위암환자에서 의무기록과 행정자료를 활용한 Charlson Comorbidity Index의 1년 이내 사망 및 재원일수 예측력 연구

경민호; 윤석준; 안형식; 김경훈; 박형근; 황세민; 서현주

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자료유형: 학술저널

저자정보: 경민호 윤석준 안형식 김경훈 박형근 황세민 서현주

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제42권 제2호

발행연도: 2009.1

수록면: 117 - 122 (6page)

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Objectives : We tried to evaluate the agreement of the Charlson comorbidity index values (CCI) obtained from different sources (medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay (length of stay). Methods : Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. Results : The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree (kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables ( β = 0.112, 95% CI = [0.017-1.267]). Conclusions : There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.

#Charlson comorbidity index #Stomach neoplasms #Claims data #Medical records #Length of stay #Mortality

참고문헌 (26)

참고문헌 신청

Birim O / 2003 / Validation of the Charlson comorbidity index in patients with operated primary non-small cell lung cancer / Eur J Cardiothorac Surg 23 (1) : 30 ~ 34

Birim O / 2005 / Charlson comorbidity index as a predictor of long-term outcome after surgery for nonsmall cell lung cancer / Eur J Cardiothorac Surg 28 (5) : 759 ~ 762

Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies:Development and validation / J Chronic Dis 40 (5) : 373 ~ 383

Deyo RA / 1992 / Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases / J Clin Epidemiol 45 (6) : 613 ~ 619

Greenfield S / 1987 / Patterns of care related to age of breast cancer patients / JAMA 257 (20) : 2766 ~ 2770

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