International variation in the definition of 'main condition' in ICD-coded health data

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Serval ID
serval:BIB_A11179408415
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
International variation in the definition of 'main condition' in ICD-coded health data
Journal
International Journal For Quality In Health Care : Journal of the International Society For Quality In Health Care
Author(s)
Quan H., Moskal L., Forster A.J., Brien S., Walker R., Romano P.S., Sundararajan V., Burnand B., Henriksson G., Steinum O., Droesler S., Pincus H.A., Ghali W.A.
ISSN
1464-3677 (Electronic)
ISSN-L
1353-4505
Publication state
Published
Issued date
2014
Volume
26
Number
5
Pages
511-515
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Hospital-based medical records are abstracted to create International Classification of Disease (ICD) coded discharge health data in many countries. The 'main condition' is not defined in a consistent manner internationally. Some countries employ a 'reason for admission' rule as the basis for the main condition, while other countries employ a 'resource use' rule. A few countries have recently transitioned from one of these approaches to the other. The definition of 'main condition' in such ICD data matters when it is used to define a disease cohort to assign diagnosis-related groups and to perform risk adjustment. We propose a method of harmonizing the international definition to enable researchers and international organizations using ICD-coded health data to aggregate or compare hospital care and outcomes across countries in a consistent manner. Inter-observer reliability of alternative harmonization approaches should be evaluated before finalizing the definition and adopting it worldwide.
Keywords
Clinical Coding/standards, Hospital Administration/standards, International Classification of Diseases/standards
Pubmed
Web of science
Open Access
Yes
Create date
13/07/2018 10:00
Last modification date
05/08/2020 6:26
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