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Misclassification and miscoding are possible and diagnostic codes are not definitive proof of disease.
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Third, there is the likelihood of undercoding and miscoding of diagnoses and treatments.
18 However, the GPRD comprises data collected in routine practice and can be vulnerable to delays, omissions and miscoding.
The drawbacks of using administrative data are well known, 28 including limitations regarding risk-adjustment and miscoding.
We are aware however that the GPRD constitutes data collected in routine practice and can be vulnerable to delays, omissions, and miscoding.
Inherent to the retrospective analyses of large administrative datasets, this study is limited by potential biases due to the case-mix and miscoding.
We excluded pathological fractures, humeral shaft fractures, healed fractures, fractures in skeletal immature, pseudoarthroses, and miscoded cases.
Possible sources of bias concerning measurement error in the database comprise recall, underreporting, miscoding, misclassification and information bias.
Lack of transfer and miscoding of information has been reported as the most frequent reasons for discrepancies in computerized medical records at a veterinary teaching hospital [ 18].
This leads to misclassification and poor recognition.
The optimal combination of attributes minimizes a weighted sum of total fractional misclassification and the percentage of the total number of variables employed to obtain the misclassification.
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