Validation of the Canadian Institute for Health Information Diagnostic Codes for Benign Gynecologic Surgery

J Obstet Gynaecol Can. 2023 Dec 29:102343. doi: 10.1016/j.jogc.2023.102343. Online ahead of print.ABSTRACTWe investigated the validity of ICD-10-CA diagnostic codes for surgery for benign gynecologic conditions in the CIHI-DAD, the main source of routinely-collected data in Canada. Reabstracted data from patient charts was compared to ICD-10-CA codes and measures of validity were calculated with 95% confidence intervals. 1068 procedures were identified. More objective, structural diagnoses (fibroids, prolapse) had higher sensitivity and near-perfect Kappa coefficients, while more subjective, symptomatic diagnoses (abnormal uterine bleeding, pelvic pain) had lower sensitivity and moderate-substantial Kappa coefficients. Specificity, positive-predictive-values, and negative-predictive-values were generally high for all diagnoses. These findings support the use of CIHI-DAD data for gynecologic research.PMID:38160795 | DOI:10.1016/j.jogc.2023.102343
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Authors: Source Type: research
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