Document Detail


Congenital malformations: agreement between diagnostic codes in an administrative database and mothers' reports.
MedLine Citation:
PMID:  20569535     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The validity of epidemiologic research on congenital malformations conducted using administrative databases relies heavily on the quality of diagnostic information. The goal of this study was to validate the diagnostic codes for major congenital malformations (MCMs) recorded in a medical service claims database against mother's report obtained by questionnaire. METHODS: Using the Quebec Pregnancy Registry, we mailed a questionnaire to women who gave birth to a baby with an MCM and to a random sample of mothers whose infants did not have any malformation. We reviewed each infant's database record for a diagnostic code for MCM, which we then compared with the corresponding mother's report. RESULTS: Among the 3142 mother-infant pairs there was 60% agreement regarding the presence or absence of an MCM; for 456 babies, both sources reported the presence of an MCM. For 90% of these infants the two sources of information agreed with respect to the type of malformation. CONCLUSION: Overall, mothers reported fewer infants with MCM than were recorded in the database; among those for whom both sources of information indicated the presence of an MCM, a very high proportion of diagnostic codes accorded with the mother's description of the specific type of malformation.
Authors:
Sophie Kulaga; Anick Bérard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC     Volume:  32     ISSN:  1701-2163     ISO Abbreviation:  J Obstet Gynaecol Can     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-23     Completed Date:  2010-09-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101126664     Medline TA:  J Obstet Gynaecol Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  549-54     Citation Subset:  IM    
Affiliation:
Faculty of Pharmacy, University of Montreal, Montreal, QC.
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MeSH Terms
Descriptor/Qualifier:
Adult
Congenital Abnormalities / epidemiology*
Female
Humans
International Classification of Diseases*
Pregnancy
Quebec / epidemiology
Questionnaires
Registries*

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