| Genitourinary medicine clinic KC60 coding for first episode genital herpes: a lesson from north of the border? | |
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MedLine Citation:
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PMID: 17686223 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A survey of the accuracy of applying the KC60 diagnostic code for genital herpes: first attack (C10A) was undertaken by non-consultant career-grade doctors working in genitourinary (GU) medicine in England, Wales and Northern Ireland. In total, 148 forms were returned (58% response). Overall, 88/148, 59.5% (95% confidence interval 51.5-67.4%) applied the correct codes for all the clinical scenarios presented. Of doctors who personally assigned codes to clinical episodes, 57/104 (54.8%), were correct compared with 31/44 (70.5%) who did not personally apply codes. There was no difference between these two groups (P=0.08). The main error was assigning code C10A on clinical grounds only when there was no laboratory confirmation of herpes simplex virus. The authors suggest that the KC60 C10A code for first attack genital herpes should be simplified to accept a clinical diagnosis rather than insisting on viral confirmation. Alternatively, consideration could also be given to adopting a more comprehensive system (such as the Scottish example) for first attack genital herpes. We believe that either option would help improve the accuracy of GU clinic data relating to genital herpes. |
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Authors:
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R Challenor; N Theobald; S Pinsent; H Mullan; |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: International journal of STD & AIDS Volume: 18 ISSN: 0956-4624 ISO Abbreviation: Int J STD AIDS Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-09 Completed Date: 2007-12-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9007917 Medline TA: Int J STD AIDS Country: England |
Other Details:
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Languages: eng Pagination: 570-2 Citation Subset: IM; X |
Affiliation:
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GUM Department, Derriford Hospital, Plymouth, UK. rachel@challenor.biz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Forms and Records Control* Great Britain Herpes Genitalis / diagnosis* Humans International Classification of Diseases Medical Audit* Physician's Practice Patterns / statistics & numerical data Physicians Quality Control Questionnaires |
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