Journal of Preventive Medicine and Public Health

English Abstracts

Comparative Study on Three Algorithms of the ICD-10 Charlson Comorbidity Index with Myocardial Infarction Patients.: Kyoung Hoon Kim; J Prev Med Public Health. 2010;43(1):42-49.; DOI: https://doi.org/10.3961/jpmph.2010.43.1.42

6,414 View
213 Download
55 Crossref

OBJECTIVES
To compare the performance of three International Statistical Classification of Diseases, 10th Revision translations of the Charlson comorbidities when predicting in-hospital among patients with myocardial infarction (MI). METHODS: MI patients > or =20 years of age with the first admission during 2006 were identified(n=20,280). Charlson comorbidities were drawn from Heath Insurance Claims Data managed by Health Insurance Review and Assessment Service in Korea. Comparisions for various conditions included (a) three algorithms (Halfon, Sundararajan, and Quan algorithms), (b) lookback periods (1-, 3- and 5-years), (c) data range (admission data, admission and ambulatory data), and (d) diagnosis range (primary diagnosis and first secondary diagnoses, all diagnoses). The performance of each procedure was measured with the c-statistic derived from multiple logistic regression adjusted for age, sex, admission type and Charlson comorbidity index. A bootstrapping procedure was done to determine the approximate 95% confidence interval. RESULTS: Among the 20,280 patients, the mean age was 63.3 years, 67.8% were men and 7.1% died while hospitalized. The Quan and Sundararajan algorithms produced higher prevalences than the Halfon algorithm. The c-statistic of the Quan algorithm was slightly higher, but not significantly different, than that of other two algorithms under all conditions. There was no evidence that on longer lookback periods, additional data, and diagnoses improved the predictive ability. CONCLUSIONS: In health services study of MI patients using Health Insurance Claims Data, the present results suggest that the Quan Algorithm using a 1-year lookback involving primary diagnosis and the first secondary diagnosis is adequate in predicting in-hospital mortality.

