Validity of diagnoses, procedures, and birth records in a Japanese administrative claims database for pediatric patients.

ABSTRACT:

Background

Administrative claims data are used in clinical studies; however, recorded diagnoses and procedures have not been fully validated for pediatric patients. We aimed to examine the validity of recorded information on pediatric patients in the Japanese Diagnosis Procedure Combination (DPC) database, a national inpatient database that includes administrative claims data.

Methods

We validated the DPC data using medical charts as the reference standard. We included patients aged <16 years admitted to a single academic hospital in Tokyo between 2018 and 2022. Positive predictive values were assessed for six diagnoses (cardiac arrest, blood cancer, acute myocarditis, nontraumatic intracranial hemorrhage, hypoplastic left heart syndrome, and trisomy 21) and in-hospital deat

SUBMITTER: Maki W 

PROVIDER: S-EPMC12410039 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature