Validity of distal radius fracture diagnoses in the Swedish National Patient Register

Distal radius fractures are one of the most common fractures in adults. More research is needed to establish evidence-based clinical practice guidelines to generate cost-effective and fair fracture treatment. The Swedish National Patient Register is a principal source for population-based epidemiolo...

Full description

Saved in:
Bibliographic Details
Published inEuropean journal of medical research Vol. 28; no. 1; pp. 1 - 335
Main Authors Südow, Hanna, Sjödin, Linda, Mellstrand Navarro, Cecilia
Format Journal Article
LanguageEnglish
Published London BioMed Central Ltd 09.09.2023
BioMed Central
BMC
Subjects
Codes
Distal radius fracture
Epidemiology
Evidence-based medicine
Hospitals
Inpatient Register
Medical records
Medicin och hälsovetenskap
Missing data
Orthopedics
Outpatient Register
Patients
Swedish National Patient Register
Validation
Validity
Sweden
Online AccessGet full text

Cover

More Information
Summary:Distal radius fractures are one of the most common fractures in adults. More research is needed to establish evidence-based clinical practice guidelines to generate cost-effective and fair fracture treatment. The Swedish National Patient Register is a principal source for population-based epidemiologic studies in Sweden. The validity of some-but not all-diagnoses in the register is high. Little is known regarding the validity of registration of distal radius fractures. A dataset of cases registered with diagnosis of distal radius fracture (S52.5) or distal radius and ulna fracture (S52.6) were collected from the Swedish National Inpatient and Outpatient Registers. Six cohorts, each containing 240 simple random samples, were constructed. Radiographic reports and medical records were reviewed to confirm or reject the diagnosis as well as, in relevant cases, the surgical intervention. Positive predictive values (PPV) were calculated. The PPV for distal radius fracture in the register ranges between 92 and 100%, lower if coded as S52.6 and higher if there was an adherent code of surgical intervention. Codes for surgical intervention reached a PPV of 95-100%. In conclusion, the validity of the codes for diagnosis and the surgical treatment of distal radius fracture is high in the Swedish National Patient Register. According to our results, the register may be used as a reliable data source for population-based research of distal radius fractures. Keywords: Distal radius fracture, Swedish National Patient Register, Outpatient Register, Inpatient Register, Validation, Epidemiology
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:2047-783X
0949-2321
2047-783X
DOI:10.1186/s40001-023-01314-0