Summary

Citations

Citations to this article as recorded by

Increased Risk of Myocardial Infarction, Heart Failure, and Atrial Fibrillation After Spinal Cord Injury
Jung Eun Yoo, Miso Kim, Bongseong Kim, Heesun Lee, Won Hyuk Chang, Jeehyun Yoo, Kyungdo Han, Dong Wook Shin
Journal of the American College of Cardiology.2024; 83(7): 741. CrossRef
Impact of anemia requiring transfusion or erythropoiesis-stimulating agents on new-onset cardiovascular events and mortality after continuous renal replacement therapy
Junseok Jeon, Danbee Kang, Hyejeong Park, Kyungho Lee, Jung Eun Lee, Wooseong Huh, Juhee Cho, Hye Ryoun Jang
Scientific Reports.2024;[Epub] CrossRef
Adjusting for Confounders in Outcome Studies Using the Korea National Health Insurance Claim Database: A Review of Methods and Applications
Seung Jin Han, Kyoung Hoon Kim
Journal of Preventive Medicine and Public Health.2024; 57(1): 1. CrossRef
Risk of Parkinson disease in stroke patients: A nationwide cohort study in South Korea
Hea Lim Choi, Jong Hyeon Ahn, Won Hyuk Chang, Wonyoung Jung, Bong Sung Kim, Kyungdo Han, Jinyoung Youn, Dong Wook Shin
European Journal of Neurology.2024;[Epub] CrossRef
Risk of fracture among patients with spinal cord injury: A nationwide cohort study in South Korea
Seonghye Kim, Bongseong Kim, Kyung-Do Han, Junhee Park, Jung Eun Yoo, Hea Lim Choi, Won Hyuk Chang, In Young Cho, Dong Wook Shin
Bone.2024; 183: 117093. CrossRef
Increased end-stage renal disease risk in age-related macular degeneration: a nationwide cohort study with 10-year follow-up
Wonyoung Jung, Junhee Park, Hye Ryoun Jang, Junseok Jeon, Kyungdo Han, Bongseong Kim, Je Moon Yoon, Dong Hui Lim, Dong Wook Shin
Scientific Reports.2023;[Epub] CrossRef
Increased Risk of Developing Depression in Disability after Stroke: A Korean Nationwide Study
Hea Lim Choi, Kyojin Yang, Kyungdo Han, Bongsung Kim, Won Hyuk Chang, Soonwook Kwon, Wonyoung Jung, Jung Eun Yoo, Hong Jin Jeon, Dong Wook Shin
International Journal of Environmental Research and Public Health.2023; 20(1): 842. CrossRef
Restless leg syndrome and risk of all-cause dementia: a nationwide retrospective cohort study
Keun You Kim, Eun Hwa Kim, Myeongjee Lee, Junghee Ha, Inkyung Jung, Eosu Kim
Alzheimer's Research & Therapy.2023;[Epub] CrossRef
Prognostic significance of albuminuria in elderly of various ages with diabetes
Subin Hwang, Kyungho Lee, Jeeeun Park, Do Hee Kim, Junseok Jeon, Hye Ryoun Jang, Kyu Yeon Hur, Jae Hyeon Kim, Wooseong Huh, Yoon-Goo Kim, Jung Eun Lee
Scientific Reports.2023;[Epub] CrossRef
The Impact of Clinical Prognosis of Viral Hepatitis in Head and Neck Cancer Patients Receiving Concurrent Chemoradiotherapy
Yu-Ming Wang, Sheng-Dean Luo, Ching-Nung Wu, Shao-Chun Wu, Wei-Chih Chen, Yao-Hsu Yang, Tai-Jan Chiu
Biomedicines.2023; 11(11): 2946. CrossRef
Pulmonary Tuberculosis and the Incidence of Lung Cancer among Patients with Chronic Obstructive Pulmonary Disease
Hye Yun Park, Danbee Kang, Sun Hye Shin, Hayoung Choi, Seung Hun Jang, Chang-Hoon Lee, Hojoong Kim, O. Jung Kwon, Chin Kook Rhee, Juhee Cho
Annals of the American Thoracic Society.2022; 19(4): 640. CrossRef
Economic burden attributable to Clostridioides difficile infections in South Korea: a nationwide propensity score-matched study
K.J. Son, Y.A. Kim, Y.S. Park
Journal of Hospital Infection.2022; 120: 1. CrossRef
Association between the presence of delirium during intensive care unit admission and cognitive impairment or psychiatric problems: the Korean ICU National Data Study
Ryoung-Eun Ko, Danbee Kang, Hyejung Park, Juhee Cho, Gee Young Suh, Chi Ryang Chung
Journal of Intensive Care.2022;[Epub] CrossRef
Impact of Renal Replacement Therapy on Mortality and Renal Outcomes in Critically Ill Patients with Acute Kidney Injury: A Population-Based Cohort Study in Korea between 2008 and 2015
Subin Hwang, Danbee Kang, Hyejeong Park, Youngha Kim, Eliseo Guallar, Junseok Jeon, Jung-Eun Lee, Wooseong Huh, Gee-Young Suh, Juhee Cho, Hye-Ryoun Jang
Journal of Clinical Medicine.2022; 11(9): 2392. CrossRef
Application of the New Preoperative Frailty Risk Score in Elderly Patients Undergoing Emergency Surgery
Sang-Wook Lee, Keon-Sik Kim, Sung-Wook Park, Jaewon Kim, Jeong-Hyun Choi, Sangho Lee, Kyoung-Woon Joung, In-Cheol Choi
Gerontology.2022; 68(11): 1276. CrossRef
Risk Factors of Incident Lung Cancer in Patients with Non-Cystic Fibrosis Bronchiectasis: A Korean Population-Based Study
Youlim Kim, Kyungdo Han, Juhwan Yoo, Hyung Koo Kang, Tai Sun Park, Dong Won Park, Ji Young Hong, Ji-Yong Moon, Sang-Heon Kim, Tae Hyung Kim, Kwang Ha Yoo, Jang Won Sohn, Ho Joo Yoon, Hayoung Choi, Hyun Lee
Cancers.2022; 14(11): 2604. CrossRef
Recent Increases in Influenza-Related Hospitalizations, Critical Care Resource Use, and In-Hospital Mortality: A 10-Year Population-Based Study in South Korea
Tae Hwa Hong, Hyung Seok Lee, Nam-Eun Kim, Kyu Jin Lee, Yong Kyun Kim, Jung Nam An, Joo-Hee Kim, Hyung Won Kim, Sunghoon Park
Journal of Clinical Medicine.2022; 11(16): 4911. CrossRef
Non–Cystic Fibrosis Bronchiectasis Increases the Risk of Lung Cancer Independent of Smoking Status
