Coding of Barrett’s oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study
ObjectivesThe International Classification of Diseases 10th Revision (ICD-10) system used in the English hospital administrative database (Hospital Episode Statistics (HES)) does not contain a specific code for oesophageal high-grade dysplasia (HGD). The aim of this paper was to examine how patients...
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| Veröffentlicht in: | BMJ open 2017-06, Vol.7 (6), p.e014281-e014281 |
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| creator | Chadwick, Georgina Varagunam, Mira Brand, Christian Riley, Stuart A Maynard, Nick Crosby, Tom Michalowski, Julie Cromwell, David A |
| description | ObjectivesThe International Classification of Diseases 10th Revision (ICD-10) system used in the English hospital administrative database (Hospital Episode Statistics (HES)) does not contain a specific code for oesophageal high-grade dysplasia (HGD). The aim of this paper was to examine how patients with HGD were coded in HES and whether it was done consistently.SettingNational population-based cohort study of patients with newly diagnosed with HGD in England. The study used data collected prospectively as part of the National Oesophago-Gastric Cancer Audit (NOGCA). These records were linked to HES to investigate the pattern of ICD-10 codes recorded for these patients at the time of diagnosis.ParticipantsAll patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014 in England, who had data submitted to the NOGCA.Outcomes measuredThe main outcome assessed was the pattern of primary and secondary ICD-10 diagnostic codes recorded in the HES records at endoscopy at the time of diagnosis of HGD.ResultsAmong 452 patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014, Barrett’s oesophagus was the only condition coded in 200 (44.2%) HES records. Records for 59 patients (13.1%) contained no oesophageal conditions. The remaining 193 patients had various diagnostic codes recorded, 93 included a diagnosis of Barrett’s oesophagus and 57 included a diagnosis of oesophageal/gastric cardia cancer.ConclusionsHES is not suitable to support national studies looking at the management of HGD. This is one reason for the UK to adopt an extended ICD system (akin to ICD-10-CM). |
| doi_str_mv | 10.1136/bmjopen-2016-014281 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5734356</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4322784411</sourcerecordid><originalsourceid>FETCH-LOGICAL-b500t-1dbc0311f4266e573942009fb52cf0e7fc4c0488dc2b70e212c7e9635f7bb5173</originalsourceid><addsrcrecordid>eNqNks9u1DAQxiMEolXpEyAhS1y4pIz_JuGABCtokSpxgbPlOE7iVWIH22m1t74Gr8eT4GWXqnBA-GJr_Jtvxp6vKJ5juMCYitftvPWLcSUBLErAjNT4UXFKgLFSAOePH5xPivMYt5AX4w3n5GlxQmoBQAU-Le42vrNuQL5H71UIJqUfd98j8ib6ZVTDGtGtTSMa7TCWQ1CdQd0uLpOKViHrkFPJeqcmpLrZOhtTyIGbDKmkWhVNfIMUWvyyTr_Ach_rkPajDwnFtHa7Z8WTXk3RnB_3s-Lrxw9fNlfl9efLT5t312XLAVKJu1YDxbhnRAjDK9owAtD0LSe6B1P1mmlgdd1p0lZgCCa6Mo2gvK_aluOKnhVvD7rL2s6m08blXie5BDursJNeWfnnjbOjHPyNzLUY5SILvDoKBP9tNTHJ2UZtpkk549cocQN1HgMjTUZf_oVu_RryN0WZu2dY0IrQf1FZq6oI4cAyRQ-UDj7GYPr7ljHIvRXk0QpybwV5sELOevHwtfc5vwefgYsDkLP_S_EnNwvCLw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1907722504</pqid></control><display><type>article</type><title>Coding of Barrett’s oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study</title><source>BMJ Open Access Journals</source><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Chadwick, Georgina ; Varagunam, Mira ; Brand, Christian ; Riley, Stuart A ; Maynard, Nick ; Crosby, Tom ; Michalowski, Julie ; Cromwell, David A</creator><creatorcontrib>Chadwick, Georgina ; Varagunam, Mira ; Brand, Christian ; Riley, Stuart A ; Maynard, Nick ; Crosby, Tom ; Michalowski, Julie ; Cromwell, David A</creatorcontrib><description>ObjectivesThe International Classification of Diseases 10th