Adaptation of the Charlson Comorbidity Index for Register-Based Research in Sweden.

Abstract:

Purpose:Comorbidity indices are often used to measure comorbidities in register-based research. We aimed to adapt the Charlson comorbidity index (CCI) to a Swedish setting. Methods:Four versions of the CCI were compared and evaluated by disease-specific experts. Results:We created a cohesive coding system for CCI to 1) harmonize the content between different international classification of disease codes (ICD-7,8,9,10), 2) delete incorrect codes, 3) enhance the distinction between mild, moderate or severe disease (and between diabetes with and without end-organ damage), 4) minimize duplication of codes, and 5) briefly explain the meaning of individual codes in writing. Conclusion:This work may provide an integrated and efficient coding algorithm for CCI to be used in medical register-based research in Sweden.

journal_name

Clin Epidemiol

journal_title

Clinical epidemiology

authors

Ludvigsson JF,Appelros P,Askling J,Byberg L,Carrero JJ,Ekström AM,Ekström M,Smedby KE,Hagström H,James S,Järvholm B,Michaelsson K,Pedersen NL,Sundelin H,Sundquist K,Sundström J

doi

10.2147/CLEP.S282475

subject

Has Abstract

pub_date

2021-01-12 00:00:00

pages

21-41

issn

1179-1349

pii

282475

journal_volume

13

pub_type

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