PulseExploreJournal ClubResearchersJournals
Instagram
HomeJournal ClubExplore
Synapse
⌘+K
Synapse
September 16, 2010Journal of Evaluation in Clinical Practice

Coding accuracy of abdominal aortic aneurysm repair procedures in administrative databases – a note of caution

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Are routine administrative database procedural codes accurate for identifying open and endovascular abdominal aortic aneurysm repairs?

Population

514 people who had an elective non-ruptured abdominal aortic aneurysm repair or were coded with one at a…

Comparison

Routine administrative database procedural codes… vs Actual surgeries performed (gold standard)

Design

Cohort

Key result

Routine administrative database codes for open AAA repair and EVAR showed poor accuracy (52.9% and 93.6%), but a modified coding algorithm improved accuracy to 95.9% and 97.3%, respectively.

Authors

PJPrasad JettyCWCarl van Walraven

Discussion

Loading...

Member takes

Overview

Caution warranted using unvalidated codes for AAA repair identification in research; leaves open generalizability of modified algorithms.

Study Design

Type

Observational (n=514)

Multicenter

No

Structured PICO

Are routine administrative database procedural codes accurate for identifying open and endovascular abdominal aortic aneurysm repairs?

P
Population
514 people who had an elective non-ruptured abdominal aortic aneurysm (AAA) repair (open or EVAR) or were coded with one at a tertiary-care teaching hospital between April 2000 and July 2005.
I
Intervention
Routine administrative database procedural codes for open AAA repair and EVAR
C
Comparator
Actual surgeries performed (gold standard)
O
Outcome
Accuracy, sensitivity, and specificity of procedural codes for open AAA repair and EVAR

Routine administrative codes for AAA repair are inaccurate, but modified algorithms incorporating similar procedures and anesthetic type can achieve high accuracy.

Cite This Study

Jetty et al. (2010) conducted an observational in Abdominal aortic aneurysm (AAA) (n=514). Administrative database procedural codes vs. Modified coding algorithm was evaluated on Accuracy of procedural codes for open AAA repair and EVAR. Routine administrative database codes for open AAA repair and EVAR showed poor accuracy (52.9% and 93.6%), but a modified coding algorithm improved accuracy to 95.9% and 97.3%, respectively.

synapsesocial.com/papers/6a17877b5fdf2a7b88aa1e5fhttps://doi.org/10.1111/j.1365-2753.2010.01373.x
View Full Paper
Ask AI
Bookmark
Share