ICD-10 Codes for the Study of Chronic Overlapping Pain Conditions in Administrative Databases.
Biomedical research
Chronic overlapping pain conditions
Chronic pain
Database
Fibromyalgia
Journal
The journal of pain
ISSN: 1528-8447
Titre abrégé: J Pain
Pays: United States
ID NLM: 100898657
Informations de publication
Date de publication:
Historique:
received:
19
12
2018
revised:
29
04
2019
accepted:
20
05
2019
pubmed:
4
6
2019
medline:
24
6
2021
entrez:
3
6
2019
Statut:
ppublish
Résumé
Chronic overlapping pain conditions (COPCs) are a set of painful chronic conditions characterized by high levels of co-occurrence. It has been hypothesized that COPCs co-occur in many cases because of common neurobiological vulnerabilities. In practice, most research on COPCs has focused upon a single index condition with little effort to assess comorbid painful conditions. This likely means that important phenotypic differences within a sample are obscured. The International Classification of Diseases (ICD) coding system contains many diagnostic classifications that may be applied to individual COPCs, but there is currently no agreed upon set of codes for identifying and studying each of the COPCs. Here we seek to address this issue through three related projects 1) we first compile a set of ICD-10 codes from expert panels for ten common COPCs, 2) we then use natural language searches of medical records to validate the presence of COPCs in association with the proposed expert codes, 3) finally, we apply the resulting codes to a large administrative medical database to derive estimates of overlap between the ten conditions as a demonstration project. The codes presented can facilitate administrative database research on COPCs. PERSPECTIVE: This article presents a set of ICD-10 codes that researchers can use to explore the presence and overlap of COPCs in administrative databases. This may serve as a tool for estimating samples for research, exploring comorbidities, and treatments for individual COPCs, and identifying mechanisms associated with their overlap.
Identifiants
pubmed: 31154033
pii: S1526-5900(18)31029-0
doi: 10.1016/j.jpain.2019.05.007
pmc: PMC8177096
mid: NIHMS1537073
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
59-70Subventions
Organisme : NIDCR NIH HHS
ID : K12 DE023574
Pays : United States
Organisme : NINDS NIH HHS
ID : P01 NS045685
Pays : United States
Organisme : NIDCR NIH HHS
ID : U01 DE017018
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK082345
Pays : United States
Informations de copyright
Copyright © 2019 United States Association for the Study of Pain, Inc. Published by Elsevier Inc. All rights reserved.
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