USE OF THE INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-9-CM) TO IDENTIFY HOSPITALIZATIONS FOR MECHANICAL LOW-BACK PROBLEMS IN ADMINISTRATIVE DATABASES

被引：167

作者：

CHERKIN, DC

DEYO, RA

VOLINN, E

LOESER, JD

机构：

[1] Departments of Family Medicine, Washington

[2] Departments of Health Services, Washington

[3] Departments of Medicine, Washington

[4] Departments of Anesthesiology, Washington

[5] Departments of Neurological Surgery, University of Washington, Washington

[6] Center for Health Studies, Group Health Cooperative of Puget Sound, Washington

[7] Departments of Northwest Health Services, Research and Development Field Program, Seattle Veterans Affairs Medical Center, Washington

来源：

SPINE | 1992年 / 17卷 / 07期

关键词：

LOW BACK PAIN; CLASSIFICATION; HOSPITALIZATION; DIAGNOSES; PROCEDURES;

D O I：

10.1097/00007632-199207000-00015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Large administrative databases are increasingly valuable tools for health care research. Although increased access to these databases provides valuable opportunities to study health care utilization, costs and outcomes and valid and comparable results require explicit and consistent analytic methods. Algorithms for identifying surgical and nonsurgical hospitalizations for "mechanical" low back problems in automated databases are described. Sixty-six ICD 9-CM diagnosis and 15 procedure codes that could be applied to patients with mechanical low back problems were identified. Twenty-seven diagnosis and two procedure codes identify hospitalizations for problems definitely in the lumbar or lumbosacral region. Exclusion criteria were developed to eliminate nonmechanical causes of low back pain, such as malignancies, infections, and major trauma. The use of the algorithms is illustrated using national hospital discharge data.

引用

页码：817 / 825

页数：9

共 14 条

[1] Anderson G., Steinberg E.P., Whittle J., Et al., Development of clinical and economic prognoses from Medicare claims data, JAMA, 263, pp. 967-972, (1990)
[2] Chassin M.R., Brook R.H., Park R.E., Et al., Variations in the use of medical and surgical services by the Medicare population, N Engl J Med, 314, pp. 285-290, (1986)
[3] Cherkin D.C., University of Washington Schools of Medicine and Public Health, Seattle, Washington, (1987)
[4] Graves E.J., National Center for Health Statistics, Vital Health Stat, 13, 100, (1987)
[5] Reliability of Medicare Hospital Discharge Records, (1977)
[6] Reliability of National Hospital Discharge Survey Data, (1980)
[7] May J.J., Wasserman J., Selected results from an evaluation of the New Jersey Diagnosis-Related Group System, Health Services Res, 19, pp. 547-559, (1984)
[8] National Hospital Discharge Survey. Advance Data from Vital and Health Statistics. No. 159 (Rev.) DHHS Pub. No, (PHS), pp. 88-1250, (1987)
[9] Ramirez L.F., Thisted R., Using a national health care data base to determine surgical complications in community hospitals: Lumbar discectomy as an example, Neurosurgery, 25, pp. 218-225, (1989)
[10] Volinn E., Turczyn K.M., Loeser J.D., Surgical and non¬surgical hospitalizations for low back pain. Presented at the VI World Congress on Pain, Adelaide, Australia, April, pp. 1-6, (1990)

← 1 2 →