Assembly of a cohort of children treated for acute myeloid leukemia at free-standing children's hospitals in the United States using an administrative database

被引:31
作者
Kavcic, Marko [1 ]
Fisher, Brian T. [2 ,3 ,4 ]
Torp, Kari [1 ]
Li Yimei [1 ]
Huang, Yuan-Shung [4 ]
Seif, Alix E. [1 ,4 ]
Vujkovic, Marijana [1 ]
Aplenc, Richard [1 ,3 ,4 ,5 ]
机构
[1] Childrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Div Infect Dis, Philadelphia, PA 19104 USA
[3] Childrens Hosp Philadelphia, Ctr Pediat Clin Effectiveness, Philadelphia, PA 19104 USA
[4] Univ Penn, Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
[5] Univ Penn, Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA
关键词
cohort validation; health administrative data; pediatric acute myeloid leukemia; TREATMENT-RELATED MORTALITY; TRIAL; CHEMOTHERAPY; THERAPY;
D O I
10.1002/pbc.24402
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Pediatric Health Information System data were used to establish a multi-center cohort of 1,686 children treated for newly diagnosed acute myeloid leukemia (AML). The cohort assembly process, which included myeloid leukemia ICD-9 discharge diagnosis codes and manual review of induction chemotherapy, was validated by chart review at a single institution. The use of ICD-9 codes alone resulted in a poor positive predictive value (PPV; 31%). Inclusion of the results from the chemotherapy review improved the PPV to 100% without compromising sensitivity (95.7%). This cohort provides a reliable source for future comparative effectiveness and clinical epidemiology studies in pediatric AML. Pediatr Blood Cancer 2013; 60: 508-511. (C) 2012 Wiley Periodicals, Inc.
引用
收藏
页码:508 / 511
页数:4
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