Identifying Patients With Inflammatory Bowel Diseases in an Administrative Health Claims Database: Do Algorithms Generate Similar Findings?

Application of selective algorithms to administrative health claims databases allows detection of specific patients and disease or treatment outcomes. This study identified and applied different algorithms to a single data set to compare the numbers of patients with different inflammatory bowel dise...

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Publicado en:Inquiry (00469580) Vol. 56
Autores principales: Ye, Yizhou, Manne, Sudhakar, Bennett, Dimitri
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 11/19/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 11/19/2019
      vid: 56
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Identifying Patients With Inflammatory Bowel Diseases in an Administrative Health Claims Database: Do Algorithms Generate Similar Findings?
      aug:
        au:
          Ye, Yizhou
          Manne, Sudhakar
          Bennett, Dimitri
        affil: Takeda Pharmaceutical Company Limited, Cambridge, MA, USA
      sug:
        subj:
          Inflammatory Bowel Diseases Classification
          Databases, Health Administration
          Billing and Claims Administration
          Algorithms
          Human
          Male
          Female
          Crohn Disease
          Colitis, Ulcerative
          Descriptive Statistics
          Health Insurance Portability and Accountability Act
          Retrospective Design
          PubMed
          Insurance, Health
          Funding Source
          Male
          Female
      ab: Application of selective algorithms to administrative health claims databases allows detection of specific patients and disease or treatment outcomes. This study identified and applied different algorithms to a single data set to compare the numbers of patients with different inflammatory bowel disease classifications identified by each algorithm. A literature review was performed to identify algorithms developed to define inflammatory bowel disease patients, including ulcerative colitis, Crohn's disease, and inflammatory bowel disease unspecified in routinely collected administrative claims databases. Based on the study population, validation methods, and results, selected algorithms were applied to the Optum Clinformatics® Data Mart database from June 2000 to March 2017. The patient cohorts identified by each algorithm were compared. Three different algorithms were identified from literature review and selected for comparison (A, B, and C). Each identified different numbers of patients with any form of inflammatory bowel disease (323 833; 246 953, and 171 537 patients, respectively). The proportions of patients with ulcerative colitis, Crohn's disease, and inflammatory bowel disease unspecified were 32.0% to 47.5%, 38.6% to 43.8%, and 8.7% to 26.6% of the total population with inflammatory bowel disease, respectively, depending on the algorithm applied. Only 5.1% of patients with inflammatory bowel disease unspecified were identified by all 3 algorithms. Algorithm C identified the smallest cohort for each disease category except inflammatory bowel disease unspecified. This study is the first to compare numbers of inflammatory bowel disease patients identified by different algorithms from a single database. The differences between results highlight the need for validation of algorithms to accurately identify inflammatory bowel disease patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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