Hayoung Choi, Hye Yun Park, Kyungdo Han, Juhwan Yoo, Sun Hye Shin, Bumhee Yang, Youlim Kim, Tai Sun Park, Dong Won Park, Ji-Yong Moon, Seung Won Ra, Sang-Heon Kim, Tae-Hyung Kim, Yeon-Mok Oh, Ho Joo Yoon, Jang Won Sohn, Hyun Lee
Annals of the American Thoracic Society.2022; 19(9): 1551. CrossRef
Investigation of the Relationship between Psychiatry Visit and Suicide after Deliberate Self-Harm: A Longitudinal National Cohort Study (Preprint)
Hye Hyeon Kim, Chanyoung Ko, Ji Ae Park, In Han Song, Yu Rang Park
JMIR Public Health and Surveillance.2022;[Epub] CrossRef
Association between Age-Related Macular Degeneration and the Risk of Diabetes Mellitus: A Nationwide Cohort Study
Wonyoung Jung, Je Moon Yoon, Kyungdo Han, Bongseong Kim, Sungsoon Hwang, Dong Hui Lim, Dong Wook Shin
Biomedicines.2022; 10(10): 2435. CrossRef
A Study on The Efficacy of Vaccination in Elderly Patients with Breakthrough COVID-19 Infection
Soobok Choi, Zion Choi, Chul-Min Ha, Hyoung-Ju Lee, Chong myung Kim
Korean Journal of Clinical Geriatrics.2022; 23(2): 115. CrossRef
Glaucoma Surgery and Subsequent Retinal Vessel Occlusion Incidence in Elderly Patients: A Population-based Preliminary Study
Yun Jeong Lee, Kyeong Ik Na, Young Kook Kim
Journal of the Korean Glaucoma Society.2022; 11(2): 102. CrossRef
The risk of stroke according to statin medication compliance in older people with chronic periodontitis: an analysis using the Korea National Health Insurance Service-Senior Cohort Database
Seon-Rye Kim, Minkook Son, Yu-Rin Kim
Epidemiology and Health.2022; 44: e2022055. CrossRef
Impact of comorbidity burden on mortality in patients with COVID-19 using the Korean health insurance database
Soo Ick Cho, Susie Yoon, Ho-Jin Lee
Scientific Reports.2021;[Epub] CrossRef
The Relationship between Unmet Healthcare Needs Due to Financial Reasons and the Experience of Catastrophic Health Expenditures
Jeong-Hee Kang, Chul-Woung Kim
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 95. CrossRef
Deep Spinal Infection after Outpatient Epidural Injections for Pain: A Retrospective Sample Cohort Study Using a Claims Database in South Korea
Chang-Soon Lee, Young Jae Park, Jee Youn Moon, Yong-Chul Kim
Anesthesiology.2021; 134(6): 925. CrossRef
Travel time to emergency care not by geographic time, but by optimal time: A nationwide cross-sectional study for establishing optimal hospital access time to emergency medical care in South Korea
Won Mo Jang, Juyeon Lee, Sang Jun Eun, Jun Yim, Yoon Kim, Mi Young Kwak, M. Mahmud Khan
PLOS ONE.2021; 16(5): e0251116. CrossRef
Evaluation of the Prognosis of COVID-19 Patients According to the Presence of Underlying Diseases and Drug Treatment
Ejin Kim, Yong Chul Kim, Jae Yoon Park, Jiyun Jung, Jung Pyo Lee, Ho Kim
International Journal of Environmental Research and Public Health.2021; 18(10): 5342. CrossRef
Prior antiviral treatment and mortality among patients with hepatitis C virus-related hepatocellular carcinoma: A national cohort study
Dong Hyun Sinn, Danbee Kang, Yun Soo Hong, Kwang Cheol Koh, Eliseo Guallar, Juhee Cho, Geum-Youn Gwak, Luca Rinaldi
PLOS ONE.2021; 16(8): e0255624. CrossRef
Prognostic Factors of Renal Outcomes after Heart Transplantation: A Nationwide Retrospective Study
Junseok Jeon, Hyejeong Park, Youngha Kim, Danbee Kang, Jung Eun Lee, Wooseong Huh, Eliseo Guallar, Juhee Cho, Hye Ryoun Jang
Journal of Clinical Medicine.2021; 10(21): 5110. CrossRef
Impact of chronic obstructive pulmonary disease on mortality: A large national cohort study
Hye Yun Park, Danbee Kang, Hyun Lee, Sun Hye Shin, Minwoong Kang, Sunga Kong, Chin Kook Rhee, Juhee Cho, Kwang Ha Yoo
Respirology.2020; 25(7): 726. CrossRef
Post‐intensive care unit depression among critical care survivors: A nationwide population‐based study
Jiyeon Kang, Seonyoung Yun, Young Shin Cho, Yeon Jin Jeong
Japan Journal of Nursing Science.2020;[Epub] CrossRef
Identification of herpes zoster high‐risk group using Charlson comorbidity index: A nationwide retrospective cohort study
Soo Ick Cho, Dong Hun Lee, Young Min Park
The Journal of Dermatology.2020; 47(1): 47. CrossRef
Effect of anesthetic method on incidence of delirium after total hip replacement arthroplasty in South Korea: a population-based study using National Health Insurance claims data
Eun-Ji Choi, Yoon Ji Choi, Sang Won Lee, Yun-Mi Choi, Hyun-Su Ri, Ju Yeon Park, Soon Ji Park, Jung-Min Son, Yoon Sook Lee
Korean Journal of Anesthesiology.2020; 73(1): 36. CrossRef
Use of Gadoxetic Acid–enhanced Liver MRI and Mortality in More than 30 000 Patients with Hepatocellular Carcinoma: A Nationwide Analysis
Tae Wook Kang, Sun-Young Kong, Danbee Kang, Min Woong Kang, Young Kon Kim, Seong Hyun Kim, Dong Hyun Sinn, Young Ae Kim, Kui Son Choi, Eun Sook Lee, Sang Myung Woo, Joung Hwan Back, Eliseo Guallar, Juhee Cho
Radiology.2020; 295(1): 114. CrossRef
Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015
Yun Hee Park, Ryoung-Eun Ko, Danbee Kang, Jinkyeong Park, Kyeongman Jeon, Jeong Hoon Yang, Chi-Min Park, Joongbum Cho, Young Sook Park, Hyejung Park, Juhee Cho, Eliseo Guallar, Gee Young Suh, Chi Ryang Chung
