PubMed:12968818 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/12968818","sourcedb":"PubMed","sourceid":"12968818","source_url":"http://www.ncbi.nlm.nih.gov/pubmed/12968818","text":"Identifying physician-recognized depression from administrative data: consequences for quality measurement.\nBACKGROUND: Multiple factors limit identification of patients with depression from administrative data. However, administrative data drives many quality measurement systems, including the Health Plan Employer Data and Information Set (HEDIS).\nMETHODS: We investigated two algorithms for identification of physician-recognized depression. The study sample was drawn from primary care physician member panels of a large managed care organization. All members were continuously enrolled between January 1 and December 31, 1997. Algorithm 1 required at least two criteria in any combination: (1) an outpatient diagnosis of depression or (2) a pharmacy claim for an antidepressant Algorithm 2 included the same criteria as algorithm 1, but required a diagnosis of depression for all patients. With algorithm 1, we identified the medical records of a stratified, random subset of patients with and without depression (n = 465). We also identified patients of primary care physicians with a minimum of 10 depressed members by algorithm 1 (n = 32,819) and algorithm 2 (n = 6,837).\nRESULTS: The sensitivity, specificity, and positive predictive values were: Algorithm 1: 95 percent, 65 percent, 49 percent; Algorithm 2: 52 percent, 88 percent, 60 percent. Compared to algorithm 1, profiles from algorithm 2 revealed higher rates of follow-up visits (43 percent, 55 percent) and appropriate antidepressant dosage acutely (82 percent, 90 percent) and chronically (83 percent, 91 percent) (p \u003c 0.05 for all).\nCONCLUSIONS: Both algorithms had high false positive rates. Denominator construction (algorithm 1 versus 2) contributed significantly to variability in measured quality. Our findings raise concern about interpreting depression quality reports based upon administrative data.","tracks":[{"project":"PubmedHPO","denotations":[{"id":"T1","span":{"begin":175,"end":185},"obj":"HP_0000716"}],"attributes":[{"subj":"T1","pred":"source","obj":"PubmedHPO"}]},{"project":"LitCoin-PubTator-for-Tuning","denotations":[{"id":"1","span":{"begin":33,"end":43},"obj":"DiseaseOrPhenotypicFeature"},{"id":"13","span":{"begin":161,"end":169},"obj":"OrganismTaxon"},{"id":"14","span":{"begin":175,"end":185},"obj":"DiseaseOrPhenotypicFeature"},{"id":"15","span":{"begin":434,"end":444},"obj":"DiseaseOrPhenotypicFeature"},{"id":"16","span":{"begin":703,"end":713},"obj":"OrganismTaxon"},{"id":"17","span":{"begin":727,"end":737},"obj":"DiseaseOrPhenotypicFeature"},{"id":"18","span":{"begin":867,"end":877},"obj":"DiseaseOrPhenotypicFeature"},{"id":"19","span":{"begin":886,"end":894},"obj":"OrganismTaxon"},{"id":"20","span":{"begin":982,"end":990},"obj":"OrganismTaxon"},{"id":"21","span":{"begin":1008,"end":1018},"obj":"DiseaseOrPhenotypicFeature"},{"id":"22","span":{"begin":1049,"end":1057},"obj":"OrganismTaxon"},{"id":"23","span":{"begin":1821,"end":1831},"obj":"DiseaseOrPhenotypicFeature"}],"attributes":[{"id":"A15","pred":"tao:has_database_id","subj":"15","obj":"MESH:D000275"},{"id":"A22","pred":"tao:has_database_id","subj":"22","obj":"Tax:9606"},{"id":"A1","pred":"tao:has_database_id","subj":"1","obj":"MESH:D000275"},{"id":"A20","pred":"tao:has_database_id","subj":"20","obj":"Tax:9606"},{"id":"A18","pred":"tao:has_database_id","subj":"18","obj":"MESH:D000275"},{"id":"A21","pred":"tao:has_database_id","subj":"21","obj":"MESH:D000275"},{"id":"A19","pred":"tao:has_database_id","subj":"19","obj":"Tax:9606"},{"id":"A23","pred":"tao:has_database_id","subj":"23","obj":"MESH:D000275"},{"id":"A17","pred":"tao:has_database_id","subj":"17","obj":"MESH:D000275"},{"id":"A13","pred":"tao:has_database_id","subj":"13","obj":"Tax:9606"},{"id":"A16","pred":"tao:has_database_id","subj":"16","obj":"Tax:9606"},{"id":"A14","pred":"tao:has_database_id","subj":"14","obj":"MESH:D000275"},{"subj":"1","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"13","