tailieunhanh - Báo cáo y học: "Diagnostic accuracy of existing methods for identifying diabetic foot ulcers from inpatient and outpatient datasets"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Diagnostic accuracy of existing methods for identifying diabetic foot ulcers from inpatient and outpatient datasets. | Sohn et al. Journal of Foot and Ankle Research 2010 3 27 http content 3 1 27 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access Diagnostic accuracy of existing methods for identifying diabetic foot ulcers from inpatient and outpatient datasets Min-Woong Sohn1 2 Elly Budiman-Mak1 3 Rodney M Stuck4 5 Farah Siddiqui4 6 Todd A Lee1 7 Abstract Background As the number of persons with diabetes is projected to double in the next 25 years in the US an accurate method of identifying diabetic foot ulcers in population-based data sources are ever more important for disease surveillance and public health purposes. The objectives of this study are to evaluate the accuracy of existing methods and to propose a new method. Methods Four existing methods were used to identify all patients diagnosed with a foot ulcer in a Department of Veterans Affairs VA hospital from the inpatient and outpatient datasets for 2003. Their electronic medical records were reviewed to verify whether the medical records positively indicate presence of a diabetic foot ulcer in diagnoses medical assessments or consults. For each method five measures of accuracy and agreement were evaluated using data from medical records as the gold standard. Results Our medical record reviews show that all methods had sensitivity 92 but their specificity varied substantially between 74 and 91 . A method used in Harrington et al. 2004 was the most accurate with 94 sensitivity and 91 specificity and produced an annual prevalence of among VA users with diabetes nationwide. A new and simpler method consisting of two codes and shows an equally good accuracy with 93 sensitivity and 91 specificity and prevalence. Conclusions Our results indicate that the Harrington and New methods are highly comparable and accurate. We recommend the Harrington method for its accuracy and the New method for its simplicity and comparable accuracy. Background With the rapid spread of electronic .