Development and Assessment of a Crosswalk Between ICD-9-CM and ICD-10-CM to Identify Patients with Common Pain Conditions

JOURNAL OF PAIN

卷:20

Article

Mayhew, Meghan¹  DeBar, Lynn L.²  Deyo, Richard A.³  Kerns, Robert D.^4,5  Goulet, Joseph L.^4,5  Brandt, Cynthia A.^4,5  Von Korff, Michael² 

[1] Kaiser Permanente Ctr Hlth Res, 3800 N Interstate Ave, Portland, OR 97227 USA

[2] Kaiser Permanente Washington Hlth Res Inst, Seattle, WA USA

[3] Oregon Hlth & Sci Univ, Dept Family Med, Portland, OR 97201 USA

[4] Yale Sch Med, Dept Emergency Med, New Haven, CT USA

[5] VA Connecticut Healthcare Syst, West Haven, CT USA

关键词: Pain;    epidemiology;    health services research;    prevalence;    electronic databases;   

DOI  :  10.1016/j.jpain.2019.05.006

来源: Elsevier

【 摘 要 】

Effective management of patients with pain requires accurate information about the prevalence, outcomes, and co-occurrence of common pain conditions. However, the transition from ICD-9-CM to ICD-10-CM diagnostic coding in 2015 left researchers without methods for comparing the prevalence of pain conditions before and after the transition. In this study, we developed and assessed a diagnostic framework to serve as a crosswalk between ICD-9-CM and ICD-10-CM diagnosis codes for common pain-related health conditions. We refined existing ICD-9-CM definitions for diagnostic clusters of common pain conditions consistent with the US National Pain Strategy and developed corresponding ICD-10-CM definitions. We then assessed the stability of prevalence estimates and associated patient socio-demographic features of each diagnostic cluster during 1-year periods before and after the transition to ICD-10-CM in 3 US health care systems using electronic health records data for in-person encounters. Prevalence estimates and socio-demographic characteristics were similar before and after the transition. The Pain Condition ICD-9-CM to ICD-10-CM Crosswalk includes a full spectrum of common pain conditions to enable prevalence estimates of multiple and chronic overlapping pain conditions. This allows the tool to serve as a foundation for a broad array of pain-related health services research utilizing electronic databases. Perspective: This article details the development and assessment of the Pain Condition ICD-9-CM to ICD-10-CM Crosswalk, a diagnostic framework for assessing pain condition prevalence across the ICD-9-CM to ICD-10-CM transition. This framework can serve as a standardized tool for research on pain conditions, including health services and epidemiologic research. (C) 2019 by the American Pain Society

【 授权许可】

Free