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Subject

Validation of Administrative Big Database for Colorectal Cancer Searched by International Classification of Disease 10th Codes in Korean: A Retrospective Big-cohort Study
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논문 기본 정보

Type
Academic journal
Author
Young-Jae Hwang (서울대학교) Kim Nayoung (서울대학교) Chang Yong Yun (서울대학교) Hyuk Yoon (서울대학교) Cheol Min Shin (서울대학교) Young Soo Park (서울대학교) Il Tae Son (서울대학교) 오흥권 (서울대학교) Duck-Woo Kim (서울대학교) Kang Sung-Bum (서울대학교) LEE Hye Seung (서울대학교) 박선미 (충북대학교) Lee Dong Ho (서울대학교)
Journal
Korean Society Cancer Prevention 대한암예방학회지 대한암예방학회지 제23권 제4호 KCI Accredited Journals
Published
2018.1
Pages
183 - 190 (8page)

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Validation of Administrative Big Database for Colorectal Cancer Searched by International Classification of Disease 10th Codes in Korean: A Retrospective Big-cohort Study
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Abstract· Keywords

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Background: As the number of big-cohort studies increases, validation becomes increasingly more important. We aimed to validate administrative database categorized as colorectal cancer (CRC) by the International Classification of Disease (ICD) 10th code. Methods: Big-cohort was collected from Clinical Data Warehouse using ICD 10th codes from May 1, 2003 to November 30, 2016 at Seoul National University Bundang Hospital. The patients in the study group had been diagnosed with cancer and were recorded in the ICD 10th code of CRC by the National Health Insurance Service. Subjects with codes of inflammatory bowel disease or tuberculosis colitis were selected for the control group. For the accuracy of registered CRC codes (C18-21), the chart, imaging results, and pathologic findings were examined by two reviewers. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for CRC were calculated. Results: A total of 6,780 subjects with CRC and 1,899 control subjects were enrolled. Of these patients, 22 subjects did not have evidence of CRC by colonoscopy, computed tomography, magnetic resonance imaging, or positron emission tomography. The sensitivity and specificity of hospitalization data for identifying CRC were 100.00% and 98.86%, respectively. PPV and NPV were 99.68% and 100.00%, respectively. Conclusions: The big-cohort database using the ICD 10th code for CRC appears to be accurate. (J Cancer Prev 2018;23:183-190)

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