ALLERGIC OR HYPERSENSITIVITY Clinical Trial
— AHCIM11Official title:
ANALYSIS OF HEALTH DATA COLLECTED SYSTEMATICALLY BY THREE HOSPITALS FOR THE VALIDATION OF THE CHAPTER "ALLERGY AND HYPERSENSITIVITY" IN THE FUTURE VERSION 11 OF THE WORLD HEALTH ORGANIZATION (WHO) INTERNATIONAL CLASSIFICATION OF DISEASES (CIM)
Allergic diseases, including allergic asthma, allergic rhinitis and anaphylaxis are not
properly classified in current classifications of diseases. We here propose a project based
on the evaluation of medical records of hospital databases of patients suffering for allergic
and hypersensitivity conditions coded with the current and a new coming version of the
international classification of diseases, no patient or intervention will be analysed.
We here propose a study to update and reach quality assurance of the classification of
allergic and hypersensitivity conditions in international classification systems. The
Allergic and hypersensitivity conditions section has indeed been recently built into the new
ICD-11 framework and we aim to reach its quality assurance by evaluating medical records of
French hospital databases. All the consecutive cases related to allergic and hypersensitivity
conditions registered in the last 1 year will be selected and blind-coded by two independent
coders based on the online English versions of the ICD-10 (2015 version) and ICD-11 Beta
draft. The generated data will support the intra and inter-variability testing, survey among
end-users and economic-impact evaluation. The economic impact of the transition from ICD-10
to ICD-11 will be analysed based on average estimated cost per day of each principal
diagnosis and the effect of the classification change will be quantified by the cost variance
of inter or intra diagnosis of ICD-10 and ICD-11. For the bridge procedure based on the
alignment of the allergic and hypersensitivity conditions described into the ICD-10 (and
ICD-10 CM US adaptation) framework to the ICD-11 beta phase, we propose the mapping and
cross-linking terms methods. Meanwhile, we will start updating the allergic and
hypersensitivity procedures by influencing the International Classification of Health
Intervention (ICHI).
| Status | Recruiting |
| Enrollment | 100 |
| Est. completion date | September 1, 2019 |
| Est. primary completion date | September 1, 2018 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | N/A and older |
| Eligibility |
Inclusion Criteria: Inclusion criteria: - We here propose a study based on hospital database medical records. The cases will be selected based on pre-established (ICD-10) allergy corresponding codes: respiratory allergies (asthma, rhinitis), skin allergies (dermatitis, urticarial, angioedema), anaphylaxis, gastrointestinal allergic conditions and ocular allergies (conjunctivitis). The prescription of the medicinal product is clearly separated from the decision to include the subject in the non-interventional study Exclusion criteria: - We will exclude from the study all cases in which the ICD-10 codes are not related to allergic and hypersensitivity conditions. |
| Country | Name | City | State |
|---|---|---|---|
| France | Uhmontpellier | Montpellier |
| Lead Sponsor | Collaborator |
|---|---|
| University Hospital, Montpellier | ASTRAZENECA ERS educational grant |
France,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Other | Insertion of allergy procedures in the International Classification of Health Interventions (ICHI) | Insertion of allergy procedures in the International Classification of Health Interventions (ICHI) | 1 day | |
| Other | Health economics related the transition from the ICD-10 to ICD-11: cost variance of inter or intra diagnosis of ICD-10 and ICD-11 | Health economics related the transition from the ICD-10 to ICD-11: cost variance of inter or intra diagnosis of ICD-10 and ICD-11 | 1 day | |
| Primary | Intra and inter-variability measures among coders and accuracy rate calculation | Ease of use, level of ambiguity on a 0-4 scale | 1 day | |
| Secondary | International Classification of Diseases -10, -10CM and -11 term alignement | International Classification of Diseases -10, -10CM and -11 term alignement | 1 day |