Identification of patients with arthritis and arthritis-related functional limitation using administrative data

Journal of Public Health Management and Practice : JPHMP
Leslie R HarroldJerry H Gurwitz

Abstract

To develop algorithms on the basis of administrative data to identify patients with arthritis and arthritis-related functional limitation (AFL). In this retrospective study, 361 enrollees of a health plan underwent a clinical examination to confirm arthritis and assessment of functional limitation on the basis of responses to the health assessment questionnaire. Administrative data were obtained on these subjects and included arthritis drugs dispensed, as well as outpatient and emergency department diagnoses and procedures (including radiographic studies, arthritis procedures, and laboratory tests). Composite risk scores for arthritis and AFL were created on the basis of the association of arthritis-related healthcare utilization with confirmed arthritis and AFL. Algorithms were then developed on the basis of the composite risk scores using logistic regression models. The algorithm using the arthritis composite score to identify arthritis patients had an area under the ROC curve (AUC) of 0.74, sensitivity of 75 percent and specificity of 57 percent. Similarly, the algorithm using the AFL composite score to identify patients with AFL had an AUC of 0.73, sensitivity of 62 percent, and specificity of 75 percent. The developed algo...Continue Reading

References

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Jun 1, 1985·Arthritis and Rheumatism·K LorigH R Holman
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Aug 26, 1998·The American Journal of Medicine·K D Brandt
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Aug 16, 2000·Arthritis and Rheumatism·L R HarroldJ H Gurwitz
Oct 18, 2000·Annals of Internal Medicine·D T FelsonJ F Fries
Sep 24, 2004·Pharmacoepidemiology and Drug Safety·Leslie R HarroldRichard Platt

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