Incidence and Prevalence of Knee Osteoarthritis Using Codified and Narrative Data From Electronic Health Records: A Population-Based Study. Arslan, I. G., Damen, J., de Wilde, M., van den Driest, J. J., Bindels, P. J. E., van der Lei, J., Schiphof, D., & Bierma-Zeinstra, S. M. A. Arthritis Care Res (Hoboken), 74(6):937-944, 2022. 2151-4658 Arslan, Ilgin G Orcid: 0000-0003-2046-6177 Damen, Jurgen de Wilde, Marcel van den Driest, Jacoline J Orcid: 0000-0001-9206-5431 Bindels, Patrick J E van der Lei, Johan Schiphof, Dieuwke Bierma-Zeinstra, Sita M A Journal Article United States 2022/01/19 Arthritis Care Res (Hoboken). 2022 Jun;74(6):937-944. doi: 10.1002/acr.24861. Epub 2022 Apr 9.
abstract   bibtex   
OBJECTIVE: To determine the incidence and prevalence of knee osteoarthritis (OA) using codified and narrative data from general practices throughout The Netherlands. METHODS: This retrospective cohort study was conducted using the Integrated Primary Care Information database. Patients with codified knee OA were selected, and an algorithm was developed to identify patients with narratively diagnosed knee OA only. Point prevalence proportions and incidence rates among people age ≥30 years were assessed from 2008 to 2019. The association of comorbidities with codified knee OA was analyzed using multivariable logistic regression. RESULTS: The positive predicted value of narratively diagnosed knee OA only was 94.0% (95% confidence interval [95% CI] 87.4-100%) and for codified knee OA 96.0% (95% CI 90.6-100%). Including narrative data in addition to codified data resulted in a prevalence 1.83-2.01 times higher (over the study years); prevalence increased from 5.8% to 11.8% between 2008 and 2019. The incidence rate was 1.93-2.28 times higher and increased from 9.98 per 1,000 person-years to 13.8 per 1,000 person-years between 2008 and 2019. Among patients with codified knee OA, 39.4% were previously diagnosed narratively with knee OA, on average  3 years earlier. Comorbidities influenced the likelihood of being recorded with codified knee OA. CONCLUSION: Our study of a Dutch primary care database showed that current incidence and prevalence estimates based on codified data alone from electronic health records are underestimated. Narrative data can be incorporated in addition to codified data to identify knee OA patients more accurately.
@article{RN262,
   author = {Arslan, I. G. and Damen, J. and de Wilde, M. and van den Driest, J. J. and Bindels, P. J. E. and van der Lei, J. and Schiphof, D. and Bierma-Zeinstra, S. M. A.},
   title = {Incidence and Prevalence of Knee Osteoarthritis Using Codified and Narrative Data From Electronic Health Records: A Population-Based Study},
   journal = {Arthritis Care Res (Hoboken)},
   volume = {74},
   number = {6},
   pages = {937-944},
   note = {2151-4658 Arslan, Ilgin G Orcid: 0000-0003-2046-6177 Damen, Jurgen de Wilde, Marcel van den Driest, Jacoline J Orcid: 0000-0001-9206-5431 Bindels, Patrick J E van der Lei, Johan Schiphof, Dieuwke Bierma-Zeinstra, Sita M A Journal Article United States 2022/01/19 Arthritis Care Res (Hoboken). 2022 Jun;74(6):937-944. doi: 10.1002/acr.24861. Epub 2022 Apr 9.},
   abstract = {OBJECTIVE: To determine the incidence and prevalence of knee osteoarthritis (OA) using codified and narrative data from general practices throughout The Netherlands. METHODS: This retrospective cohort study was conducted using the Integrated Primary Care Information database. Patients with codified knee OA were selected, and an algorithm was developed to identify patients with narratively diagnosed knee OA only. Point prevalence proportions and incidence rates among people age ≥30 years were assessed from 2008 to 2019. The association of comorbidities with codified knee OA was analyzed using multivariable logistic regression. RESULTS: The positive predicted value of narratively diagnosed knee OA only was 94.0% (95% confidence interval [95% CI] 87.4-100%) and for codified knee OA 96.0% (95% CI 90.6-100%). Including narrative data in addition to codified data resulted in a prevalence 1.83-2.01 times higher (over the study years); prevalence increased from 5.8% to 11.8% between 2008 and 2019. The incidence rate was 1.93-2.28 times higher and increased from 9.98 per 1,000 person-years to 13.8 per 1,000 person-years between 2008 and 2019. Among patients with codified knee OA, 39.4% were previously diagnosed narratively with knee OA, on average ~3 years earlier. Comorbidities influenced the likelihood of being recorded with codified knee OA. CONCLUSION: Our study of a Dutch primary care database showed that current incidence and prevalence estimates based on codified data alone from electronic health records are underestimated. Narrative data can be incorporated in addition to codified data to identify knee OA patients more accurately.},
   keywords = {Adult
Electronic Health Records
Humans
Incidence
*Osteoarthritis, Hip/diagnosis
*Osteoarthritis, Knee/diagnosis/epidemiology/etiology
Prevalence
Retrospective Studies ,
ISSN = 2151-464X (Print) 2151-464x ,
DOI = 10.1002/acr.24861},
   year = {2022},
   type = {Journal Article}
}

Downloads: 0