From: Validation of adult asthma case definitions for primary care sentinel surveillance
Case Definition | Inclusion Criteria (Any One Of) | Exclusion criteria | SN | SP | PPV | NPV | YI | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
ICD-9 billing | Encounter diagnosis | Health condition | Medications | |||||||||
1* | 1 of: 493 | 0.35 | 0.99 | 0.78 | 0.93 | 0.34 | ||||||
2 | 1 of: “asthma” OR 1 of: 493 (asthma) | 0.75 | 0.97 | 0.74 | 0.97 | 0.72 | ||||||
3* | 1 of: “asthma” OR 1 of: 493 (asthma) | 0.04 | 1.00 | 0.60 | 0.91 | 0.04 | ||||||
4 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | 0.81 | 0.96 | 0.70 | 0.98 | 0.77 | |||||
5 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | Billing Any of: 491 (chronic bronchitis), 492 (emphysema), 496 (COPD) | 0.81 | 0.96 | 0.71 | 0.98 | 0.77 | ||||
6 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | Encounter Diagnosis Any of: “asthma*query” “query*asthma” “asthma*?” “?*asthma” | 0.81 | 0.96 | 0.70 | 0.98 | 0.77 | ||||
7 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | Billing Any of: 491 (chronic bronchitis), 492 (emphysema), 496 (COPD) AND/OR Encounter Diagnosis Any of: “asthma*query” “query*asthma” “asthma*?” “?*asthma” | 0.81 | 0.96 | 0.71 | 0.98 | 0.77 | ||||
8 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | 1 of: “asthma” OR 1 of: 493 (asthma) | 0.81 | 0.96 | 0.70 | 0.98 | 0.77 | ||||
9 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | 1 of: “asthma” OR 1 of: 493 (asthma) | Billing Any of: 491 (chronic bronchitis), 492 (emphysema), 496 (COPD) | 0.81 | 0.96 | 0.71 | 0.98 | 0.77 | |||
10 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | 1 of: “asthma” OR 1 of: 493 (asthma) | Encounter Diagnosis Any of: “asthma*query” “query*asthma” “asthma*?” “?*asthma” | 0.81 | 0.96 | 0.70 | 0.98 | 0.77 | |||
11 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | 1 of: “asthma” OR 1 of: 493 (asthma) | Billing Any of: 491 (chronic bronchitis), 492 (emphysema), 496 (COPD) AND/OR Encounter Diagnosis Any of: “asthma*query” “query*asthma” “asthma*?” “?*asthma” | 0.81 | 0.96 | 0.71 | 0.98 | 0.77 | |||
12 | 2 of: 493 | 2 of: “asthma” OR 2 of: 493 (asthma) | 1 of: “asthma” OR 1 of: 493 (asthma) | 0.78 | 0.97 | 0.75 | 0.98 | 0.75 | ||||
13† | 2 of: 493 | 2 of: “asthma” OR 2 of: 493 (asthma) | 1 of: “asthma” OR 1 of: 493 (asthma) | Encounter Diagnosis/Health Condition “asthma*query” “query*asthma” “asthma*?” “?*asthma” | 0.78 | 0.97 | 0.75 | 0.98 | 0.75 | |||
14 | 1 of: 493 | 1 of: “asthma” OR 1 of: 493 (asthma) | 1 of: “asthma” OR 1 of: 493 (asthma) | Any medication from asthma medication list | Medications LAMA (monotherapy) LABA (monotherapy) LAMA/LABA (monotherapy) | 0.85 | 0.93 | 0.57 | 0.98 | 0.78 | ||
Medication Case Definition | Inclusion Criteria (Any One Of) | Exclusion Criteria | SN | SP | PPV | NPV | YI | |||||
#1 | #2 | |||||||||||
M-1 | SABA | Budesonide/formoterol | Any other respiratory medication on medication list | 0.35 | 0.96 | 0.47 | 0.93 | 0.31 | ||||
M-2 | SABA + ICS | SABA + LTRA | Any other respiratory medication on medication list | 0.10 | 0.98 | 0.39 | 0.91 | 0.08 | ||||
M-3 | ICS | Any other respiratory medication on medication list | 0.08 | 0.98 | 0.32 | 0.91 | 0.06 | |||||
M-4 | SABA + ICS/LABA | Any other respiratory medication on medication list | 0.18 | 0.99 | 0.93 | 0.92 | 0.17 | |||||
M-5 | SABA + (ICS/LABA/LAMA OR ICS/LABA + LAMA OR ICS/LABA + LTRA OR ICS/LABA/LAMA + LTRA) | ICS/LABA/LAMA OR ICS/LABA + LAMA OR ICS/LABA + LTRA OR ICS/LABA/LAMA + LTRA | Any other respiratory medication on medication list | 0.08 | 0.99 | 0.67 | 0.91 | 0.07 | ||||
M-6 | Biologics | Any other respiratory medication on medication list | 0 | 0 | 0 | 0 | - | |||||
M-7 | Any medication from asthma medications list | LAMA (monotherapy) LABA (monotherapy) LAMA/LABA (monotherapy) | 0.76 | 0.9 | 0.45 | 0.97 | 0.66 |