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Low positive predictive value of International Classification of Diseases, 10th Revision codes in relation to rheumatic heart disease: a challenge for global surveillance
Author(s) -
Katzenellenbogen Judith M.,
Nedkoff Lee,
Can Jeffrey,
Kruger Deborah,
Pretty Filippa,
Carapetis Jonathan R.,
Dempsey Karen E.,
De Dassel Jess,
Anderson Mellise,
Klerk Nicholas,
Hung Joseph
Publication year - 2019
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.14221
Subject(s) - medicine , heart disease , identification (biology) , limiting , predictive value , disease , intensive care medicine , pediatrics , mechanical engineering , botany , engineering , biology
International Classification of Diseases, 10th Revision codes for rheumatic heart disease (RHD) include valvular heart disease of unspecified origin, limiting their usefulness for estimating RHD burden. A cross‐disciplinary national consultation developed an algorithm to improve RHD identification in hospital data. The algorithm has been operationalised and piloted. The algorithm developed categorised 32% of RHD‐coded patients as probable/possible RHD. We outline a series of research initiatives to improve identification of RHD in administrative data thereby contributing to monitoring the RHD burden globally.