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Table 1 Accuracy of upper GI diagnosis and curative resection reporting, plus reporting of comorbidities in APDC discharge data

From: Hospital discharge diagnostic and procedure codes for upper gastro-intestinal cancer: how accurate are they?

 

Medical records -Condition present

True positive

Sensitivity (95% CI)

False positive

Positive predictive value

κ-coefficient

UGI cancer diagnosis

240

214

89.2 (84.4-92.7)

   

 Oesophagus

59

47

79.7 (66.8-88.6)

18

72.3 (60.4-81.7)

0.72 (0.63-0.81)

 Gastric

71

63

88.7 (78.5-94.7)

22

74.1 (63.9-82.2)

0.75 (0.62-0.89)

 Liver

34

32

94.1 (79.0-99.0)

45

41.6 (31.8-52.3)

0.42 (0.30-0.52)

 Pancreas

76

72

94.7 (86.4-98.3)

17

80.9 (71.5-87.7)

0.84 (0.78-0.90)

Curative surgery

64

54

84.4 (72.7-91.9)

   

 Oesophagus

6

4

66.7 (24.1-94.0)

1

80.0 (30.0-98.9)

0.79 (0.52-0.98)

 Gastric

30

27

90.0 (72.3-97.4)

7

79.4 (63.2-89.6)

0.83 (0.74-0.94)

 Liver

11

10

90.9 (57.1-99.5)

8

55.6 (33.7-75.4)

0.68 (0.48-0.87)

 Pancreas

17

13

76.5 (49.8-91.2)

1

92.9 (68.5-98.7)

0.83 (0.69-0.98)

Comorbid conditions

      

 Hypertension

120

74

61.7 (52.3-70.3)

50

59.7 (50.9-67.9)

0.37 (0.28-0.47)

 Diabetes

78

45

57.7 (46.0-68.6)

1

97.8 (87.0-99.9)

0.64 (0.53-0.74)

 IHD*

42

20

47.6 (32.3-63.4)

17

54.0 (37.1-70.2)

0.41 (0.26-0.56)

 GORD*

47

4

8.5 (2.8-21.3)

20

16.7 (5.5-38.2)

<0.01 (−−, 0.09)

 Alcohol abuse

21

12

57.1 (34.4-77.4)

16

42.9 (26.5-60.9)

0.40 (0.22-0.60)

 Hepatitis B or C

17

6

35.3 (15.3-61.4)

3

66.7 (35.4-87.9)

0.47 (0.22-0.73)

 COPD*

7

3

42.9 (11.8-79.8)

8

27.3 (7.3-60.7)

0.33 (0.04-0.68)

 Dementia

10

7

70.0 (35.4-91.9)

4

63.6 (35.4-84.8)

0.72 (0.51-0.96)

  1. * IHD = Ischaemic heart disease;42 GORD = gastro-oesophageal reflux disease; COPD = chronic obstructive pulmonary disease.