Mapping the Japanese orthopedic association national registry (JOANR) to the international classification of health interventions (ICHI)

被引：3

作者：

Abe, Koki ^{[1
,2
,7
]}

Kawase, Hirokazu ^{[3
]}

Yokogawa, Noriaki ^{[4
]}

Yamashita, Keishi ^{[2
]}

Yamashita, Masaomi ^{[2
]}

Sasaki, Toshihide ^{[2
]}

Yamaoka, Akiyoshi ^{[2
]}

Shiga, Yasuhiro ^{[5
]}

Maki, Satoshi ^{[5
]}

Inage, Kazuhide ^{[5
]}

Eguchi, Yawara ^{[5
]}

Orita, Sumihisa ^{[5
,6
]}

Ohtori, Seiji ^{[5
]}

机构：

[1] Chiba Univ Hosp, Ctr Next Generat Community Hlth, 8-15 Inohana,Chuo Ku, Chiba, Chiba 2600856, Japan

[2] JCHO Funabashi Cent Hosp, Dept Orthopaed Surg, 6-13-10 Kaijin, Funabashi, Chiba 2608670, Japan

[3] St Marianna Univ, Dept Pediat Surg, Sch Med, 2-16-1 Sugao,Miyamae Ku, Kawasaki, Kanagawa 2168511, Japan

[4] Kanazawa Univ, Grad Sch Med Sci, Dept Orthopaed Surg, 13-1 Takaramachi, Kanazawa, Ishikawa 9208641, Japan

[5] Chiba Univ, Grad Sch Med, Dept Orthopaed Surg, 1-8-1 Inohana,Chuo Ku, Chiba, Chiba 2608670, Japan

[6] Chiba Univ, Ctr Frontier Med Engn, 1-33 Yayoi Cho,CFME RoomB201,Inage Ku, Chiba, Chiba 2638522, Japan

[7] 1-8-15 Inohana,Chuo Ku, Chiba, Chiba 2600856, Japan

来源：

JOURNAL OF ORTHOPAEDIC SCIENCE | 2024年 / 29卷 / 02期

关键词：

Orthopedic registry; ICHI; JOANR; Surgical code; Mapping; Musculoskeletal disease database;

D O I：

10.1016/j.jos.2023.01.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: The Japanese Orthopedic Association launched the Japanese Orthopedic Association National Registry (JOANR), Japan's first large-scale nationwide musculoskeletal disease registry, in 2020. The World Health Organization released the International Classification of Health Interventions (ICHI) Beta-3 version in the same year. This concurrence served as an impetus to examine the relationship between domestic and international classification for orthopedic interventions. Our objective was to evaluate the possibility of utilizing JOANR for international comparison and the potential usage of ICHI in the domestic medical fee reimbursement system. This study is a novel attempt at mapping a domestic orthopedic scheme to the ICHI. Methods: We mapped 149 codes out of 581 orthopedic surgical codes, on JOANR's registration form, to the ICHI, and then classified the nature of JOANR codes' relationship, to both ICHI single stem codes and stem codes accompanied by other additional stem codes, extension codes, and International Classification of Diseases for Mortality and Morbidity Statistics (ICD) codes, into five categories: Equivalent (exact match), Narrower (compared to ICHI; can be smoothly incorporated into ICHI), Broader (compared to ICHI), Slipped (combination of both Narrower and Broader), and None (no appropriate code). Finally, debatable issues that arose during the mapping operation were noted. Results: The domestic codes' relationship to ICHI single stem code by category were Equivalent: 27 (18.1%) and Narrower: 65 (43.6%), respectively. Further, the rate of Equivalent rose to 120 (80.5%) on adding other stem codes, extension codes, and ICD codes. Additionally, certain domestic titles, which were unsuitable for classification as they included diagnostic information, and arthroscopic surgeries without corresponding ICHI codes, were recoded. Conclusions: JOANR can be converted to an international comparison standard via ICHI to a certain extent, and ICHI accompanied by ICD codes has potential for deployment in the domestic medical fee reimbursement system. (c) 2023 The Authors. Published by Elsevier B.V. on behalf of The Japanese Orthopaedic Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).

引用

页码：675 / 680

页数：6

共 13 条

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