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"14","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"15","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"16","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"17","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"18","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"19","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"20","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"21","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"22","pred":"source","obj":"LitCoin-PubTator-for-Tuning"},{"subj":"23","pred":"source","obj":"LitCoin-PubTator-for-Tuning"}]},{"project":"LitCoin-Disease-Tuning-1","denotations":[{"id":"T1","span":{"begin":33,"end":43},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T2","span":{"begin":175,"end":185},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T3","span":{"begin":434,"end":444},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T4","span":{"begin":727,"end":737},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T5","span":{"begin":867,"end":877},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T6","span":{"begin":1008,"end":1018},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T7","span":{"begin":1106,"end":1115},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T8","span":{"begin":1821,"end":1831},"obj":"DiseaseOrPhenotypicFeature"}],"attributes":[{"id":"A5","pred":"ID:","subj":"T5","obj":"DISEASE"},{"id":"A1","pred":"ID:","subj":"T1","obj":"DISEASE"},{"id":"A4","pred":"ID:","subj":"T4","obj":"DISEASE"},{"id":"A3","pred":"ID:","subj":"T3","obj":"DISEASE"},{"id":"A7","pred":"ID:","subj":"T7","obj":"DISEASE"},{"id":"A6","pred":"ID:","subj":"T6","obj":"DISEASE"},{"id":"A2","pred":"ID:","subj":"T2","obj":"DISEASE"},{"id":"A8","pred":"ID:","subj":"T8","obj":"DISEASE"},{"subj":"T1","pred":"source","obj":"LitCoin-Disease-Tuning-1"},{"subj":"T2","pred":"source","obj":"LitCoin-Disease-Tuning-1"},{"subj":"T3","pred":"source","obj":"LitCoin-Disease-Tuning-1"},{"subj":"T4","pred":"source","obj":"LitCoin-Disease-Tuning-1"},{"subj":"T5","pred":"source","obj":"LitCoin-Disease-Tuning-1"},{"subj":"T6","pred":"source","obj":"LitCoin-Disease-Tuning-1"},{"subj":"T7","pred":"source","obj":"LitCoin-Disease-Tuning-1"},{"subj":"T8","pred":"source","obj":"LitCoin-Disease-Tuning-1"}]},{"project":"LitEisuke","denotations":[{"id":"T1","span":{"begin":33,"end":43},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T2","span":{"begin":175,"end":185},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T3","span":{"begin":434,"end":444},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T4","span":{"begin":727,"end":737},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T5","span":{"begin":867,"end":877},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T6","span":{"begin":1008,"end":1018},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T7","span":{"begin":1106,"end":1115},"obj":"DiseaseOrPhenotypicFeature"},{"id":"T8","span":{"begin":1821,"end":1831},"obj":"DiseaseOrPhenotypicFeature"}],"attributes":[{"id":"A1","pred":"#label","subj":"T1","obj":"DISEASE"},{"id":"A7","pred":"#label","subj":"T7","obj":"DISEASE"},{"id":"A6","pred":"#label","subj":"T6","obj":"DISEASE"},{"id":"A8","pred":"#label","subj":"T8","obj":"DISEASE"},{"id":"A2","pred":"#label","subj":"T2","obj":"DISEASE"},{"id":"A3","pred":"#label","subj":"T3","obj":"DISEASE"},{"id":"A5","pred":"#label","subj":"T5","obj":"DISEASE"},{"id":"A4","pred":"#label","subj":"T4","obj":"DISEASE"},{"subj":"T1","pred":"source","obj":"LitEisuke"},{"subj":"T2","pred":"source","obj":"LitEisuke"},{"subj":"T3","pred":"source","obj":"LitEisuke"},{"subj":"T4","pred":"source","obj":"LitEisuke"},{"subj":"T5","pred":"source","obj":"LitEisuke"},{"subj":"T6","pred":"source","obj":"LitEisuke"},{"subj":"T7","pred":"source","obj":"LitEisuke"},{"subj":"T8","pred":"source","obj":"LitEisuke"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"PubmedHPO","color":"#93ecc6","default":true},{"id":"LitCoin-PubTator-for-Tuning","color":"#ecac93"},{"id":"LitCoin-Disease-Tuning-1","color":"#9393ec"},{"id":"LitEisuke","color":"#adec93"}]}]}}