Journal of Korean Medical Science.2020;[Epub] CrossRef
Incidence of extrahepatic cancers among individuals with chronic hepatitis B or C virus infection: A nationwide cohort study
Chai Yeong Hong, Dong Hyun Sinn, Danbee Kang, Seung Woon Paik, Eliseo Guallar, Juhee Cho, Geum‐Youn Gwak
Journal of Viral Hepatitis.2020; 27(9): 896. CrossRef
Association between oral health and incidence of pneumonia: a population-based cohort study from Korea
Minkook Son, Sangyong Jo, Ji Sung Lee, Dong Hyun Lee
Scientific Reports.2020;[Epub] CrossRef
Association between hemoglobin variability and incidence of hypertension over 40 years: a Korean national cohort study
Minkook Son, Junyong Park, Kyungil Park, Sung Yang
Scientific Reports.2020;[Epub] CrossRef
Antidepressant adherence and its predictors in immigrants with depression
Suhyun Jang, Hyemin Cho, Cinoo Kang, Sunmee Jang
Medicine.2020; 99(51): e23308. CrossRef
Extracorporeal membrane oxygenation in Korea – Trends and impact of hospital volume on outcome: Analysis of national insurance data 2009–2014
Chee Kiang Tay, Yang Hyun Cho, Jinkyeong Park, Jeong Hoon Yang, Chi Ryang Chung, Kiick Sung, Juhee Cho, Danbee Kang, Hyejeong Park, Gee Young Suh
Journal of Critical Care.2019; 49: 1. CrossRef
Association of statin therapy with clinical outcomes in patients with vasospastic angina: Data from Korean health insurance review and assessment service
So Jin Park, Hyejeong Park, Danbee Kang, Taek Kyu Park, Jinkyeong Park, Joongbum Cho, Chi Ryang Chung, Kyeongman Jeon, Eliseo Guallar, Juhee Cho, Gee Young Suh, Jeong Hoon Yang, Raffaele Bugiardini
PLOS ONE.2019; 14(1): e0210498. CrossRef
Factors influencing the incidence and treatment of intracranial aneurysm and subarachnoid hemorrhage: time trends and socioeconomic disparities under an universal healthcare system
Won Kyung Lee, Chang Wan Oh, Heeyoung Lee, Kun Sei Lee, Hyeonseon Park
Journal of NeuroInterventional Surgery.2019; 11(2): 159. CrossRef
Epidemiology of sepsis in Korea: a population-based study of incidence, mortality, cost and risk factors for death in sepsis
Joonghee Kim, Kyuseok Kim, Heeyoung Lee, Soyeon Ahn
Clinical and Experimental Emergency Medicine.2019; 6(1): 49. CrossRef
Changes in acute kidney injury epidemiology in critically ill patients: a population-based cohort study in Korea
Subin Hwang, Hyejeong Park, Youngha Kim, Danbee Kang, Ho Suk Ku, Juhee Cho, Jung Eun Lee, Wooseong Huh, Eliseo Guallar, Gee Young Suh, Hye Ryoun Jang
Annals of Intensive Care.2019;[Epub] CrossRef
Elderly Mortality and Exposure to Fine Particulate Matter and Ozone
En-Joo Jung, Wonwoong Na, Kyung-Eun Lee, Jae-Yeon Jang
Journal of Korean Medical Science.2019;[Epub] CrossRef
Association between long-term hemoglobin variability and mortality in Korean adults: a nationwide population-based cohort study
Minkook Son, Sung Yang
Scientific Reports.2019;[Epub] CrossRef
A nationwide analysis of intensive care unit admissions, 2009–2014 – The Korean ICU National Data (KIND) study
Jinkyeong Park, Kyeongman Jeon, Chi Ryang Chung, Jeong Hoon Yang, Yang Hyun Cho, Joongbum Cho, Chi-Min Park, Hyejeong Park, Juhee Cho, Eliseo Guallar, Gee Young Suh
Journal of Critical Care.2018; 44: 24. CrossRef
Incidence of Diabetes After Cancer Development
Yul Hwangbo, Danbee Kang, Minwoong Kang, Saemina Kim, Eun Kyung Lee, Young Ae Kim, Yoon Jung Chang, Kui Son Choi, So-Youn Jung, Sang Myung Woo, Jin Seok Ahn, Sung Hoon Sim, Yun Soo Hong, Roberto Pastor-Barriuso, Eliseo Guallar, Eun Sook Lee, Sun-Young Kon
JAMA Oncology.2018; 4(8): 1099. CrossRef
Differential prognosis of vasospastic angina according to presentation with sudden cardiac arrest or not: Analysis of the Korean Health Insurance Review and Assessment Service
Taek Kyu Park, Hye Bin Gwag, So Jin Park, Hyejeong Park, Danbee Kang, Jinkyeong Park, Joongbum Cho, Chi Ryang Chung, Kyeongman Jeon, Gee Young Suh, Eliseo Guallar, Juhee Cho, Jeong Hoon Yang
International Journal of Cardiology.2018; 273: 39. CrossRef
Incidence of Falls and Risk Factors of Falls in Inpatients
Soo-Jin Yoon, Chun-Kyon Lee, In-Sun Jin, Jung-Gu Kang
Quality Improvement in Health Care.2018; 24(2): 2. CrossRef
The Best Use of the Charlson Comorbidity Index With Electronic Health Care Database to Predict Mortality
Aurélie Bannay, Christophe Chaignot, Pierre-Olivier Blotière, Mickaël Basson, Alain Weill, Philippe Ricordeau, François Alla
Medical Care.2016; 54(2): 188. CrossRef
Comorbidity Adjustment in Health Insurance Claim Database
Kyoung Hoon Kim
Health Policy and Management.2016; 26(1): 71. CrossRef
A Convergence Study in the Severity-adjusted Mortality Ratio on inpatients with multiple chronic conditions
Young-Suk Seo, Sung-Hong Kang
Journal of Digital Convergence.2015; 13(12): 245. CrossRef
Development and validation of comorbidity index in South Korea
S.-R. Kil, S.-I. Lee, Y.-H. Khang, M.-S. Lee, H.-J. Kim, S.-O. Kim, M.-W. Jo
International Journal for Quality in Health Care.2012; 24(4): 391. CrossRef

