Journal article
Does a claims diagnosis of autism mean a true case?
Autism : the international journal of research and practice, v 18(3), pp 321-330
01 Apr 2014
PMID: 23739541
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The purpose of this study was to validate autism spectrum disorder cases identified through claims-based case identification algorithms against a clinical review of medical charts. Charts were reviewed for 432 children who fell into one of the three following groups: (a) more than or equal to two claims with an autism spectrum disorder diagnosis code (n = 182), (b) one claim with an autism spectrum disorder diagnosis code (n = 190), and (c) those who had no claims for autism spectrum disorder but had claims for other developmental or neurological conditions (n = 60). The algorithm-based diagnoses were compared with documented autism spectrum disorders in the medical charts. The algorithm requiring more than or equal to two claims for autism spectrum disorder generated a positive predictive value of 87.4%, which suggests that such an algorithm is a valid means to identify true autism spectrum disorder cases in claims data.
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Details
- Title
- Does a claims diagnosis of autism mean a true case?
- Creators
- James P. Burke - HealthInsightAnjali Jain - Lewin GroupWenya Yang - Lewin GroupJonathan P. Kelly - Lewin GroupMarygrace Kaiser - Eureka CollegeLaura Becker - UnitedHealth GroupLindsay Lawer - Drexel UniversityCraig J. Newschaffer - Health & Life (Taiwan)
- Publication Details
- Autism : the international journal of research and practice, v 18(3), pp 321-330
- Publisher
- Sage
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000333454700013
- Scopus ID
- 2-s2.0-84896114629
- Other Identifier
- 991019168523204721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Psychology, Developmental