[Clinical validation of 2 morbidity groups in the primary care setting].
Validación clínica de 2 agrupadores de morbilidad en el ámbito de atención primaria.
Agrupador de morbilidad
Clinical Validation
Morbidity grouper
Multimorbidity
Multimorbilidad
Validación clínica
Journal
Atencion primaria
ISSN: 1578-1275
Titre abrégé: Aten Primaria
Pays: Spain
ID NLM: 9111075
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
23
03
2018
revised:
18
09
2018
accepted:
25
09
2018
pubmed:
16
2
2019
medline:
22
1
2021
entrez:
16
2
2019
Statut:
ppublish
Résumé
Adjusted Morbidity Groups (GMAs) and the Clinical Risk Groups (CRGs) are population morbidity based stratification tools which classify patients into mutually exclusive categories. To compare the stratification provided by the GMAs, CRGs and that carried out by the evaluators according to the levels of complexity. Random sample stratified by morbidity risk. Catalonia. Forty paired general practitioners in the primary care, matched pairs. Each pair of evaluators had to review 25 clinical records. The concordance by evaluators, and between the evaluators and the results obtained by the 2 morbidity tools were evaluated according to the kappa index, sensitivity, specificity, and positive and negative predicted values. The concordance between general practitioners pairs was around the kappa value 0.75 (mean value=0.67), between the GMA and the evaluators was similar (mean value=0.63), and higher than for the CRG (mean value=0.35). The general practitioners gave a score of 7.5 over 10 to both tools, although for the most complex strata, according to the professionals' assignment, the GMA obtained better scores than the CRGs. The professionals preferred the GMAs over the CRGs. These differences increased with the complexity level of the patients according to clinical criteria. Overall, less than 2% of serious classification errors were found by both groupers. The evaluators considered that both grouping systems classified the studied population satisfactorily, although the GMAs showed a better performance for more complex strata. In addition, the clinical raters preferred the GMAs in most cases.
Identifiants
pubmed: 30765102
pii: S0212-6567(18)30214-2
doi: 10.1016/j.aprim.2018.09.016
pmc: PMC7025994
pii:
doi:
Types de publication
Comparative Study
Journal Article
Validation Study
Langues
spa
Sous-ensembles de citation
IM
Pagination
96-103Investigateurs
Jordi Acezat Oliva
(J)
Antonio Arevalo Genicio
(A)
Joan Barrot de la Puente
(J)
Ander Burgaña Agoües
(A)
Sílvia Cárceles Jurado
(S)
Joan Caselles I Rey
(J)
Jordi Casanovas Font
(J)
Lourdes Cruz Cubells
(L)
Rafael Cubí I Monfort
(R)
Silvia Falcón Vives
(S)
Xavier Gallego Laredo
(X)
Marta Garcia Pastor
(M)
Isabel Garcia Albas
(I)
M Carmen Garcia López
(MC)
Montserrat Gavagnac Bellsolà
(M)
Pau Hidalgo Valls
(P)
Milagros Iglesias Martínez
(M)
Jordi Jiménez Girado
(J)
Montserrat Llordes Llordes
(M)
Xavier López Lupión
(X)
Carles López I Arpí
(C)
Alfonso Martin Pascual
(A)
Mireia Martínez Ortega
(M)
J Carlos Martínez Vindel
(JC)
José M Mercadé Salavert
(JM)
Àngels Moleiro Oliva
(À)
Cristina Molina Guasch
(C)
Teresa Mur Martí
(T)
Sílvia Narejos Pérez
(S)
Leonor Navarrete González
(L)
Daniel Panyart Sánchez
(D)
M Dolores Ribero Genar
(MD)
Anna Ripoll Ramos
(A)
Marta Serrarols Soldevila
(M)
Mercè Soler Guerra
(M)
Laura Taberner I Pinsach
(L)
Montserrat Teixidó Colet
(M)
Ramon Vilatimó Pujal
(R)
Alicia Villanueva Hernández
(A)
M Carmen Yuste Marco
(MC)
Informations de copyright
Copyright © 2019 The Author. Publicado por Elsevier España, S.L.U. All rights reserved.
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