Underrecording of osteoarthritis in United Kingdom primary care electronic health record data

By On September 12, 2018

Underrecording of osteoarthritis in United Kingdom primary care electronic health record data

Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled.

  • Journals
  • Why Publish With Us?
  • Author Guidelines
  • Peer Review Guidelines
  • Open Outlook
  • Blog
  • Reprints
  • Submit Manuscript
  • About
  • Contact
  • Sustainability
  • Press Center
  • Testimonials
  • Blog
  • Favored Author Program
  • Permissions
  • Pre-Submission
  • Reprints
  • Login
  • Chinese website (中文ç½'ç«™)

open access to scientific and medical research

Back to Journals » Clinical Epidemiology » Volume 10

Underrecording of osteoarthritis in United Kingdom primary care electronic health record data
  • Abstract
  • Metrics
  • Get Permission

Authors Yu D, Jordan KP, Peat G

Received 16 December 2017

Accepted for publication 24 April 2018

Published 12 September 2 018 Volume 2018:10 Pages 1195â€"1201

DOI https://doi.org/10.2147/CLEP.S160059

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Professor Irene Petersen


Dahai Yu, Kelvin P Jordan, George Peat
Arthritis R esearch UK Primary Care Centre, Research Institute for Primary Care & Health Sciences, Keele University, Keele, Newcastle, UK
Purpose: Primary care electronic health records are increasingly used to estimate the occurrence of osteoarthritis (OA). We aimed to estimate the extent and trend over time of underrecording of severe OA patients in UK primary care electronic health records using first primary total hip and knee replacements (THR/TKR) â€" >90% of which are performed for OA â€" as the reference population.
Patients and methods: We identified patients with a first primary THR or TKR recorded in the UK Clinical Practice Research Datalink between 2000 and 2015. We then searched for a diagnostic/problem code for OA up to 10 years prior to THR/TKR using 3 definitions: “diagnosed OA (joint-specific),” “diagnosed OA (any joint),” “clinical OA” (diagnosed OA or relevant peripheral joint pain symptom code).
Resul ts: Among 34,299 THR patients identified, 28.1%, 53.4%, and 74.4% had a prior record of diagnosed OA (hip), diagnosed OA (any), and clinical OA, respectively. Among 47,588 TKR patients, the corresponding figures were, 25.5% (diagnosed OA [knee]), 43.7%, and 74.8%. In the UK Clinical Practice Research Datalink, the proportion of patients with prior recorded OA decreased between 2000 and 2015.
Conclusion: An increasing trend of underrecording of OA or joint pain among patients with THR or TKR (severe OA patients) between 2000 and 2015 was identified. An underestimate health care demand could be derived based on consultation incidence and prevalence of OA from electronic health record data that relies on osteoarthritis diagnostic codes. Further studies are warranted to investigate the validity of OA or joint pain recorded in primary care settings, which might be used to correct the consultation incidence and prevalence of OA.
Keywords: joint pain, total knee replacement, total hip replacement, sensitivity

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]Source: Google News United Kingdom | Netizen 24 United Kingdom

Next
« Prev Post
Previous
Next Post »