Adaptation and validation of the Charlson Index for Read/OXMIS coded databases.

Abstract:

BACKGROUND:The Charlson comorbidity index is widely used in ICD-9 administrative data, however, there is no translation for Read/OXMIS coded data despite increasing use of the General Practice Research Database (GPRD). Our main objective was to translate the Charlson index for use with Read/OXMIS coded data such as the GPRD and test its association with mortality. We also aimed to provide a version of the comorbidity index for other researchers using similar datasets. METHODS:Two clinicians translated the Charlson index into Read/OXMIS codes. We tested the association between comorbidity score and increased mortality in 146 441 patients from the GPRD using proportional hazards models. RESULTS:This Read/OXMIS translation of the Charlson index contains 3156 codes. Our validation showed a strong positive association between Charlson score and age. Cox proportional models show a positive increasing association with mortality and Charlson score. The discrimination of the logistic regression model for mortality was good (AUC = 0.853). CONCLUSION:We have translated a commonly used comorbidity index into Read/OXMIS for use in UK primary care databases. The translated index showed a good discrimination in our study population. This is the first study to develop a co-morbidity index for use with the Read/OXMIS coding system and the GPRD. A copy of the co-morbidity index is provided for other researchers using similar databases.

journal_name

BMC Fam Pract

journal_title

BMC family practice

authors

Khan NF,Perera R,Harper S,Rose PW

doi

10.1186/1471-2296-11-1

subject

Has Abstract

pub_date

2010-01-05 00:00:00

pages

1

issn

1471-2296

pii

1471-2296-11-1

journal_volume

11

pub_type

历史文章,杂志文章
  • A comparison of the workload of rural and urban primary care physicians in Germany: analysis of a questionnaire survey.

    abstract:BACKGROUND:Many western countries are facing an existing or imminent shortage of primary care physicians especially in rural areas. In Germany, working in rural areas is often thought to be associated with more working hours, a higher number of patients and a lower income than working in urban areas. These perceptions ...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-12-112

    authors: Steinhaeuser J,Joos S,Szecsenyi J,Miksch A

    更新日期:2011-10-11 00:00:00

  • Recognition of depression and anxiety and their association with quality of life, hospitalization and mortality in primary care patients with heart failure - study protocol of a longitudinal observation study.

    abstract:BACKGROUND:International disease management guidelines recommend the regular assessment of depression and anxiety in heart failure patients. Currently there is little data on the effect of screening for depression and anxiety on the quality of life and the prognosis of heart failure (HF). We will investigate the associ...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-14-180

    authors: Eisele M,Blozik E,Störk S,Träder JM,Herrmann-Lingen C,Scherer M

    更新日期:2013-11-27 00:00:00

  • Deprescribing medication in very elderly patients with multimorbidity: the view of Dutch GPs. A qualitative study.

    abstract:BACKGROUND:Elderly patients with multimorbidity who are treated according to guidelines use a large number of drugs. This number of drugs increases the risk of adverse drug events (ADEs). Stopping medication may relieve these effects, and thereby improve the patient's wellbeing. To facilitate management of polypharmacy...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-13-56

    authors: Schuling J,Gebben H,Veehof LJ,Haaijer-Ruskamp FM

    更新日期:2012-07-09 00:00:00

  • GP's perspectives on laboratory test use for monitoring long-term conditions: an audit of current testing practice.

    abstract:BACKGROUND:We have shown previously that current recommendations in UK guidelines for monitoring long-term conditions are largely based on expert opinion. Due to a lack of robust evidence on optimal monitoring strategies and testing intervals, the guidelines are unclear and incomplete. This uncertainty may underly vari...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01331-6

    authors: Elwenspoek MMC,Mann E,Alsop K,Clark H,Patel R,Watson JC,Whiting P

    更新日期:2020-12-05 00:00:00

  • Evaluation of the quality of care of a multi-disciplinary Risk Factor Assessment and Management Programme for Hypertension (RAMP-HT).

    abstract:BACKGROUND:There is some evidence to support a risk-stratified, multi-disciplinary approach to manage patients with hypertension in primary care. The aim of this study is to evaluate the quality of care (QOC) of a multi-disciplinary Risk Assessment and Management Programme for Hypertension (RAMP-HT) for hypertensive pa...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-015-0291-0

    authors: Yu EY,Wan EY,Chan KH,Wong CK,Kwok RL,Fong DY,Lam CL

    更新日期:2015-06-19 00:00:00

  • Improving the physician-patient cardiovascular risk dialogue to improve statin adherence.

