Abstract:
:The aim of this study is to determine the validity of the ICD-9 for diagnostic classification of soft tissue disorders of the neck and upper limb, using routinely collected data at a large steel company. The documentation in the clinical chart served as the gold standard. First, the overall accuracy of identifying these disorders from the ICD-9 was examined. Second, we examined whether the codes themselves, on an individual basis, accurately reflected the underlying problems as documented in the medical records. There were 1,267 new cases identified in 1991 by inclusion of all potentially applicable ICD-9 codes. Only 805 (63.5%) fulfilled the definition of a soft tissue disorder of the neck or upper limb as determined by chart review. A more restrictive strategy that only included cases coded by those ICD-9 codes that specifically pertain to these disorders yielded a higher proportion of true cases 458/480 cases (95.4%), but failed to identify the other 347 cases. The anatomical site of the problem could not be identified from the codes describing 651/1,267 cases (51.4%). There was poor agreement between the diagnostic labels recorded in the medical records and the ICD-9 codes, suggesting that many of the terms are being used interchangeably. Our results suggest that conclusions about these disorders drawn from analysis of administrative data which rely upon the ICD-9 for diagnostic classification must be interpreted cautiously. For these soft tissue disorders, researchers will need to develop strategies which would improve upon and supplement the ICD-9.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Buchbinder R,Goel V,Bombardier Cdoi
10.1002/(SICI)1097-0274(199602)29:2<171::AID-AJIM7subject
Has Abstractpub_date
1996-02-01 00:00:00pages
171-82issue
2eissn
0271-3586issn
1097-0274pii
10.1002/(SICI)1097-0274(199602)29:2<171::AID-AJIM7journal_volume
29pub_type
杂志文章abstract::This case-referent study assesses occupational risk factors associated with lung cancer, utilizing colon and rectum cancer referents. Complete occupational and tobacco use histories were obtained by telephone interview for 5,935 incident lung cancer cases and 3,956 incident colon and rectum cancer referents. The analy...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700190510
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Lead stabilizers (e.g., lead sulfate, lead stearate) are common additives in plastics used in electrical devices. In 1997, three plastics compounders at one California company were severely lead-poisoned. METHODS:The poisonings were investigated by interviewing the workers, employer, and treating physician ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20123
更新日期:2005-02-01 00:00:00
abstract::Exposure to grain dust has been associated with a neutrophilic bronchitis. In vitro studies suggest several possible mechanisms for recruitment of neutrophils, including direct chemotaxis to aqueous grain dust extracts and release of chemotactic activity by bronchial epithelial cells in response to challenge with grai...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700250122
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Media work is characterized by information flow, deadlines, and 24/7 alertness. Good recovery prevents stress-related disorders. METHODS:The standardized questionnaire included items about health, health habits, sleep, work conditions, and work stress. Recordings of 24-hr heart rate variability (HRV) and fo...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22042
更新日期:2012-07-01 00:00:00
abstract::Scholarly understanding of the nature of the science around silicosis has been strongly influenced, in recent years, by the idea that the mine doctors were responsible for hiding an epidemic, on the mines and in the countryside. In this paper, I try to show that the opposite was in fact the case, and that the science ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22505
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:While low dose computed tomography (LDCT) screening for lung cancer is recommended for high-risk smokers, ages 55-74 years, information about asbestos exposure may not be routinely elicited. Asbestos exposure is associated with declining respiratory function over time; however, the effect of a history of asb...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22571
更新日期:2016-03-01 00:00:00
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journal_title:American journal of industrial medicine
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更新日期:2016-12-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22259
更新日期:2014-02-01 00:00:00
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journal_title:American journal of industrial medicine
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doi:10.1002/ajim.10246
更新日期:2003-08-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.23090
更新日期:2020-04-01 00:00:00
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journal_title:American journal of industrial medicine
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更新日期:1997-05-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20008
更新日期:2004-06-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.1105
更新日期:2001-09-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20808
更新日期:2010-06-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700230104
更新日期:1993-01-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700210208
更新日期:1992-01-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20388
更新日期:2006-11-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22703
更新日期:2017-04-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22045
更新日期:2013-01-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22068
更新日期:2012-09-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700260310
更新日期:1994-09-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22594
更新日期:2016-06-01 00:00:00
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journal_title:American journal of industrial medicine
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doi:10.1002/ajim.22779
更新日期:2017-12-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/(sici)1097-0274(200002)37:2<193::aid-ajim5
更新日期:2000-02-01 00:00:00
abstract::Semen analysis has proven useful in the clinical diagnosis of infertility and is the most widely used method of monitoring the effects of occupational exposure on male fertility. Collection and analysis of semen samples in a field setting, however, require a highly motivated population and excellent technical resource...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700200209
更新日期:1991-01-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700040605
更新日期:1983-01-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/(sici)1097-0274(200003)37:3<296::aid-ajim8
更新日期:2000-03-01 00:00:00
abstract::Exposure to mineral dust was studied among construction workers (N = 437) with the aid of a questionnaire and a chest X-ray examination of the lungs. The results of the questionnaire showed that 81% of the construction workers had been exposed to asbestos. Exposure had occurred in all of the occupational groups studie...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700210411
更新日期:1992-01-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700150103
更新日期:1989-01-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(SICI)1097-0274(199612)30:6<730::AID-AJIM1
更新日期:1996-12-01 00:00:00