Administrative Coding in Electronic Health Care Record‐Based Research of NAFLD: An Expert Panel Consensus Statement
Background and Aims Electronic health record (EHR)‐based research allows the capture of large amounts of data, which is necessary in NAFLD, where the risk of clinical liver outcomes is generally low. The lack of consensus on which International Classification of Diseases (ICD) codes should be used a...
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Published in | Hepatology (Baltimore, Md.) Vol. 74; no. 1; pp. 474 - 482 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Wiley Subscription Services, Inc
01.07.2021
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Subjects | |
Online Access | Get full text |
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Summary: | Background and Aims
Electronic health record (EHR)‐based research allows the capture of large amounts of data, which is necessary in NAFLD, where the risk of clinical liver outcomes is generally low. The lack of consensus on which International Classification of Diseases (ICD) codes should be used as exposures and outcomes limits comparability and generalizability of results across studies. We aimed to establish consensus among a panel of experts on ICD codes that could become the reference standard and provide guidance around common methodological issues.
Approach and Results
Researchers with an interest in EHR‐based NAFLD research were invited to collectively define which administrative codes are most appropriate for documenting exposures and outcomes. We used a modified Delphi approach to reach consensus on several commonly encountered methodological challenges in the field. After two rounds of revision, a high level of agreement (>67%) was reached on all items considered. Full consensus was achieved on a comprehensive list of administrative codes to be considered for inclusion and exclusion criteria in defining exposures and outcomes in EHR‐based NAFLD research. We also provide suggestions on how to approach commonly encountered methodological issues and identify areas for future research.
Conclusions
This expert panel consensus statement can help harmonize and improve generalizability of EHR‐based NAFLD research. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Drafting of manuscript: HH Guarantor of article: HH Analysis and interpretation of data: All Acquisition of data: All All authors approved the final version of the article, including the authorship list. Author’s contributions: Study conception and design: HH, FÅ Writing Assistance: None. Statistical analysis: N/A Critical revision: All |
ISSN: | 0270-9139 1527-3350 1527-3350 |
DOI: | 10.1002/hep.31726 |