A Comparative Study on Comorbidity Measurements with Lookback Period using Health Insurance Database: Focused on Patients Who Underwent Percutaneous Coronary Intervention.: Kyoung Hoon Kim, Lee Su Ahn; J Prev Med Public Health. 2009;42(4):267-273.; DOI: https://doi.org/10.3961/jpmph.2009.42.4.267

5,341 View
109 Download
13 Crossref

Abstract PDF

OBJECTIVES
To compare the performance of three comorbidity measurements (Charlson comorbidity index, Elixhauser's comorbidity and comorbidity selection) with the effect of different comorbidity lookback periods when predicting in-hospital mortality for patients who underwent percutaneous coronary intervention. METHODS: This was a retrospective study on patients aged 40 years and older who underwent percutaneous coronary intervention. To distinguish comorbidity from complications, the records of diagnosis were drawn from the National Health Insurance Database excluding diagnosis that admitted to the hospital. C-statistic values were used as measures for in comparing the predictability of comorbidity measures with lookback period, and a bootstrapping procedure with 1,000 replications was done to determine approximate 95% confidence interval. RESULTS: Of the 61,815 patients included in this study, the mean age was 63.3 years (standard deviation: +/-10.2) and 64.8% of the population was male. Among them, 1,598 (2.6%) had died in hospital. While the predictive ability of the Elixhauser s comorbidity and comorbidity selection was better than that of the Charlson comorbidity index, there was no significant difference among the three comorbidity measurements. Although the prevalence of comorbidity increased in 3 years of lookback periods, there was no significant improvement compared to 1 year of a lookback period. CONCLUSIONS: In a health outcome study for patients who underwent percutaneous coronary intervention using National Health Insurance Database, the Charlson comorbidity index was easy to apply without significant difference in predictability compared to the other methods. The one year of observation period was adequate to adjust the comorbidity. Further work to select adequate comorbidity measurements and lookback periods on other diseases and procedures are needed.