    abstract:BACKGROUND:The purpose of this study was to evaluate the effectiveness of a patient education program developed to facilitate statin adherence. METHODS:A controlled trial was designed to test the effectiveness of a multifaceted patient education program to facilitate statin adherence. The program included a brief, in-...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-10-48

    authors: Casebeer L,Huber C,Bennett N,Shillman R,Abdolrasulnia M,Salinas GD,Zhang S

    更新日期:2009-06-30 00:00:00

  • Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study.

    abstract:BACKGROUND:Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and solutions to, medication error in primary care. METHODS:We used a novel priority-setting method for i...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-016-0552-6

    authors: Tudor Car L,Papachristou N,Gallagher J,Samra R,Wazny K,El-Khatib M,Bull A,Majeed A,Aylin P,Atun R,Rudan I,Car J,Bell H,Vincent C,Franklin BD

    更新日期:2016-11-16 00:00:00

  • Vertically integrated shared learning models in general practice: a qualitative study.

    abstract:BACKGROUND:The numbers of learners seeking placements in general practice is rapidly increasing as an ageing workforce impacts on General Practitioner availability. The traditional master apprentice model that involves one-to-one teaching is therefore leading to supervision capacity constraints. Vertically integrated (...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-14-144

    authors: Ahern CM,van de Mortel TF,Silberberg PL,Barling JA,Pit SW

    更新日期:2013-10-01 00:00:00

  • Patient factors that affect trust in physicians: a cross-sectional study.

    abstract:BACKGROUND:While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of bo...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-018-0875-6

    authors: Kim AM,Bae J,Kang S,Kim YY,Lee JS

    更新日期:2018-11-29 00:00:00

  • Feasibility and effectiveness of the implementation of a primary prevention programme for type 2 diabetes in routine primary care practice: a phase IV cluster randomised clinical trial.

    abstract:BACKGROUND:The objective of this study is to perform an independent evaluation of the feasibility and effectiveness of an educational programme for the primary prevention of type 2 diabetes (DM2) in high risk populations in primary care settings, implanted within the Basque Health Service - Osakidetza. METHODS/DESIGN:...

    journal_title:BMC family practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2296-13-109

    authors: Sanchez A,Silvestre C,Sauto R,Martínez C,Grandes G,PreDE research group.

    更新日期:2012-11-16 00:00:00

  • Exploring men's and women's experiences of depression and engagement with health professionals: more similarities than differences? A qualitative interview study.

    abstract:BACKGROUND:It is argued that the ways in which women express emotional distress mean that they are more likely to be diagnosed with depression, while men's relative lack of articulacy means their depression is hidden. This may have consequences for communicating with health professionals. The purpose of this analysis w...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-8-43

    authors: Emslie C,Ridge D,Ziebland S,Hunt K

    更新日期:2007-07-24 00:00:00

  • Use of exercise tests in primary care: importance for referral decisions and possible bias in the decision process; a prospective observational study.

    abstract:BACKGROUND:The utility of clinical exercise tests depends on their support of treatment decisions. We sought to assess the utility of exercise tests for the selection of primary-care patients for referral to cardiologic care, and to determine whether referral decisions were biased by gender or socioeconomic status. We ...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-014-0182-9

    authors: Nilsson G,Mooe T,Söderström L,Samuelsson E

    更新日期:2014-11-30 00:00:00

  • Avoidance as a strategy of (not) coping: qualitative interviews with carers of Huntington's Disease patients.

    abstract:BACKGROUND:Since Huntington's Disease (HD) is a familial disease with an average onset in the mid-thirties, one might expect that spousal carers are concerned with providing care for off-spring who may turn out to be affected. METHODS:This study involved ten face-to-face interviews with carers of spouses affected by H...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-6-38

    authors: Lowit A,van Teijlingen ER

    更新日期:2005-09-14 00:00:00

  • Sick leave certification: a unique perspective on frequency and duration of episodes - a complete record of sickness certification in a defined population of employees in Malta.

    abstract:BACKGROUND:In Malta, sickness certificates are needed from the first day of illness, and are issued by family physicians (FPs) either employed by the government primary health care system, self-employed in private practice, or employed by an employer for this purpose alone. The latter system, when applied by the employ...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-4-2

    authors: Soler JK

    更新日期:2003-03-27 00:00:00

  • Oral cavity swabbing for diagnosis of group a Streptococcus: a prospective study.

