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Positive Predictive Value of Sarcoidosis Identified in an Administrative Healthcare Registry: A Validation Study. | LitMetric

AI Article Synopsis

  • A study was conducted in Sweden to validate the accuracy of ICD codes for identifying true sarcoidosis diagnoses.
  • Researchers identified adults with at least 2 ICD codes for sarcoidosis and randomly sampled 100 patients for further validation.
  • The results showed that 77% of the cases were definite sarcoidosis and the positive predictive value for the diagnosis was 0.94, indicating high accuracy in using ICD codes for this condition.

Article Abstract

Background: International classification of disease (ICD) codes used to study sarcoidosis has previously been validated in only 1 study. We aimed to determine the accuracy of ICD codes to identify true sarcoidosis diagnoses in Sweden.

Methods: We identified adults with at least 2 ICD codes for sarcoidosis (ICD-10 D86) at Karolinska University Hospital 2010-2013 from the National Patient Register. Of these, we randomly sampled 100 patients for validation. We collected clinical data and categorized the diagnosis of sarcoidosis as definite, probable, or unlikely. We estimated the positive predictive value for definite and probable sarcoidosis-identified with at least 2 ICD codes-with 95% confidence intervals.

Results: We deemed 77% of the cases to be definite and 17% to be probable. The positive predictive value was 0.94 (95% confidence intervals = 0.87 to 0.98).

Conclusions: Using at least 2 visits listing an ICD-10 code for sarcoidosis accurately identified patients with sarcoidosis from administrative health data in Sweden.

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Source
http://dx.doi.org/10.1097/EDE.0000000000001323DOI Listing

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