Administrative Coding in Electronic Health Care Record-Based Research of NAFLD: An Expert Panel Consensus Statement.
Hepatology
; 74(1): 474-482, 2021 07.
Article
em En
| MEDLINE
| ID: mdl-33486773
ABSTRACT
BACKGROUND AND AIMS:
Electronic health record (EHR)-based research allows the capture of large amounts of data, which is necessary in NAFLD, where the risk of clinical liver outcomes is generally low. The lack of consensus on which International Classification of Diseases (ICD) codes should be used as exposures and outcomes limits comparability and generalizability of results across studies. We aimed to establish consensus among a panel of experts on ICD codes that could become the reference standard and provide guidance around common methodological issues. APPROACH ANDRESULTS:
Researchers with an interest in EHR-based NAFLD research were invited to collectively define which administrative codes are most appropriate for documenting exposures and outcomes. We used a modified Delphi approach to reach consensus on several commonly encountered methodological challenges in the field. After two rounds of revision, a high level of agreement (>67%) was reached on all items considered. Full consensus was achieved on a comprehensive list of administrative codes to be considered for inclusion and exclusion criteria in defining exposures and outcomes in EHR-based NAFLD research. We also provide suggestions on how to approach commonly encountered methodological issues and identify areas for future research.CONCLUSIONS:
This expert panel consensus statement can help harmonize and improve generalizability of EHR-based NAFLD research.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Consenso
/
Pesquisa Biomédica
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Registros Eletrônicos de Saúde
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Codificação Clínica
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Hepatopatia Gordurosa não Alcoólica
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Hepatology
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Suécia