    abstract:BACKGROUND:Throat pain is a common complaint in the ambulatory setting. Diagnosis of group A Streptococcus is made with a culture, molecular test or a rapid antigen detection test from the tonsils or the posterior pharyngeal wall, while other areas of the oral cavity are considered unacceptable. The purpose of the stud...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01129-6

    authors: Adler L,Parizade M,Koren G,Yehoshua I

    更新日期:2020-03-26 00:00:00

  • Episodes of care in a primary care walk-in clinic at a refugee camp in Germany - a retrospective data analysis.

    abstract:BACKGROUND:From 2015 to 2016 Germany faced an influx of 1.16 million asylum seekers. In the state of Hamburg Primary Care walk-in clinics (PCWC) were commissioned at refugee camps because the high number of residents (57,000 individuals) could not be provided with access to regular healthcare services. Our study aims w...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01253-3

    authors: Oltrogge JH,Schäfer I,Schlichting D,Jahnke M,Rakebrandt A,Pruskil S,Wagner HO,Lühmann D,Scherer M

    更新日期:2020-09-21 00:00:00

  • Determinants of impact of a practice accreditation program in primary care: a qualitative study.

    abstract:BACKGROUND:Practice accreditation is a widely used method to assess and improve the quality of healthcare services. In the Netherlands, a practice accreditation program was implemented in primary medical care. We aimed to identify determinants of impact of a practice accreditation program, building on the experiences o...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-015-0294-x

    authors: Nouwens E,van Lieshout J,Wensing M

    更新日期:2015-07-03 00:00:00

  • Effectiveness and cost-effectiveness of an educational intervention for practice teams to deliver problem focused therapy for insomnia: rationale and design of a pilot cluster randomised trial.

    abstract:BACKGROUND:Sleep problems are common, affecting over a third of adults in the United Kingdom and leading to reduced productivity and impaired health-related quality of life. Many of those whose lives are affected seek medical help from primary care. Drug treatment is ineffective long term. Psychological methods for man...

    journal_title:BMC family practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2296-10-9

    authors: Siriwardena AN,Apekey T,Tilling M,Harrison A,Dyas JV,Middleton HC,Ørner R,Sach T,Dewey M,Qureshi ZM

    更新日期:2009-01-26 00:00:00

  • Chronically ill Canadians' experiences of being unattached to a family doctor: a qualitative study of marginalized patients in British Columbia.

    abstract:BACKGROUND:Unattached patients do not have a regular primary care provider. Initiatives are being developed to increase attachment rates across Canada. Most existing attention paid to patient unattachment has focused on quantifying the problem and health system costs. Our purpose is to qualitatively identify the implic...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-13-69

    authors: Crooks VA,Agarwal G,Harrison A

    更新日期:2012-07-16 00:00:00

  • Exploring interprofessional collaboration during the integration of diabetes teams into primary care.

    abstract:BACKGROUND:Specialised diabetes teams, specifically certified nurse and dietitian diabetes educator teams, are being integrated part-time into primary care to provide better care and support for Canadians living with diabetes. This practice model is being implemented throughout Canada in an effort to increase patient a...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-016-0407-1

    authors: Gucciardi E,Espin S,Morganti A,Dorado L

    更新日期:2016-02-01 00:00:00

  • Improvement in the management of gout is vital and overdue: an audit from a UK primary care medical practice.

    abstract:BACKGROUND:Gout is estimated to affect 1.4% of adults in the UK. Appropriate and timely management is essential to reduce the risk of further flares, complications, and to reduce cardiovascular disease risk. The British Society for Rheumatology and British Health Professionals in Rheumatology (BSR/BHPR) and the Europea...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-14-170

    authors: Cottrell E,Crabtree V,Edwards JJ,Roddy E

    更新日期:2013-11-14 00:00:00

  • Swiss family physicians' perceptions and attitudes towards knowledge translation practices.

    abstract:BACKGROUND:Several studies have been performed to understand the way family physicians apply knowledge from medical research in practice. However, very little is known concerning family physicians in Switzerland. In an environment in which information constantly accumulates, it is crucial to identify the major sources ...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-015-0392-9

    authors: Bengough T,Bovet E,Bécherraz C,Schlegel S,Burnand B,Pidoux V

    更新日期:2015-12-11 00:00:00

  • Knowledge of stroke risk factors among primary care patients with previous stroke or TIA: a questionnaire study.

