TITLE

Accuracy of administrative claims data for polypectomy

AUTHOR(S)
Wyse, Jonathan M.; Joseph, Lawrence; Barkun, Alan N.; Sewitch, Maida J.
PUB. DATE
August 2011
SOURCE
CMAJ: Canadian Medical Association Journal;8/9/2011, Vol. 183 Issue 11, pE743
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The frequency of polypectomy is an important indicator of quality assurance for population-based colorectal cancer screening programs. Although administrative databases of physician claims provide population-level data on the performance of polypectomy, the accuracy of the procedure codes has not been examined. We determined the level of agreement between physician claims for polypectomy and documentation of the procedure in endoscopy reports. Methods: We conducted a retrospective cohort study involving patients aged 50-80 years who underwent colonoscopy at seven study sites in Montréal, Que., between January and March 2007. We obtained data on physician claims for polypectomy from the Régie de l'Assurance Maladie du Québec (RAMQ) database. We evaluated the accuracy of the RAMQ data against information in the endoscopy reports. Results: We collected data on 689 patients who underwent colonoscopy during the study period. The sensitivity of physician claims for polypectomy in the administrative database was 84.7% (95% confidence interval [CI] 78.6%-89.4%), the specificity was 99.0% (95% CI 97.5%-99.6%), concordance was 95.1% (95% CI 93.1%-96.5%), and the kappa value was 0.87 (95% CI 0.83-0.91). Interpretation: Despite providing a reasonably accurate estimate of the frequency of polypectomy, physician claims underestimated the number of procedures performed by more than 15%. Such differences could affect conclusions regarding quality assurance if used to evaluate population-based screening programs for colorectal cancer. Even when a high level of accuracy is anticipated, validating physician claims data from administrative databases is recommended.
ACCESSION #
67143619

 

Related Articles

  • Short term outcomes of the first round of a pilot colorectal cancer screening programme with guaiac based faecal occult blood test. Denis, Bernard; Ruetsch, Marcel; Strentz, Patrick; Vogel, Jean Yves; Guth, Francis; Boyaval, Jean Marc; Pagnon, Xavier; Ebelin, Jean François; Gendre, Isabelle; Perrin, Philippe // Gut;Nov2007, Vol. 56 Issue 11, p1579 

    Objective: To assess both feasibility and short term outcomes of a population based colorectal cancer screening programme using a biennial guaiac based faecal occult blood test (gFOBT). Method: All participants were invited by mail to take part in a screening programme using a non-rehydrated...

  • Diagnosis and subsequent treatment: GPs' role. Hayes, Julian // New Zealand Doctor;7/2/2014, p34 

    The article discusses the important role of general practitioners (GPs) in the diagnosis, management, and treatment of colorectal cancer. It explores the warning signs of colorectal cancer based on the symptoms including rectal bleeding, abdominal pain, and unexplained weight loss. It highlights...

  • Colorectal Screening after Polypectomy: A National Survey Study of Primary Care Physicians. Boolchand, Vikram; Olds, Gregory; Singh, Joseph; Singh, Pankaj; Chak, Amitabh; Cooper, Gregory S. // Annals of Internal Medicine;11/7/2006, Vol. 145 Issue 9, p654 

    Background: Recommendations by primary care physicians for colorectal screening after polypectomy will influence rates of colonoscopy in open-access systems that do not require consultation by a gastroenterologist before colonoscopy. Objective: To determine the surveillance recommendations of...

  • Management of Suspected Perforation Following Colonoscopy: A Case Report. Weber, David J.; Rodney, MacMillan; Warren, Jeffrey // Journal of Family Practice;May93, Vol. 36 Issue 5, p567 

    Early detection of colon cancer is imperative for a good prognosis. Family physicians are therefore becoming the front line of defense in the fight against colorectal malignancy. Many family physicians are incorporating colonoscopy into their practices in an attempt to avoid costly referrals and...

  • Prediction of the Risk of a Metachronous Advanced Colorectal Neoplasm Using a Novel Scoring System. Lee, Ji; Park, Hye; Kim, Min-Ju; Lee, Jong-Soo; Lee, Ho-Su; Chang, Hye-Sook; Choe, Jaewon; Hwang, Sung; Yang, Dong-Hoon; Myung, Seung-Jae; Yang, Suk-Kyun; Byeon, Jeong-Sik; Lee, Ji Young; Park, Hye Won; Hwang, Sung Wook // Digestive Diseases & Sciences;Oct2016, Vol. 61 Issue 10, p3016 

    Background and Aim: This study aimed to develop and validate a risk score model to estimate the probability of a metachronous advanced colorectal neoplasm (ACRN) at surveillance colonoscopy.Methods: A retrospective analysis of a prospectively obtained database of 11,042...

  • Bowel cancer rates often get overlooked. Hayes, Julian // New Zealand Doctor;7/2/2014, p31 

    The article discusses the important role of general practitioners (GPs) in the diagnosis, management, and treatment of colorectal cancer and precancerous polyps based on cancer screening programmes.

  • Bowel screening pilot next year.  // New Zealand Doctor;8/27/2008, p21 

    The article reports that a pilot programme for bowel cancer screening is set to start in 2009 in New Zealand. An announcement has been made by the government in May 2008 that it would fast-track a national colorectal cancer screening programme, projected to be launched in 2011. The pilot...

  • 'Substantial' workload in colorectal Ca plans.  // Pulse;1/8/2005, Vol. 65 Issue 1, p8 

    Reports on the impact of the planned national screening program for colorectal cancer on the workload of general practitioners (GP) in Great Britain. Demand of general practitioner to obtain additional payment; Views of GP regarding the capacity of primary care to accommodate the cancer screening.

  • Colorectal cancer screening and the challenging role of general practitioner/ family physician: an issue of quality. Lionis, Christos // Quality in Primary Care;2007, Vol. 15 Issue 3, p129 

    The author reflects on the roles of general practitioners in ensuring the quality of colorectal cancer screening. He argues that there are several concerns on the effectiveness of general practitioners and primary care practitioners in implementing colorectal cancer screening programs. He...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics