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Table 3 Relationship between performed diagnostis. actual treatment and documented diagnoses

From: Are ICD-10 codes appropriate for performance assessment in asthma and COPD in general practice? Results of a cross sectional observational study

Performed diagnostics and actual treatment

Asthma (n = 255)

COPD (n = 112)

Other (n = 465)

 

n

%

OR

95% CI

n

%

OR

95% CI

n

%

OR

95% CI

Sympathomimetics

(n = 167; 65.5%)

(n = 47; 42.0%)

(n = 36; 7.7%)

Medical history only

9

3.5

0.22

0.10–0.51

7

6.3

1.35

0.56–3.26

10

2.2

4.97

2.05–12.02

Medical history and trial of medication

52

20.4

7.99

3.06–20.85

4

3.6

2.93

0.51–16.71

8

1.7

31.48

8.95–111.2

Medical history and spirometry

60

23.5

2.28

1.24–4.18

36

32.1

4.06

1.77–9.35

14

3.0

3.10

1.51–6.36

Medical history and PEF-measurement

46

18.0

0.67

0.43–1.07

0

0

0

0-0

4

1.0

2.39

0.77–7.36

Additional bronchial challenge test

12

4.7

3.51

0.77–16.04

9

8.0

1.16

0.44–3.08

0

0

0.01

0–109

Additional chest X-ray

22

8.6

1.02

0.48–2.17

22

19.6

1.98

0.91–4.31

6

1.0

1.91

0.75–4.86

Corticosteroids

(n = 96; 37.6%)

(n = 52; 46.4%)

(n = 28; 6.0%)

Medical history only

4

1.6

0.23

0.08–0.66

9

8.0

2.22

0.85–5.78

5

1.0

2.37

0.78–7.23

Medical history and trial of medication

20

7.8

0.91

0.49–1.68

3

2.7

1.16

0.22–6.03

5

1.05

13.99

4.11–47.64

Medical history and spirometry

49

19.2

5.17

2.91–9.19

40

35.7

4.67

2.05–10.64

15

3.2

6.05

2.72–13.45

Medical history and PEF-measurement

23

9.0

0.58

0.33–1.02

0

0

0

0–14 × 104

3

1.0

2.26

0.63–8.04

Additional bronchial challenge test

9

3.5

3.30

1.07–10.17

16

14.3

6.22

1.93–20.11

0

0

0.00

0-0

Additional chest X-ray

16

6.3

1.63

0.79–3.37

29

25.9

4.56

2.00–10.38

10

2.2

6.19

2.65–14.47

Cromoglycate

(n = 91; 35.7%)

(n = 16; 14.3%)

(n = 39; 8.4%)

Medical history only

9

3.5

0.16

0.07–0.37

1

1.0

0.23

0.05–1.02

21

4.5

12.02

4.93–29.29

Medical history and trial of medication

24

9.4

1.52

0.83–2.79

0

0

0.00

0–1.6 × 1018

4

1.0

6.16

1.77–21.51

Medical history and spirometry

23

9.0

0.74

0.42–1.32

10

8.9

1.07

0.40–2.86

10

2.2

1.70

0.89–3.25

Medical history and PEF-measurement

35

13.7

1.74

1.01–3.00

5

4.5

14.1

2.96–67.18

4

1.0

2.17

0.71–6.65

Additional bronchial challenge test

5

2.0

1.06

0.34–3.26

4

3.6

1.67

0.48–5.83

1

0

1.62

0.19–13.54

Additional chest X-ray

9

3.5

0.65

0.29–1.46

5

4.5

0.73

0.23–2.25

8

1.7

2.58

1.11–6.01