Revision (ICD-10) system used in the English hospital administrative database (Hospital Episode Statistics (HES)) does not contain a specific code for oesophageal high-grade dysplasia (HGD). The aim of this paper was to examine how patients with HGD were coded in HES and whether it was done consistently.SettingNational population-based cohort study of patients with newly diagnosed with HGD in England. The study used data collected prospectively as part of the National Oesophago-Gastric Cancer Audit (NOGCA). These records were linked to HES to investigate the pattern of ICD-10 codes recorded for these patients at the time of diagnosis.ParticipantsAll patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014 in England, who had data submitted to the NOGCA.Outcomes measuredThe main outcome assessed was the pattern of primary and secondary ICD-10 diagnostic codes recorded in the HES records at endoscopy at the time of diagnosis of HGD.ResultsAmong 452 patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014, Barrett’s oesophagus was the only condition coded in 200 (44.2%) HES records. Records for 59 patients (13.1%) contained no oesophageal conditions. The remaining 193 patients had various diagnostic codes recorded, 93 included a diagnosis of Barrett’s oesophagus and 57 included a diagnosis of oesophageal/gastric cardia cancer.ConclusionsHES is not suitable to support national studies looking at the management of HGD. This is one reason for the UK to adopt an extended ICD system (akin to ICD-10-CM).</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2016-014281</identifier><identifier>PMID: 28600361</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Audits ; Barrett Esophagus - diagnosis ; Barrett Esophagus - pathology ; Cancer ; Classification ; Clinical Coding ; Codes ; Cohort analysis ; Cohort Studies ; Databases, Factual ; Datasets ; Disease ; Endoscopy ; England ; Esophageal cancer ; Esophageal diseases ; Esophageal Neoplasms - diagnosis ; Esophagus ; Esophagus - pathology ; Gastroenterology and Hepatology ; Health surveillance ; Hospitals ; Humans ; International Classification of Diseases ; Medical diagnosis ; Pathology ; Patients ; Population-based studies ; Stomach Neoplasms - diagnosis ; Tumors ; Ulcers</subject><ispartof>BMJ open, 2017-06, Vol.7 (6), p.e014281-e014281</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2017 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b500t-1dbc0311f4266e573942009fb52cf0e7fc4c0488dc2b70e212c7e9635f7bb5173</citedby><cites>FETCH-LOGICAL-b500t-1dbc0311f4266e573942009fb52cf0e7fc4c0488dc2b70e212c7e9635f7bb5173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/7/6/e014281.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/7/6/e014281.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27526,27527,27901,27902,53766,53768,77343,77374</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28600361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chadwick, Georgina</creatorcontrib><creatorcontrib>Varagunam, Mira</creatorcontrib><creatorcontrib>Brand, Christian</creatorcontrib><creatorcontrib>Riley, Stuart A</creatorcontrib><creatorcontrib>Maynard, Nick</creatorcontrib><creatorcontrib>Crosby, Tom</creatorcontrib><creatorcontrib>Michalowski, Julie</creatorcontrib><creatorcontrib>Cromwell, David A</creatorcontrib><title>Coding of Barrett’s oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesThe International Classification of Diseases 10th Revision (ICD-10) system used in the English hospital administrative database (Hospital Episode Statistics (HES)) does not contain a specific code for oesophageal high-grade dysplasia (HGD). The aim of this paper was to examine how patients with HGD were coded in HES and whether it was done consistently.SettingNational population-based cohort study of patients with newly diagnosed with HGD in England. The study used data