Summary

Citations

Citations to this article as recorded by

Adjusting for Confounders in Outcome Studies Using the Korea National Health Insurance Claim Database: A Review of Methods and Applications
Seung Jin Han, Kyoung Hoon Kim
Journal of Preventive Medicine and Public Health.2024; 57(1): 1. CrossRef
High‐Intensity Statin Reduces the Risk of Mortality Among Chronic Liver Disease Patients With Atherosclerotic Cardiovascular Disease: A Population‐Based Cohort Study
Sungho Bea, In‐Sun Oh, Ju Hwan Kim, Dong Hyun Sinn, Yoosoo Chang, Seungho Ryu, Ju‐Young Shin
Journal of the American Heart Association.2023;[Epub] CrossRef
Impact of comorbidity assessment methods to predict non-cancer mortality risk in cancer patients: a retrospective observational study using the National Health Insurance Service claims-based data in Korea
Sanghee Lee, Yoon Jung Chang, Hyunsoon Cho
BMC Medical Research Methodology.2021;[Epub] CrossRef
Evaluating the impact of covariate lookback times on performance of patient-level prediction models
Jill Hardin, Jenna M. Reps
BMC Medical Research Methodology.2021;[Epub] CrossRef
Comorbidity and cervical cancer survival of Indigenous and non-Indigenous Australian women: A semi-national registry-based cohort study (2003-2012)
Abbey Diaz, Peter D. Baade, Patricia C. Valery, Lisa J. Whop, Suzanne P. Moore, Joan Cunningham, Gail Garvey, Julia M. L. Brotherton, Dianne L. O’Connell, Karen Canfell, Diana Sarfati, David Roder, Elizabeth Buckley, John R. Condon, Stéphanie Filleur
PLOS ONE.2018; 13(5): e0196764. CrossRef
Comorbidity Adjustment in Health Insurance Claim Database
Kyoung Hoon Kim
Health Policy and Management.2016; 26(1): 71. CrossRef
The Benefits Conferred by Radial Access for Cardiac Catheterization Are Offset by a Paradoxical Increase in the Rate of Vascular Access Site Complications With Femoral Access
Lorenzo Azzalini, Kunle Tosin, Malorie Chabot-Blanchet, Robert Avram, Hung Q. Ly, Benoit Gaudet, Richard Gallo, Serge Doucet, Jean-François Tanguay, Réda Ibrahim, Jean C. Grégoire, Jacques Crépeau, Raoul Bonan, Pierre de Guise, Mohamed Nosair, Jean-Franço
JACC: Cardiovascular Interventions.2015; 8(14): 1854. CrossRef
A Convergence Study in the Severity-adjusted Mortality Ratio on inpatients with multiple chronic conditions
Young-Suk Seo, Sung-Hong Kang
Journal of Digital Convergence.2015; 13(12): 245. CrossRef
Development and validation of comorbidity index in South Korea
S.-R. Kil, S.-I. Lee, Y.-H. Khang, M.-S. Lee, H.-J. Kim, S.-O. Kim, M.-W. Jo
International Journal for Quality in Health Care.2012; 24(4): 391. CrossRef
Development of Mortality Model of Severity-Adjustment Method of AMI Patients
Ji-Hye Lim, Mun-Hee Nam
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(6): 2672. CrossRef
Use of hospitalisation history (lookback) to determine prevalence of chronic diseases: impact on modelling of risk factors for haemorrhage in pregnancy
Jian Sheng Chen, Christine L Roberts, Judy M Simpson, Jane B Ford
BMC Medical Research Methodology.2011;[Epub] CrossRef
The Impact of Medicaid Expansion to include population with low income on the preventable hospitalizations
Hyun-Chul Shin, Se-Ra Kim
Korean Journal of Health Policy and Administration.2010; 20(1): 87. CrossRef
Comparative Study on Three Algorithms of the ICD-10 Charlson Comorbidity Index with Myocardial Infarction Patients
Kyoung Hoon Kim
Journal of Preventive Medicine and Public Health.2010; 43(1): 42. CrossRef

