Jenni Kämäräinen, Touko Loukkola, Joanna Mikkola, Minna Sivonen, Jari Jokelainen, Eetu Kiviniemi, Laura Huilaja, Suvi-Päivikki Sinikumpu
{"title":"过敏性接触性皮炎的不精确编码:1999年至2022年芬兰北部的一项登记研究","authors":"Jenni Kämäräinen, Touko Loukkola, Joanna Mikkola, Minna Sivonen, Jari Jokelainen, Eetu Kiviniemi, Laura Huilaja, Suvi-Päivikki Sinikumpu","doi":"10.1111/cod.14744","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Registry-based data are increasingly used in dermatological research. A recent epidemiological study has shown that the use of non-specific diagnostic codes is common among dermatologists.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To study closely the use of the diagnostic codes L23.8 (‘allergic contact dermatitis [ACD] for other agents’) and L23.9 (‘ACD with unspecified cause’) by using single-centre data.</p>\n </section>\n \n <section>\n \n <h3> Patients/Materials/Methods</h3>\n \n <p>This retrospective study included all patients whose record contained at least one entry of either code, recorded at the Oulu University Hospital, Finland, between the Years 1999 and 2022.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The database search retrieved records of 472 patients with the L23.8 code, 264 patients with L23.9. Over the 20-year follow-up period, the use of L23.8 increased and that of L23.9 decreased. In most (85.1%) cases, the L23.8 code was used even though the more specified L23 code could have been chosen. In one-third of cases, L23.8 was used to cover ACD with multiple allergens that would otherwise be identified by their specific sub-codes. The L23.9 code was used most often prior to patch testing (69.1% cases).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This study revealed several imprecisions in the use of both codes. Our study highlights the importance of correct coding in clinical practice, as it emphasises the most common pitfalls.</p>\n </section>\n </div>","PeriodicalId":10527,"journal":{"name":"Contact Dermatitis","volume":"92 4","pages":"273-276"},"PeriodicalIF":4.8000,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cod.14744","citationCount":"0","resultStr":"{\"title\":\"Imprecise Coding in Allergic Contact Dermatitis: A Register-Study From Northern Finland Between Years 1999 and 2022\",\"authors\":\"Jenni Kämäräinen, Touko Loukkola, Joanna Mikkola, Minna Sivonen, Jari Jokelainen, Eetu Kiviniemi, Laura Huilaja, Suvi-Päivikki Sinikumpu\",\"doi\":\"10.1111/cod.14744\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Registry-based data are increasingly used in dermatological research. A recent epidemiological study has shown that the use of non-specific diagnostic codes is common among dermatologists.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To study closely the use of the diagnostic codes L23.8 (‘allergic contact dermatitis [ACD] for other agents’) and L23.9 (‘ACD with unspecified cause’) by using single-centre data.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Patients/Materials/Methods</h3>\\n \\n <p>This retrospective study included all patients whose record contained at least one entry of either code, recorded at the Oulu University Hospital, Finland, between the Years 1999 and 2022.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The database search retrieved records of 472 patients with the L23.8 code, 264 patients with L23.9. Over the 20-year follow-up period, the use of L23.8 increased and that of L23.9 decreased. In most (85.1%) cases, the L23.8 code was used even though the more specified L23 code could have been chosen. In one-third of cases, L23.8 was used to cover ACD with multiple allergens that would otherwise be identified by their specific sub-codes. The L23.9 code was used most often prior to patch testing (69.1% cases).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>This study revealed several imprecisions in the use of both codes. Our study highlights the importance of correct coding in clinical practice, as it emphasises the most common pitfalls.</p>\\n </section>\\n </div>\",\"PeriodicalId\":10527,\"journal\":{\"name\":\"Contact Dermatitis\",\"volume\":\"92 4\",\"pages\":\"273-276\"},\"PeriodicalIF\":4.8000,\"publicationDate\":\"2024-12-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cod.14744\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contact Dermatitis\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/cod.14744\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ALLERGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contact Dermatitis","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cod.14744","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ALLERGY","Score":null,"Total":0}
Imprecise Coding in Allergic Contact Dermatitis: A Register-Study From Northern Finland Between Years 1999 and 2022
Background
Registry-based data are increasingly used in dermatological research. A recent epidemiological study has shown that the use of non-specific diagnostic codes is common among dermatologists.
Objectives
To study closely the use of the diagnostic codes L23.8 (‘allergic contact dermatitis [ACD] for other agents’) and L23.9 (‘ACD with unspecified cause’) by using single-centre data.
Patients/Materials/Methods
This retrospective study included all patients whose record contained at least one entry of either code, recorded at the Oulu University Hospital, Finland, between the Years 1999 and 2022.
Results
The database search retrieved records of 472 patients with the L23.8 code, 264 patients with L23.9. Over the 20-year follow-up period, the use of L23.8 increased and that of L23.9 decreased. In most (85.1%) cases, the L23.8 code was used even though the more specified L23 code could have been chosen. In one-third of cases, L23.8 was used to cover ACD with multiple allergens that would otherwise be identified by their specific sub-codes. The L23.9 code was used most often prior to patch testing (69.1% cases).
Conclusions
This study revealed several imprecisions in the use of both codes. Our study highlights the importance of correct coding in clinical practice, as it emphasises the most common pitfalls.
期刊介绍:
Contact Dermatitis is designed primarily as a journal for clinicians who are interested in various aspects of environmental dermatitis. This includes both allergic and irritant (toxic) types of contact dermatitis, occupational (industrial) dermatitis and consumers" dermatitis from such products as cosmetics and toiletries. The journal aims at promoting and maintaining communication among dermatologists, industrial physicians, allergists and clinical immunologists, as well as chemists and research workers involved in industry and the production of consumer goods. Papers are invited on clinical observations, diagnosis and methods of investigation of patients, therapeutic measures, organisation and legislation relating to the control of occupational and consumers".