Shiff Natalie J, Jama Sadia, Boden Catherine, Lix Lisa M
Department of Pediatrics, College of Medicine, University of Saskatchewan, 103 Hospital Drive, SK S7N 0W8, Saskatoon, Canada.
BMC Health Serv Res. 2014 May 22;14:236. doi: 10.1186/1472-6963-14-236.
The purpose of this research was to perform a scoping review of published literature on the validity of administrative health data for ascertaining health conditions in the pediatric population (≤20 years).
A comprehensive search of OVID Medline (1946 - present), CINAHL (1937 - present) and EMBASE (1947 - present) was conducted. Characteristics of validation studies that were abstracted included the study population, health condition, topic of the validation (e.g., single diagnosis code versus case-finding algorithm), administrative and validation data sources. Inter-rater agreement was measured using Cohen's κ. Extracted data were analyzed using descriptive statistics.
A total of 37 articles met the study inclusion criteria. Cohen's κ for study inclusion/exclusion and data abstraction was 0.88 and 0.97, respectively. Most studies validated administrative data from the USA (43.2%) and Canada (24.3%), and focused on inpatient records (67.6%). Case-finding algorithms (56.7%) were more frequently validated than diagnoses codes alone (37.8%). Five conditions were validated in more than one study: diabetes mellitus, inflammatory bowel disease, asthma, rotavirus infection, and tuberculosis.
This scoping review identified a number of gaps in the validation of administrative health data for pediatric populations, including limited investigation of outpatient populations and older pediatric age groups.
本研究的目的是对已发表的关于行政健康数据在确定儿科人群（≤20岁）健康状况方面有效性的文献进行范围综述。
对OVID Medline（1946年至今）、CINAHL（1937年至今）和EMBASE（1947年至今）进行了全面检索。提取的验证研究特征包括研究人群、健康状况、验证主题（如单一诊断代码与病例发现算法）、行政和验证数据源。使用Cohen's κ测量评分者间一致性。使用描述性统计分析提取的数据。
共有37篇文章符合研究纳入标准。纳入/排除研究和数据提取的Cohen's κ分别为0.88和0.97。大多数研究验证了来自美国（43.2%）和加拿大（24.3%）的行政数据，并侧重于住院记录（67.6%）。病例发现算法（56.7%）比单独的诊断代码（37.8%）更常被验证。超过一项研究验证了五种疾病：糖尿病、炎症性肠病、哮喘、轮状病毒感染和结核病。
本范围综述确定了儿科人群行政健康数据验证方面的一些差距，包括对门诊人群和较大儿科年龄组的研究有限。
