Creation of a Case-Finding Definition for Identifying Patients With Acute Pouchitis in Administrative Claims Data.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Edward L BarnesRobert S Sandler

Abstract

Acute pouchitis is the most common complication after a restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) for ulcerative colitis, affecting 40% of patients within the first year after surgery.1 Although up to 80% of patients can develop pouchitis symptoms,2,3 substantial gaps remain in our understanding of the epidemiology and burden of pouchitis. Administrative claims have been used to advance the knowledge of other areas of inflammatory bowel disease4-6; however, a prerequisite to conducting such studies in pouchitis is a valid, reliable case-finding algorithm. Given concerns that the International Classification of Diseases (ICD) code for pouchitis may not be reliably used by clinicians (resulting in a low sensitivity), the objectives of the study were to (1) develop a series of case-finding definitions for acute pouchitis and (2) compare the performance of these case-finding definitions to that of a single ICD code for pouchitis.

References

Oct 2, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Michael D KappelmanJonathan A Finkelstein
Oct 16, 2008·Gastroenterology·Michael D KappelmanJonathan A Finkelstein
Apr 18, 2012·Nature Reviews. Gastroenterology & Hepatology·Bo Shen
May 16, 2012·Gastroenterology·Millie D LongMichael D Kappelman
Mar 17, 2017·Inflammatory Bowel Diseases·Amy L LightnerJohn H Pemberton
Apr 21, 2017·Inflammatory Bowel Diseases·Edward L BarnesMillie D Long
Oct 9, 2018·Inflammatory Bowel Diseases·Kimberly N WeaverEdward L Barnes

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Citations

Sep 6, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shintaro AkiyamaDavid T Rubin
Oct 6, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Edward L BarnesHans H Herfarth

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