Prognostic Impact of Charlson Comorbidity Index Obtained from Medical Records and Claims Data on 1-year Mortality and Length of Stay in Gastric Cancer Patients.: Min Ho Kyung, Seok Jun Yoon, Hyeong Sik Ahn, Se min Hwang, Hyun Ju Seo, Kyoung Hoon Kim, Hyeung Keun Park; J Prev Med Public Health. 2009;42(2):117-122.; DOI: https://doi.org/10.3961/jpmph.2009.42.2.117

5,635 View
113 Download
12 Crossref

Abstract PDF

OBJECTIVES
We tried to evaluate the agreement of the Charlson comorbidity index values (CCI) obtained from different sources (medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay (length of stay). METHODS: Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. RESULTS: The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree (kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables (beta = 0.112, 95% CI = [0.017-1.267]). CONCLUSIONS: There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.

Summary

Citations

Citations to this article as recorded by

Factors Associated with Hospital Length of Stay among Women’s Cancer Patients: Based on the In-depth Injury Patient Surveillance System Data
Yoonjung Kang, Hyewon Lee
Journal of Health Informatics and Statistics.2022; 47(2): 148. CrossRef
The impact of global budgeting in Taiwan on inpatients with unexplained fever
Keh-Sen Liu, Tsung-Fu Yu, Hsing-Ju Wu, Chun-Yi Lin
Medicine.2019; 98(37): e17131. CrossRef
What happened to health service utilization, health care expenditures, and quality of care in patients with acute pancreatitis after implementation of global budgeting in Taiwan?
Ya-Lin Ko, Jyun-Wei Wang, Hui-Mei Hsu, Chia-Hung Kao, Chun-Yi Lin
Medicine.2018; 97(41): e12620. CrossRef
The impact of global budgeting on health service utilization, health care expenditures, and quality of care among patients with pneumonia in Taiwan
C.-Y. Lin, T. Ma, C.-C. Lin, C.-H. Kao
European Journal of Clinical Microbiology & Infectious Diseases.2016; 35(2): 219. CrossRef
Comparison of Hospital Standardized Mortality Ratio Using National Hospital Discharge Injury Data
Jong-Ho Park, Yoo-Mi Kim, Sung-Soo Kim, Won-Joong Kim, Sung-Hong Kang
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(4): 1739. CrossRef
Predictive Ability of Charlson Comorbidity Index on Outcomes From Lung Cancer
Apar Kishor Ganti, Emily Siedlik, Alissa S. Marr, Fausto R. Loberiza, Anne Kessinger
American Journal of Clinical Oncology.2011; 34(6): 593. CrossRef
Comparative Study on Three Algorithms of the ICD-10 Charlson Comorbidity Index with Myocardial Infarction Patients
Kyoung Hoon Kim
Journal of Preventive Medicine and Public Health.2010; 43(1): 42. CrossRef
The Impact of Medicaid Expansion to include population with low income on the preventable hospitalizations
Hyun-Chul Shin, Se-Ra Kim
Korean Journal of Health Policy and Administration.2010; 20(1): 87. CrossRef
Charlson Comorbidity Index as a Predictor of Long-Term Survival after Surgery for Breast Cancer: A Nationwide Retrospective Cohort Study in South Korea
Hye Kyung Woo, Jong Hyock Park, Han Sung Kang, So Young Kim, Sang Il Lee, Hyung Ho Nam
Journal of Breast Cancer.2010; 13(4): 409. CrossRef
A comparison of the Charlson comorbidity index derived from medical records and claims data from patients undergoing lung cancer surgery in Korea: a population-based investigation
Hyun-Ju Seo, Seok-Jun Yoon, Sang-Il Lee, Kun Sei Lee, Young Ho Yun, Eun-Jung Kim, In-Hwan Oh
BMC Health Services Research.2010;[Epub] CrossRef
Health Outcome Prediction Using the Charlson Comorbidity Index In Lung Cancer Patients
Se-Won Kim, Seok-Jun Yoon, Min-Ho Kyung, Young-Ho Yun, Young-Ae Kim, Eun-Jung Kim
Korean Journal of Health Policy and Administration.2009; 19(4): 18. CrossRef
Factors Affecting Health of the Rural Residents
Dong-Koog Son, Kyu-Sik Lee, Jong-Ku Park, Sang-Baek Koh, Ki-Nam Jin, Eun-Woo Nam, Hae-Jong Lee
Korean Journal of Health Policy and Administration.2009; 19(4): 1. CrossRef

