Reformatted Crosswalk-Tables Between Annual ICD-10-Versions for Cross Version Data Analysis.

A growing body of literature suggests the presence of a prodromal period with nonspecific signs and symptoms before onset of multiple sclerosis (MS). To systematically assess diseases and symptoms diagnosed in the 5 years before a first MS- or central nervous system (CNS) demyelinating disease-related diagnostic code in pediatric patients compared with controls without MS and controls with another immune-mediated disorder, juvenile idiopathic arthritis (JIA). This population-based, matched case-control study included children and adolescents (aged <18 years) in Germany with statutory health insurance from January 2010 to December 2020. The study population consisted of 3 groups: case individuals with MS, control individuals without MS, and control individuals with JIA. Data were analyzed from November 2023 to April 2024. Diagnoses coded according to the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, German Modification (ICD-10-GM). The main outcome was incident cases of MS, defined as the first confirmed diagnosis of MS (ICD-10-GM code G35) in 1 quarter between 2013 and 2020 and at least 1 additional diagnosis in the following quarters. In total, 163 ICD-10-GM codes before a first MS diagnosis were assessed using univariable and multivariable logistic regression analyses. The study population consisted of 1091 children and adolescents with MS, 10 910 without MS, and 1068 with JIA. Of the children and adolescents with MS, 788 (72.2%) were female. Mean (SD) age at disease diagnosis was 15.7 (1.7) years. Nine ICD-10-GM codes were present more frequently among children and adolescents with MS in the 5 years before their first MS diagnosis than among controls without MS: obesity (adjusted odds ratio [AOR], 1.70; 95% CI, 1.42-2.02), disorders of eye refraction and accommodation (AOR, 1.26; 95% CI, 1.09-1.47), visual disturbances (AOR, 1.31; 95% CI, 1.10-1.55), gastritis and duodenitis (AOR, 1.35; 95% CI, 1.08-1.70), patella disorders (AOR, 1.47; 95% CI, 1.13-1.90), heartbeat abnormalities (AOR, 1.94; 95% CI, 1.27-2.96), flatulence (AOR, 1.43; 95% CI, 1.01-2.01), skin sensation disturbances (AOR, 12.93; 95% CI, 8.98-18.62), as well as dizziness and giddiness (AOR, 1.52; 95% CI, 1.22-1.89). Four of these ICD-10-GM codes were significantly more prevalent in children and adolescents with MS than in controls with JIA: obesity (AOR, 3.19; 95% CI, 2.03-5.02), refraction and accommodation disorders (AOR, 3.08; 95% CI, 2.33-4.08), visual disturbances (AOR, 1.62; 95% CI, 1.13-2.33), and skin sensation disturbances (AOR, 27.70; 95% CI, 6.52-117.64). In this population-based, matched case-control study, children and adolescents with MS had diverse metabolic, ocular, musculoskeletal, gastrointestinal, and cardiovascular symptoms, signs, or diagnoses within 5 years before their first MS diagnosis. Better characterization of early symptoms and/or risk factors, comorbid disorders, and possible prodromal features of MS may have considerable implications for early recognition and subsequent progression of the disease.

Osteoporosis is nowadays understood as an increased risk of fractures, with bone density measurement by dual-energy X‑ray absorptiometry (DXA) being auseful diagnostic criterion and apotent fracture predictor; however, especially in geriatric patients the result is often falsely negative, so that the diagnosis, indications for treatment and treatment selection should be based on an overall clinical evaluation of the individual situation. Sarcopenia is defined as ageriatric syndrome characterized by ageneralized loss of skeletal mass and muscle function. Sarcopenia is associated with an increased likelihood of adverse outcomes including falls, fractures, disability and mortality. Since 2018 it is possible in Germany to encode sarcopenia in the International Statistical Classification of Diseases and Related Health Problems, 10th revision, German modification (ICD-10-GM, M62.50). In the case of ahigh fracture risk and indications for the presence of sarcopenia, the whole body composition should be assessed by DXA within the framework of the measurement of bone mineral density. In the treatment of osteosarcopenia non-pharmacological measures must be initiated in addition to pharmacological measures. It is particularly important to clarify and if necessary to resolve the cause of falls resulting in fractures as well as to regularly reevaluate the treatment goals.

