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With a similar procedure, assignment rules can be set for parameters of kinetic rate laws.
After obtaining Institutional Review Board approvals, we undertook a two-step approach to assessing the validity of our claims-based algorithm for kidney cancer surgical procedure assignment.
The algorithm included explicit rules for procedure assignment for cases with multiple surgical claims and/or discrepancies between the inpatient and physician claims (e.g., a hospital claim for partial nephrectomy coupled with a physician claim for radical nephrectomy).
We first calculated the overall concordance or observed agreement rate between the claims algorithm and the medical record (i.e., the number of cases where procedure assignment was the same for the claims algorithm and the operative report divided by the total number of cases in the validation sample).
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To achieve this aim, we compared procedure assignments based on Medicare claims with the type of surgery specified in SEER registry data and clinical operative reports.
We performed separate calculations for overall procedure assignments (i.e., ORN vs OPN vs LRN vs LPN), partial versus radical nephrectomy, and open versus laparoscopic surgical approach.
The primary goal of this study, therefore, was to validate our Medicare-claims-based algorithm for classifying kidney cancer surgeries by comparing procedure assignments based on Medicare claims with the type of surgery specified in SEER registry data and actual clinical operative reports.
Therefore, we have to combine our re-substitution process after the CYC2008 procedure for function assignment for complexes.
Figure 1 includes a CONSORT flowchart, detailing the recruitment procedure, group assignment, and reasons for attrition for each group of participants.
It involves a step that is never mentioned but implicit in the procedure: the assignment of odor percepts to the different spheres in stimulus space.
Following the randomisation procedure the assignment was disclosed to the research team, as the team was also in charge of teaching the lecture on Internet use to the intervention group that could therefore not be masked.
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