encounters, and >= 1 prescription claims (reference algorithm) achieved excellent performance (sensitivity, 93.1% [95% confidence interval 91-94.7]; specificity, 98.1% [96.9-98.8]; positive predictive value, 97.5% [96.1-98.5]; negative predictive value, 94.5% [92.8-95.8]) with the lowest error rate (4.2% [3.3-5.3]). The multiple sampling test confirmed that the reference algorithm achieves the best performance regarding IBD diagnosis. Algorithms including the RID registration codes exhibited poorer performance compared with that of the reference algorithm, particularly for the diagnosis of patients affiliated with secondary hospitals. The performance of the reference algorithm showed no statistical difference depending on the hospital volume or IBD type, with P-value < 0.05. Conclusions We strongly recommend the reference algorithm as a uniform standard operational definition for future studies using the NHIS database. | - |
dc.format.extent | 9 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | WILEY | - |
dc.title | Nationwide validation study of diagnostic algorithms for inflammatory bowel disease in Korean National Health Insurance Service database | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1111/jgh.14855 | - |
dc.identifier.scopusid | 2-s2.0-85074629982 | - |
dc.identifier.wosid | 000492681000001 | - |
dc.identifier.bibliographicCitation | Journal of Gastroenterology and Hepatology, v.35, no.5, pp 760 - 768 | - |
dc.citation.title | Journal of Gastroenterology and Hepatology | - |
dc.citation.volume | 35 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 760 | - |
dc.citation.endPage | 768 | - |
dc.type.docType | Article; Early Access | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | ADMINISTRATIVE DATA | - |
dc.subject.keywordPlus | CROHNS-DISEASE | - |
dc.subject.keywordPlus | SOUTH-KOREA | - |
dc.subject.keywordPlus | ULCERATIVE-COLITIS | - |
dc.subject.keywordPlus | CANCER-RISK | - |
dc.subject.keywordPlus | CARE COSTS | - |
dc.subject.keywordPlus | ONTARIO | - |
dc.subject.keywordPlus | ADULTS | - |
dc.subject.keywordAuthor | administrative claims | - |
dc.subject.keywordAuthor | health care | - |
dc.subject.keywordAuthor | diagnostic algorithm | - |
dc.subject.keywordAuthor | inflammatory bowel disease | - |
dc.subject.keywordAuthor | operational definition | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
73, Goryeodae-ro, Seongbuk-gu, Seoul, Republic of Korea (02841)82-2-2286-1265
COPYRIGHT 2020 KOREA UNIVERSITY MEDICAL LIBRARY ALL RIGHTS RESERVED.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.