collected prospectively as part of the National Oesophago-Gastric Cancer Audit (NOGCA). These records were linked to HES to investigate the pattern of ICD-10 codes recorded for these patients at the time of diagnosis.ParticipantsAll patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014 in England, who had data submitted to the NOGCA.Outcomes measuredThe main outcome assessed was the pattern of primary and secondary ICD-10 diagnostic codes recorded in the HES records at endoscopy at the time of diagnosis of HGD.ResultsAmong 452 patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014, Barrett’s oesophagus was the only condition coded in 200 (44.2%) HES records. Records for 59 patients (13.1%) contained no oesophageal conditions. The remaining 193 patients had various diagnostic codes recorded, 93 included a diagnosis of Barrett’s oesophagus and 57 included a diagnosis of oesophageal/gastric cardia cancer.ConclusionsHES is not suitable to support national studies looking at the management of HGD. This is one reason for the UK to adopt an extended ICD system (akin to ICD-10-CM).</description><subject>Audits</subject><subject>Barrett Esophagus - diagnosis</subject><subject>Barrett Esophagus - pathology</subject><subject>Cancer</subject><subject>Classification</subject><subject>Clinical Coding</subject><subject>Codes</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Databases, Factual</subject><subject>Datasets</subject><subject>Disease</subject><subject>Endoscopy</subject><subject>England</subject><subject>Esophageal cancer</subject><subject>Esophageal diseases</subject><subject>Esophageal Neoplasms - diagnosis</subject><subject>Esophagus</subject><subject>Esophagus - pathology</subject><subject>Gastroenterology and Hepatology</subject><subject>Health surveillance</subject><subject>Hospitals</subject><subject>Humans</subject><subject>International Classification of Diseases</subject><subject>Medical diagnosis</subject><subject>Pathology</subject><subject>Patients</subject><subject>Population-based studies</subject><subject>Stomach Neoplasms - diagnosis</subject><subject>Tumors</subject><subject>Ulcers</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNks9u1DAQxiMEolXpEyAhS1y4pIz_JuGABCtokSpxgbPlOE7iVWIH22m1t74Gr8eT4GWXqnBA-GJr_Jtvxp6vKJ5juMCYitftvPWLcSUBLErAjNT4UXFKgLFSAOePH5xPivMYt5AX4w3n5GlxQmoBQAU-Le42vrNuQL5H71UIJqUfd98j8ib6ZVTDGtGtTSMa7TCWQ1CdQd0uLpOKViHrkFPJeqcmpLrZOhtTyIGbDKmkWhVNfIMUWvyyTr_Ach_rkPajDwnFtHa7Z8WTXk3RnB_3s-Lrxw9fNlfl9efLT5t312XLAVKJu1YDxbhnRAjDK9owAtD0LSe6B1P1mmlgdd1p0lZgCCa6Mo2gvK_aluOKnhVvD7rL2s6m08blXie5BDursJNeWfnnjbOjHPyNzLUY5SILvDoKBP9tNTHJ2UZtpkk549cocQN1HgMjTUZf_oVu_RryN0WZu2dY0IrQf1FZq6oI4cAyRQ-UDj7GYPr7ljHIvRXk0QpybwV5sELOevHwtfc5vwefgYsDkLP_S_EnNwvCLw</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Chadwick, Georgina</creator><creator>Varagunam, Mira</creator><creator>Brand, Christian</creator><creator>Riley, Stuart A</creator><creator>Maynard, Nick</creator><creator>Crosby, Tom</creator><creator>Michalowski, Julie</creator><creator>Cromwell, David A</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170601</creationdate><title>Coding of Barrett’s oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study</title><author>Chadwick, Georgina ; Varagunam, Mira ; Brand, Christian ; Riley, Stuart A ; Maynard, Nick ; Crosby, Tom ; Michalowski, Julie ; Cromwell, David A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b500t-1dbc0311f4266e573942009fb52cf0e7fc4c0488dc2b70e212c7e9635f7bb5173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Audits</topic><topic>Barrett Esophagus - diagnosis</topic><topic>Barrett Esophagus - pathology</topic><topic>Cancer</topic><topic>Classification</topic><topic>Clinical Coding</topic><topic>Codes</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Databases, Factual</topic><topic>Datasets</topic><topic>Disease</topic><topic>Endoscopy</topic><topic>England</topic><topic>Esophageal