Factors Associated With Incomplete Colonoscopy: A Population-Based Study

Survival Benefit of Obese Patients With Pulmonary Embolism

Evaluation of the implementation of International Classification of Diseases, 11th revision for morbidity coding: Rationale and study protocol

Objective: The aim of this study was to bring to light the high prevalence of Australians affected by intellectual disability and comorbid serious mental illnesses. Results from a broad scale study are used to explore the reasons for this regularly overlooked phenomenon.Methods: This study was based on secondary analysis of data collected in the national 'Disability, Ageing and Carers Survey, 1998'. The analysed data consisted of an Australian wide sample of 42 664 individuals living at home or in cared accommodation. Classification of intellectual disability and comorbid psychosis, anxiety and depressive disorder was based on the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10).Results: The prevalence of intellectual disability in the sampled population was 1.25%. Of these people 1.3% had a psychotic disorder, 8% had a depressive disorder and 14% had an anxiety disorder that had been present for at least 6 months and was of such severity that it too was disabling.Conclusions: Findings indicate that people with intellectual disability are at high risk of developing comorbid serious mental illness. Dual diagnosis is however, often overlooked due to difficulties associated with establishing a diagnosis of a mental disorder in people with an intellectual disability, a problem which is heightened when the individual's capacity to participate in a clinical assessment is limited.

Background: Physicians, patients, researchers, healthcare providers, and national health authorities have questioned which medical conditions can be treated by acupuncture. An increasing number of randomized controlled trials (RCTs) have involved acupuncture treatment. Objectives: To present a preliminary review of RCTs in PubMed and to summarize relevant medical conditions that can be treated by acupuncture. Design, Setting, and Subject: A PubMed search was performed to identify qualified RCTs from January 1978 to December 2007. Two reviewers independently extracted data for analysis. The International Statistical Classification of Diseases and Related Health Problems, 10th Revision, was used for disease classifications. Main Outcome Measures: The total number of RCTs for every medical condition, RCTs for every major class, and the percentages of major class. Results: A total of 587 RCTs were identified; 130 medical conditions covered 16 major groups: diseases of the musculoskeletal system and connective tissue (21 conditions, 16.2% of the total number of conditions); diseases of the nervous system (17, 13.1%); diseases of the genitourinary system (14, 10.8%); mental and behavioral disorders (12, 9.2%); diseases of the digestive system (12, 9.2%); and injury, poisoning, and other consequences of external causes (12, 9.2%). Each of the remaining systems comprised less than 7%. Conclusions: Acupuncture has been tested in a wide range of diseases and disorders, with the most studies conducted in diseases of the musculoskeletal system and connective tissue, the nervous system, and the genitourinary system. Based on our analysis, painful conditions occupied a large proportion of acupuncture RCTs whereas little attention focused on diseases of the eye, skin, and infections.

The aim of this study was to analyze retrospectively the earthquake-induced injuries caused by the October 2015 Hindu Kush earthquake in Pakistan. This is the first population-based study to assess epidemiologically earthquake-induced injuries in the Hindu Kush region, one of the world's most mountainous and seismically active regions. Unfortunately, only limited studies have investigated the earthquake-induced injuries and deaths in the region epidemiologically. The 5 worst affected districts were selected according to the highest number of deaths and injuries recorded. A total of 1,790 injuries and 232 deaths were reported after the 2015 earthquake. In our study area, 391 persons were recorded and verified to have been injured as a result of the earthquake. We attempted to investigate all of the 391 injured people, but the final study looked at 346 subjects because the remaining 45 subjects could not be traced because of the non-availability of their complete records and their refusal to participate in the study. Using the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD 10), we found that the highest number - 20.23% (70 of 346) - of injuries in the earthquake fall in the class of "Injuries to an unspecified part of trunk, limb, or body region (T08-T14)." The class of "Injuries to knee and lower leg (S80-S89)," which count 15.61% (54 out of 346), followed it, and "Injuries involving multiple body regions (T00-T07)" were making 14.74% of total injuries (51 out of 346). In times of natural disasters like earthquakes, collecting and analyzing real-time data can be challenging. Therefore, a retrospective data analysis of deaths and injuries induced by the earthquake is of high importance. Studies in these emerging domains will be crucial to initiate health policy debates and to prevent and mitigate future injuries and deaths. (Disaster Med Public Health Preparedness. 2018;13:732-739).

National 5-year data analysis of health outcomes in hospitalized geriatric patients with hip fracture.

The aim of this work is to provide empirical evidence regarding types and increasing prevalence of mental disorders affecting Polish working population in the years 2014-2016. The research questions concerned the specific characteristics of the types of mental disorders and their prevalence as well as the differences between males and females. Types of mental disorders were investigated using a clinical method, a structured interview, as well as medical record data gathered in the years 2014-2016 in one mental health treatment center. The study was conducted in the population of 1578 working individuals aged 18-64 years old, in various forms of employment, including flexible employment (self-employment, task assignment agreement) and contract employment. The research population consisted of 998 females and 580 males, aged 18-64 years old. The study aimed at investigating types and the prevalence rate of mental disorders developed in the examined working Poles, also with reference to the sex of the study participants as well as the age at which they started seeking treatment. The prevailing disorders include neurotic disorders; diagnosed according to the 10th Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) classification as a range of anxiety disorders, mixed anxiety-depressive disorders, stress-related and somatoform disorders; as well as personality disorders. The prevalence rate of the aforementioned disorders was found to be higher among working females than in the group of working males. The overall study conclusions based on the research data analysis point to the fact that the prevalence rate of various types of mental disorders displayed by the examined working males and females increased significantly in the years 2014-2016. Med Pr 2018;69(1):13-28.

