Year: 2021
Type: article
Study design: Observational Study
Abstract: SUMMARY: The accuracy of any claim-based study is dependent on the quality of real-world coding of the condition of interest. This retrospective, administrative claims analysis presents a method for using a real-world data source to evaluate the accuracy of coding for nonunion of a fifth metatarsal fracture. Patients 21-80 years old with a diagnosis of a fifth metatarsal fracture between January 1, 2016, and October 31, 2016, and a nonunion of the fifth metatarsal fracture within the next 9 months were identified in the MarketScan Databases. Patient health care claims in the 12 months after the nonunion diagnosis were examined for health care encounters and pharmaceutical treatments considered indicative of treatment for nonunion, such as claims for bone growth stimulation or a second claim with a diagnosis of nonunion. Of the 230 patients who had at least one health care encounter attributable to a nonunion of the fifth metatarsal, 95.2% had at least one subsequent health care encounter confirming nonunion diagnosis. The mean number of supporting health care claims was 5.8, and the mean time between nonunion and first confirmatory claim was 33 days. This analysis demonstrated a method for evaluating the quality of coding for a specific condition when a traditional medical chart comparison is not feasible.
Source: Journal of Orthopaedic Trauma
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: green
Funders: GlaxoSmithKline, Louisiana State University, Stryker, Novo Nordisk, National Institutes of Health, University of North Carolina at Chapel Hill, UCB US, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute on Minority Health and Health Disparities, North Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill, H2020 European Research Council
Awards: G1005728247, Methods for Estimating Sex Differences in Safety and Effectiveness of Drugs, G3855968436, G4163160421, Racial Differences in Treatment with Hysterectomy: a Multilevel Investigation, North Carolina Translational and Clinical Science Institute (NC TraCS), Propensity scores and preventive drug use in the elderly
OpenAlex ID: W3130859741