Evaluation Studies

Usefulness of Comorbidity Indices in Operative Gastric Cancer Cases.: Se Min Hwang, Seok Jun Yoon, Hyeong Sik Ahn, Hyong Gin An, Sang Hoo Kim, Min Ho Kyeong, Eun Kyoung Lee; J Prev Med Public Health. 2009;42(1):49-58.; DOI: https://doi.org/10.3961/jpmph.2009.42.1.49

5,194 View
69 Download
8 Crossref

Abstract PDF

OBJECTIVES
The purpose of the current study was to evaluate the usefulness of the following four comorbidity indices in gastric cancer patients who underwent surgery: Charlson Comorbidity Index (CCI), Cumulative Illness rating scale (CIRS), Index of Co-existent Disease (ICED), and Kaplan-Feinstein Scale (KFS). METHODS: The study subjects were 614 adults who underwent surgery for gastric cancer at K hospital between 2005 and 2007. We examined the test-retest and inter-rater reliability of 4 comorbidity indices for 50 patients. Reliability was evaluated with Spearman rho coefficients for CCI and CIRS, while Kappa values were used for the ICED and KFS indices. Logistic regression was used to determine how these comorbidity indices affected unplanned readmission and death. Multiple regression was used for determining if the comorbidity indices affected length of stay and hospital costs. RESULTS: The test-retest reliability of CCI and CIRS was substantial (Spearman rho=0.746 and 0.775, respectively), while for ICED and KFS was moderate (Kappa=0.476 and 0.504, respectively). The inter-rater reliability of the CCI, CIRS, and ICED was moderate (Spearman rho=0.580 and 0.668, and Kappa=0.433, respectively), but for KFS was fair (Kappa=0.383). According to the results from logistic regression, unplanned readmissions and deaths were not significantly different between the comorbidity index scores. But, according to the results from multiple linear regression, the CIRS group showed a significantly increased length of hospital stay (p<0.01). Additionally, CCI showed a significant association with increased hospital costs (p<0.01). CONCLUSIONS: This study suggests that the CCI index may be useful in the estimation of comorbidities associated with hospital costs, while the CIRS index may be useful where estimatation of comorbiditie associated with the length of hospital stay are concerned.

Summary

Citations

Citations to this article as recorded by

Impact of comorbidity assessment methods to predict non-cancer mortality risk in cancer patients: a retrospective observational study using the National Health Insurance Service claims-based data in Korea
Sanghee Lee, Yoon Jung Chang, Hyunsoon Cho
BMC Medical Research Methodology.2021;[Epub] CrossRef
The Association between Charlson Comorbidity Index and the Medical Care Cost of Cancer: A Retrospective Study
Seok-Jun Yoon, Eun-Jung Kim, Hyun-Ju Seo, In-Hwan Oh
BioMed Research International.2015; 2015: 1. CrossRef
The Effect of Oral Cola Ingestion for Endoscopic Inspection of Remnant Stomach: Randomized Case Control Study
Ho Kim, Key Hyeon Kim, Ji Won Kim, Yong Jeoung, Yang Jae Yoo, Moon Kyung Joo, Beom Jae Lee, Ji Hoon Kim, Jong Eun Yeon, Jong-Jae Park, Kwan Soo Byun, Young Tae Bak, Sang Woo Lee
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2014; 14(1): 39. CrossRef
Development of Mortality Model of Severity-Adjustment Method of AMI Patients
Ji-Hye Lim, Mun-Hee Nam
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(6): 2672. CrossRef
The Impact of Medicaid Expansion to include population with low income on the preventable hospitalizations
Hyun-Chul Shin, Se-Ra Kim
Korean Journal of Health Policy and Administration.2010; 20(1): 87. CrossRef
Charlson Comorbidity Index as a Predictor of Long-Term Survival after Surgery for Breast Cancer: A Nationwide Retrospective Cohort Study in South Korea
Hye Kyung Woo, Jong Hyock Park, Han Sung Kang, So Young Kim, Sang Il Lee, Hyung Ho Nam
Journal of Breast Cancer.2010; 13(4): 409. CrossRef
Health Outcome Prediction Using the Charlson Comorbidity Index In Lung Cancer Patients
Se-Won Kim, Seok-Jun Yoon, Min-Ho Kyung, Young-Ho Yun, Young-Ae Kim, Eun-Jung Kim
Korean Journal of Health Policy and Administration.2009; 19(4): 18. CrossRef
Factors Affecting Health of the Rural Residents
Dong-Koog Son, Kyu-Sik Lee, Jong-Ku Park, Sang-Baek Koh, Ki-Nam Jin, Eun-Woo Nam, Hae-Jong Lee
Korean Journal of Health Policy and Administration.2009; 19(4): 1. CrossRef

First
Prev
Page of 1
Next
Last

Search