BackgroundViet Nam does not have a system for the national collection of death data that meets international requirements for mortality reporting. It is identified as a ‘no-report’ country by the...

BACKGROUND: The professional activities of service members of the Russian Navy, conducted under extreme conditions, may contribute to reduced functional reserves of the body and the development of occupation-related accelerated diseases. AIM: The work aimed to present the trends and structure of primary morbidity among Russian Navy service members over a 7-year period (2017–2023). METHODS: Reports on morbidity in Form 3/MED were analyzed. Data on diseases and injuries sustained by service members participating in the special military operation were excluded. Given recent changes in the nomenclature of nosologies and classification categories, the data in the reports were examined for the period from 2017 to 2023. Nosologies were grouped by disease classes and leading nosologies according to the International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10). Morbidity rates were calculated per 1,000 service members (‰). Statistical processing was performed using Microsoft Excel 2007. Arithmetic means and standard errors (M ± m) are presented. RESULTS: The primary morbidity rates in the Russian Navy were lower than those for the Armed Forces of the Russian Federation overall. The average annual rate was 565.47±16.41‰, accounting for approximately 11.0% of the total primary morbidity in the Armed Forces. The leading cause of primary morbidity was respiratory diseases (class X) with an average annual rate of 298.53±11.54‰, representing 52.7% of the structure. Diseases of the musculoskeletal system and connective tissue (class XIII; 61.12±3.07‰; 10.8%) ranked second, and diseases of the skin and subcutaneous tissue (class XII; 41.60±3.63‰; 7.3%) ranked third. Together, these classes accounted for 70.8% of the morbidity distribution. 30 leading nosologies (groups) were identified, accounting for 65.5% of the morbidity distribution. CONCLUSION: The calculated indicators may serve as reference values for organizing preventive measures in the Navy. Prevention, early detection of diseases in the leading classes and nosologies, as well as appropriate treatment and rehabilitation, may significantly reduce morbidity among Russian Navy service members.

ObjectivesWe perform and evaluate record linkage of German Care Needs Assessment (CNA) data to Statutory Health Insurance (SHI) claims data. The resulting dataset should enable the identification of factors in...

Objective: The present study aimed to determine whether psychiatric comorbidity (i.e., diagnostic comorbidity in eight categories of mental and behavioral disorders) mediates the relationship between childhood sexual abuse (CSA) and diseases of the genitourinary system (International Statistical Classification of Diseases and Related Health Problems, 10th revision) among girls. Method: Using a prospective matched-cohort design, we documented diagnoses given by a physician after a medical consultation or hospitalization for diseases of the genitourinary system, for 661 sexually abused girls and 661 matched controls via administrative databases covering the period between January 1996 and March 2013. Path analyses using negative binomial regressions with CSA as independent variable, psychiatric comorbidity as mediator and genitourinary diseases diagnoses as dependent variables were performed. Results: After controlling for socioeconomic level, prior genitourinary diseases and number of years of medical data, the mediation effect for the path from CSA to genitourinary diseases through psychiatric comorbidity was significant for the urinary system (b = .125, 95% confidence interval [0.057, 0.192]) as well as for the genital system (b = .213, 95% confidence interval [0.141, 0.285]). Psychiatric comorbidity carried 62% of the sexual abuse total effect on the number of diagnoses received for genital diseases, whereas it carried 23% of the sexual abuse total effect on the number of diagnoses received for urinary diseases. Conclusions: Findings suggest that CSA may have an indirect effect on girls' diagnosed genitourinary diseases during a medical consultation or hospitalization through the increased risk for psychiatric comorbidity. Early interventions aimed at addressing psychological distress among sexually abused girls might prevent the emergence of genitourinary diseases years after the abuse. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

This paper outlines the Australian experience in adopting the Classification Markup Language (ClaML) to represent two clinical classification systems: ICD-10-AM (International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification) and ACHI (Australian Classification of Health Interventions). The primary goal of this process is to share classification data efficiently with relevant parties in a consistent format. This paper outlines extensions implemented in ClaML to facilitate the representation of the above classifications, with validation of the resulting ClaML files verified through XML stylesheet transformation (XSLT) to render the data on a browser, in the same format of printed ICD-10-AM and ACHI books.