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A case definition based on diagnoses in a broad set of administrative databases, including hospital, physician billing, and emergency room data, had a PPV of only 46%.
The most common outcomes were AMI and angina, diagnosed by a physician during hospital treatment, in the study clinic, or based on diagnoses in national mortality registers.
Type of clinic and geographic location of the clinic were not significantly associated with the PPV of syndrome definitions based on diagnoses in physician claims.
In contrast, in chronic disease monitoring, investigators have identified several factors that predict the accuracy of case definitions based on diagnoses in administrative data [ 8- 16].
The prevalence of DM in the adult population based on diagnoses in GP claims data also corresponds well with earlier Norwegian prevalence estimates of 2 3% in the relevant age groups [ 38].
The objective of the present study was to evaluate whether or not the aforementioned physician, patient, encounter, and billing characteristics are associated with the positive predictive value (PPV) of syndromic surveillance case definitions based on diagnoses in physician claims.
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Most previous research on potentially avoidable or preventable hospitalizations is based on diagnoses without in-depth root cause analysis (RCA), and few studies have examined SNF staff perspective on preventability of transfers.
Mean gonorrhoea diagnosis rates based on diagnoses made in GUM clinics were higher (53 vs 32/100 000; p=0.03) in LAs using dual tests compared with those not using.
Administrative data variables were based on diagnoses recorded in any diagnosis field of inpatient stays and outpatient visits.
However, our data on IBS were based on diagnoses registered in the DNRP and it is known that these are not entirely accurate.
Even so, a recent study reported consistently high positive predictive values for all of the CCI diseases based on diagnoses recorded in the DNPR.
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Justyna Jupowicz-Kozak
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