cancer</topic><topic>Esophageal diseases</topic><topic>Esophageal Neoplasms - diagnosis</topic><topic>Esophagus</topic><topic>Esophagus - pathology</topic><topic>Gastroenterology and Hepatology</topic><topic>Health surveillance</topic><topic>Hospitals</topic><topic>Humans</topic><topic>International Classification of Diseases</topic><topic>Medical diagnosis</topic><topic>Pathology</topic><topic>Patients</topic><topic>Population-based studies</topic><topic>Stomach Neoplasms - diagnosis</topic><topic>Tumors</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chadwick, Georgina</creatorcontrib><creatorcontrib>Varagunam, Mira</creatorcontrib><creatorcontrib>Brand, Christian</creatorcontrib><creatorcontrib>Riley, Stuart A</creatorcontrib><creatorcontrib>Maynard, Nick</creatorcontrib><creatorcontrib>Crosby, Tom</creatorcontrib><creatorcontrib>Michalowski, Julie</creatorcontrib><creatorcontrib>Cromwell, David A</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chadwick, Georgina</au><au>Varagunam, Mira</au><au>Brand, Christian</au><au>Riley, Stuart A</au><au>Maynard, Nick</au><au>Crosby, Tom</au><au>Michalowski, Julie</au><au>Cromwell, David A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coding of Barrett’s oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>7</volume><issue>6</issue><spage>e014281</spage><epage>e014281</epage><pages>e014281-e014281</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesThe International Classification of Diseases 10th Revision (ICD-10) system used in the English hospital administrative database (Hospital Episode Statistics (HES)) does not contain a specific code for oesophageal high-grade dysplasia (HGD). The aim of this paper was to examine how patients with HGD were coded in HES and whether it was done consistently.SettingNational population-based cohort study of patients with newly diagnosed with HGD in England. The study used data collected prospectively as part of the National Oesophago-Gastric Cancer Audit (NOGCA). These records were linked to HES to investigate the pattern of ICD-10 codes recorded for these patients at the time of diagnosis.ParticipantsAll patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014 in England, who had data submitted to the NOGCA.Outcomes measuredThe main outcome assessed was the pattern of primary and secondary ICD-10 diagnostic codes recorded in the HES records at endoscopy at the time of diagnosis of HGD.ResultsAmong 452 patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014, Barrett’s oesophagus was the only condition coded in 200 (44.2%) HES records. Records for 59 patients (13.1%) contained no oesophageal conditions. The remaining 193 patients had various diagnostic codes recorded, 93 included a diagnosis of Barrett’s oesophagus and 57 included a diagnosis of oesophageal/gastric cardia cancer.ConclusionsHES is not suitable to support national studies looking at the management of HGD. This is one reason for the UK to adopt an extended ICD system (akin to ICD-10-CM).</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28600361</pmid><doi>10.1136/bmjopen-2016-014281</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Audits Barrett Esophagus - diagnosis Barrett Esophagus - pathology Cancer Classification Clinical Coding Codes Cohort analysis Cohort Studies Databases, Factual Datasets Disease Endoscopy England Esophageal cancer Esophageal diseases Esophageal Neoplasms - diagnosis Esophagus Esophagus - pathology Gastroenterology and Hepatology Health surveillance Hospitals Humans International Classification of Diseases Medical diagnosis Pathology Patients Population-based studies Stomach Neoplasms - diagnosis Tumors Ulcers |
| title | Coding of Barrett’s oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study |
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