    abstract:BACKGROUND:Survivers of stroke or transient ischaemic attacks (TIA) are at risk of new vascular events. Our objective was to study primary health care patients with stroke/TIA regarding their knowledge about risk factors for having a new event of stroke/TIA, possible associations between patient characteristics and pat...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-11-47

    authors: Sloma A,Backlund LG,Strender LE,Skånér Y

    更新日期:2010-06-15 00:00:00

  • Decreasing trends in patient satisfaction, accessibility and continuity of care in Finnish primary health care - a 14-year follow-up questionnaire study.

    abstract:BACKGROUND:The aim here was to explore trends in patient satisfaction with primary health care and its accessibility and continuity, and to explore whether through reforms and improvements some of the essential goals had been achieved over a 14-year period of time in Finland. METHODS:Nine questionnaire surveys were co...

    journal_title:BMC family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2296-15-98

    authors: Raivio R,Jääskeläinen J,Holmberg-Marttila D,Mattila KJ

    更新日期:2014-05-15 00:00:00

  • Relations between task delegation and job satisfaction in general practice: a systematic literature review.

    abstract:BACKGROUND:It has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally increasing, but the literature focusing on its influence on general practitioners' and their staff's j...

    journal_title:BMC family practice

    pub_type: 杂志文章,评审

    doi:10.1186/s12875-016-0565-1

    authors: Riisgaard H,Nexøe J,Le JV,Søndergaard J,Ledderer L

    更新日期:2016-11-30 00:00:00

  • General beliefs about medicines among doctors and nurses in out-patient care: a cross-sectional study.

    abstract:BACKGROUND:Doctors and nurses are two natural partners in the healthcare team, but they usually differ in their perspectives on how to work for increased health. These professions may also have different beliefs about medicines, a factor important for adherence to medicines. The aim was to explore general beliefs about...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-10-35

    authors: Mårdby AC,Akerlind I,Hedenrud T

    更新日期:2009-05-18 00:00:00

  • Observational studies of depression in primary care: what do we know?

    abstract:BACKGROUND:We undertook a systematic review of observational studies of depression in primary care to determine 1) the nature and scope of the published studies 2) the methodological quality of the studies; 3) the identified recovery and risk factors for persistent depression and 3) the treatment and health service use...

    journal_title:BMC family practice

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2296-8-28

    authors: Gilchrist G,Gunn J

    更新日期:2007-05-11 00:00:00

  • Identifying frailty in primary care: a qualitative description of family physicians' gestalt impressions of their older adult patients.

    abstract:BACKGROUND:Many tools exist to guide family physicians' impressions about frailty status of older adults, but no single tool, instrument, or set of criteria has emerged as most useful. The role of physicians' subjective impressions in frailty decisions has not been studied. This study explores how family physicians con...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-018-0743-4

    authors: Korenvain C,Famiyeh IM,Dunn S,Whitehead CR,Rochon PA,McCarthy LM

    更新日期:2018-05-14 00:00:00

  • Implementing evidence-based medicine in general practice: a focus group based study.

    abstract:BACKGROUND:Over the past years concerns are rising about the use of Evidence-Based Medicine (EBM) in health care. The calls for an increase in the practice of EBM, seem to be obstructed by many barriers preventing the implementation of evidence-based thinking and acting in general practice. This study aims to explore t...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/1471-2296-6-37

    authors: Hannes K,Leys M,Vermeire E,Aertgeerts B,Buntinx F,Depoorter AM

    更新日期:2005-09-09 00:00:00

  • The developing family doctor system: evidence from the progress of the family doctor signing service from a longitudinal survey (2013-2016) in Pudong New Area, Shanghai.

    abstract:BACKGROUND:The family doctor system is a vital part of China's national medical and health system reform. Evidence of the degree of implementation of the family doctor system is required to assist managers and policy makers in Pudong with resource allocation planning. This study analyzed changes in indicators (family d...

    journal_title:BMC family practice

    pub_type: 杂志文章

    doi:10.1186/s12875-020-01353-0

    authors: Liu S,Liu Y,Zhang T,Wang L,Huang J,Liang H,Chen G,Liu C,Zhang Y

    更新日期:2021-01-08 00:00:00