Validating administrative records in post-traumatic stress disorder

Thad E Abrams; Mary Vaughan-Sarrazin; Terence M Keane; Kelly Richardson

doi:10.1002/mpr.1470

Back

Validating administrative records in post-traumatic stress disorder

Journal article

Open access

Peer reviewed

Validating administrative records in post-traumatic stress disorder

Thad E Abrams, Mary Vaughan-Sarrazin, Terence M Keane and Kelly Richardson

International journal of methods in psychiatric research, Vol.25(1), pp.22-32

03/2016

DOI: 10.1002/mpr.1470

PMCID: PMC6877113

PMID: 26082028

Files and links (1)

url

https://doi.org/10.1002/mpr.1470View

Published (Version of record) Open Access

Abstract

There is insufficient data on the accuracy of administrative coding data (ACD) for post-traumatic stress disorder (PTSD). Medical records were reviewed for (1) a diagnosis of PTSD; (2) treatment for PTSD. The records were compared against the Veterans Health Administration (VHA) data in order to determine the positive predictive value (PPV) and negative predictive value (NPV) of three commonly used approaches. The PPV and NPV varied according to the ACD approach. Relative to a medical records review, the ACD approach of one or two PTSD coded outpatient encounters had a PPV of 78% and an NPV of 91%; whereas the PPV was 97% and the NPV was 98% for three or more PTSD codes. For pharmacotherapy, the ACD approach with one or two codes for PTSD had a PPV of 33% (NPV = 93%), whereas three or more PTSD coded encounters improved the PPV to 85% (NPV = 100%). When using VHA data, we recommend tailoring the identification strategy according to the research aims. An ACD approach identifying one or more PTSD outpatient encounters should be considered sufficient for a diagnosis of PTSD. Assessments for PTSD associated pharmacotherapy require using an ACD approach that identifies veterans with the presence ≥ 3 outpatient PTSD encounters. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

Reproducibility of Results

Age Distribution

United States

Hospitals, Veterans - statistics & numerical data

Humans

Middle Aged

Databases, Factual - statistics & numerical data

Stress Disorders, Post-Traumatic - epidemiology

Veterans - psychology

Male

Algorithms

Stress Disorders, Post-Traumatic - diagnosis

Aged, 80 and over

Adult

Female

ROC Curve

Aged

Veterans - statistics & numerical data

Cohort Studies

Details

Title: Subtitle: Validating administrative records in post-traumatic stress disorder
Creators: Thad E Abrams - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Mary Vaughan-Sarrazin - Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
Terence M Keane - Boston University School of Medicine, Boston, MA, USA
Kelly Richardson - Center for Comprehensive Access & Delivery Research and Evaluation, Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: International journal of methods in psychiatric research, Vol.25(1), pp.22-32
DOI: 10.1002/mpr.1470
PMID: 26082028
PMCID: PMC6877113
NLM abbreviation: Int J Methods Psychiatr Res
ISSN: 1049-8931
eISSN: 1557-0657
Publisher: United States
Grant note: name: Department of Veterans Affairs Health Services Research and Development Service, award: CDA 10-016
Language: English
Date published: 03/2016
Academic Unit: Psychiatry; Health Management and Policy; General Internal Medicine; Internal Medicine
Record Identifier: 9984063200602771

Metrics

38 Record Views

15 Times Cited - Web of Science

See more details