Validity of diagnostic codes and prevalence of physician-diagnosed psoriasis and psoriatic arthritis in southern Sweden - A population-based register study. Lofvendahl, S., Theander, E., Svensson, A., Carlsson, K. S., Englund, M., & Petersson, I. F. PloS one, 9(5):e98024, 2014. Paper doi abstract bibtex OBJECTIVE: To validate diagnostic codes for psoriasis and psoriatic arthritis (PsA) and estimate physician-diagnosed prevalence of psoriasis and PsA in the Skane region, Sweden. METHODS: In the Skane Healthcare Register (SHR), all healthcare consultations are continuously collected for all inhabitants in the Skane region (population 1.2 million). During 2005-2010 we identified individuals with \textgreater/=1 physician-consultations consistent with psoriasis (ICD-10). Within this group we also identified those diagnosed with PsA. We performed a validation by reviewing medical records in 100 randomly selected cases for psoriasis and psoriasis with PsA, respectively. Further, we estimated the pre- and post-validation point prevalence by December 31, 2010. RESULTS: We identified 16 171 individuals (psoriasis alone: n = 13 185, psoriasis with PsA n = 2 986). The proportion of ICD-10 codes that could be confirmed by review of medical records was 81% for psoriasis and 63% for psoriasis with PsA with highest percentage of confirmed codes for cases diagnosed \textgreater/=2 occasions in specialized care. For 19% and 29% of the cases respectively it was not possible to determine diagnosis due to insufficient information. Thus, the positive predicted value (PPV) of one
@article{lofvendahl_validity_2014,
title = {Validity of diagnostic codes and prevalence of physician-diagnosed psoriasis and psoriatic arthritis in southern {Sweden} - {A} population-based register study.},
volume = {9},
issn = {1932-6203 1932-6203},
url = {http://dx.doi.org/10.1371%2Fjournal.pone.0098024},
doi = {10.1371/journal.pone.0098024},
abstract = {OBJECTIVE: To validate diagnostic codes for psoriasis and psoriatic arthritis (PsA) and estimate physician-diagnosed prevalence of psoriasis and PsA in the Skane region, Sweden. METHODS: In the Skane Healthcare Register (SHR), all healthcare consultations are continuously collected for all inhabitants in the Skane region (population 1.2 million). During 2005-2010 we identified individuals with {\textgreater}/=1 physician-consultations consistent with psoriasis (ICD-10). Within this group we also identified those diagnosed with PsA. We performed a validation by reviewing medical records in 100 randomly selected cases for psoriasis and psoriasis with PsA, respectively. Further, we estimated the pre- and post-validation point prevalence by December 31, 2010. RESULTS: We identified 16 171 individuals (psoriasis alone: n = 13 185, psoriasis with PsA n = 2 986). The proportion of ICD-10 codes that could be confirmed by review of medical records was 81\% for psoriasis and 63\% for psoriasis with PsA with highest percentage of confirmed codes for cases diagnosed {\textgreater}/=2 occasions in specialized care. For 19\% and 29\% of the cases respectively it was not possible to determine diagnosis due to insufficient information. Thus, the positive predicted value (PPV) of one},
language = {eng},
number = {5},
journal = {PloS one},
author = {Lofvendahl, Sofia and Theander, Elke and Svensson, Ake and Carlsson, Katarina Steen and Englund, Martin and Petersson, Ingemar F.},
year = {2014},
pmid = {24875275},
pmcid = {PMC4038520},
keywords = {*International Classification of Diseases, Adult, Arthritis, Psoriatic/*diagnosis/*epidemiology, Female, Humans, Male, Middle Aged, Physicians, Population Surveillance, Prevalence, Psoriasis/*diagnosis/*epidemiology, Registries, Reproducibility of Results, Sweden/epidemiology},
pages = {e98024},
}
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METHODS: In the Skane Healthcare Register (SHR), all healthcare consultations are continuously collected for all inhabitants in the Skane region (population 1.2 million). During 2005-2010 we identified individuals with \\textgreater/=1 physician-consultations consistent with psoriasis (ICD-10). Within this group we also identified those diagnosed with PsA. We performed a validation by reviewing medical records in 100 randomly selected cases for psoriasis and psoriasis with PsA, respectively. Further, we estimated the pre- and post-validation point prevalence by December 31, 2010. RESULTS: We identified 16 171 individuals (psoriasis alone: n = 13 185, psoriasis with PsA n = 2 986). The proportion of ICD-10 codes that could be confirmed by review of medical records was 81% for psoriasis and 63% for psoriasis with PsA with highest percentage of confirmed codes for cases diagnosed \\textgreater/=2 occasions in specialized care. For 19% and 29% of the cases respectively it was not possible to determine diagnosis due to insufficient information. Thus, the positive predicted value (PPV) of one","language":"eng","number":"5","journal":"PloS one","author":[{"propositions":[],"lastnames":["Lofvendahl"],"firstnames":["Sofia"],"suffixes":[]},{"propositions":[],"lastnames":["Theander"],"firstnames":["Elke"],"suffixes":[]},{"propositions":[],"lastnames":["Svensson"],"firstnames":["Ake"],"suffixes":[]},{"propositions":[],"lastnames":["Carlsson"],"firstnames":["Katarina","Steen"],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["Martin"],"suffixes":[]},{"propositions":[],"lastnames":["Petersson"],"firstnames":["Ingemar","F."],"suffixes":[]}],"year":"2014","pmid":"24875275","pmcid":"PMC4038520","keywords":"*International Classification of Diseases, Adult, Arthritis, Psoriatic/*diagnosis/*epidemiology, Female, Humans, Male, Middle Aged, Physicians, Population Surveillance, Prevalence, Psoriasis/*diagnosis/*epidemiology, Registries, Reproducibility of Results, Sweden/epidemiology","pages":"e98024","bibtex":"@article{lofvendahl_validity_2014,\n\ttitle = {Validity of diagnostic codes and prevalence of physician-diagnosed psoriasis and psoriatic arthritis in southern {Sweden} - {A} population-based register study.},\n\tvolume = {9},\n\tissn = {1932-6203 1932-6203},\n\turl = {http://dx.doi.org/10.1371%2Fjournal.pone.0098024},\n\tdoi = {10.1371/journal.pone.0098024},\n\tabstract = {OBJECTIVE: To validate diagnostic codes for psoriasis and psoriatic arthritis (PsA) and estimate physician-diagnosed prevalence of psoriasis and PsA in the Skane region, Sweden. METHODS: In the Skane Healthcare Register (SHR), all healthcare consultations are continuously collected for all inhabitants in the Skane region (population 1.2 million). During 2005-2010 we identified individuals with {\\textgreater}/=1 physician-consultations consistent with psoriasis (ICD-10). Within this group we also identified those diagnosed with PsA. We performed a validation by reviewing medical records in 100 randomly selected cases for psoriasis and psoriasis with PsA, respectively. Further, we estimated the pre- and post-validation point prevalence by December 31, 2010. RESULTS: We identified 16 171 individuals (psoriasis alone: n = 13 185, psoriasis with PsA n = 2 986). The proportion of ICD-10 codes that could be confirmed by review of medical records was 81\\% for psoriasis and 63\\% for psoriasis with PsA with highest percentage of confirmed codes for cases diagnosed {\\textgreater}/=2 occasions in specialized care. 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