[ { "phenotype_id": "PH846", "phenotype_version_id": 1771, "name": "Low Back Diagnosis", "definition": "Introduction:\n\nGeneral practice is integral to the Australian healthcare system. Outcome Health’s POpulation Level Analysis and Reporting (POLAR) database uses de-identified electronic health records to analyse general practice data in Australia. Previous studies using routinely collected health data for research have not consistently reported the codes and algorithms used to describe the population, exposures, interventions and outcomes in sufficient detail to allow replication. This paper reports a study protocol investigating patterns of care for people presenting with musculoskeletal conditions to general practice in Victoria, Australia. Its focus is on the systematic approach used to classify and select eligible records from the POLAR database to facilitate replication. This will be useful for other researchers using routinely collected health data for research.\n\n\nMethods and analysis:\n\nThis is a retrospective cohort study. Patient-related data will be obtained through electronic health records from a subset of general practices across three primary health networks (PHN) in southeastern Victoria. Data for patients with a low back, neck, shoulder and/or knee condition and who received at least one general practitioner (GP) face-to-face consultation between 1 January 2014 and 31 December 2018 will be included. Data quality checks will be conducted to exclude patients with poor data recording and/or non-continuous follow-up. Relational data files with eligible and valid records will be merged to select the study cohort and the GP care received (consultations, imaging requests, prescriptions and referrals) between diagnosis and 31 December 2018. Number and characteristics of patients and GPs, and number, type and timing of imaging requests, prescriptions for pain relief and referrals to other health providers will be investigated.\n\n\nEthics and dissemination:\n\nEthics approval was obtained from the Cabrini and Monash University Human Research Ethics Committees (Reference Numbers 02-21-01-19 and 16975, respectively). Study findings will be reported to Outcome Health, participating PHNs, disseminated in academic journals and presented in conferences.\n\n\n\n\n\n\n\n\n", "implementation": "", "publications": [ { "doi": null, "details": "Romi Haas, Ljoudmila Busija, Alexandra Gorelik, Denise A O'Connor, Christopher Pierce, Danielle Mazza, Rochelle Buchbinder, Patterns of care for people presenting to Australian general practice with musculoskeletal complaints based on routinely collected data: protocol for an observational cohort study using the Population Level Analysis and Reporting (POLAR) database. BMJ Open, 11(e055528), 2021." } ], "validation": "", "citation_requirements": "", "created": "2022-04-04T07:06:46.129579Z", "author": "Romi Haas, Ljoudmila Busija, Alexandra Gorelik, Denise A O'Connor, Christopher Pierce, Danielle Mazza, Rochelle Buchbinder", "collections": [ { "name": "ClinicalCodes Repository", "value": 25 }, { "name": "Phenotype Library", "value": 18 } ], "tags": null, "organisation": null, "world_access": 1, "updated": "2022-04-04T07:06:46.129604Z", "sex": [ { "name": "Both", "value": "3" } ], "type": [ { "name": "Disease or syndrome", "value": "2" } ], "ontology": null, "phenoflowid": "", "data_sources": [ { "name": "POpulation Level Analysis and Reporting (POLAR) Database Australia", "value": 34, "datasource_id": 34 } ], "coding_system": [ { "name": "SNOMED CT codes", "value": 9 } ], "event_date_range": "01/01/2014 - 31/12/2018", "concept_information": [ { "concept_id": 2602, "concept_version_id": 6617, "concept_name": "Low Back Diagnosis - Primary Care", "coding_system": { "id": 9, "name": "SNOMED CT codes", "description": "SNOMED CT codes" }, "phenotype_id": "PH846", "phenotype_version_id": 1771, "phenotype_name": "Low Back Diagnosis", "code_attribute_header": [ "Entity type", "Coding System (SNOMED)", "Category" ], "codes": [ { "code": "123798002.0", "description": "Lumbosacral spondylosis", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "125608002.0", "description": "Fracture of lumbar spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "125872003.0", "description": "Fracture of sacrum", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "128196005.0", "description": "Lumbar radiculopathy", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "134407002.0", "description": "Chronic back pain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "161891005.0", "description": "Backache", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "178771000.0", "description": "Exploration of spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "18347007.0", "description": "Spinal stenosis of lumbar region", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "202487003.0", "description": "Sacroiliac joint pain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "202708005.0", "description": "Prolapsed lumbar intervertebral disc", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "203095000.0", "description": "Spasm of back muscles", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "203438009.0", "description": "Vertebral osteoporosis", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "209548004.0", "description": "Sprain, lumbosacral ligament", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "209565008.0", "description": "Lumbar sprain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "22791004.0", "description": "X-ray of lumbosacral spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "2304001.0", "description": "Discitis", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239542002.0", "description": "Lumbar discectomy", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239880009.0", "description": "Osteoarthritis of lumbar spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "240219003.0", "description": "Spinal claudication", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "240221008.0", "description": "Spondylolysis", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "2415007.0", "description": "Lumbosacral radiculopathy", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "241577003.0", "description": "CT of spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "241580002.0", "description": "CT of lumbar spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "241645008.0", "description": "Magnetic resonance imaging of spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "241648005.0", "description": "MRI of lumbar spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "243338005.0", "description": "Nerve root compression syndrome", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "247369005.0", "description": "Facet joint pain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "24856003.0", "description": "Diagnostic radiography of coccyx", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "249921008.0", "description": "Stiff back", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "260649000.0", "description": "Lumbar microdiscectomy", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "262521009.0", "description": "Spinal injury", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "264082005.0", "description": "Lumbar", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "26538006.0", "description": "Degeneration of lumbar intervertebral disc", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "267982002.0", "description": "Pain in lumbar spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "274152003.0", "description": "Spondylolisthesis", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "275249009.0", "description": "Correction of scoliosis", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "278860009.0", "description": "Chronic lower back pain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "279039007.0", "description": "Low back pain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "281598004.0", "description": "Sprain of spinal ligament", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "281933002.0", "description": "Crush fracture of lumbar vertebra", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "282764008.0", "description": "Injury of coccyx", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "282766005.0", "description": "Lower back injury", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "283165009.0", "description": "Decompression laminectomy", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "298382003.0", "description": "Scoliosis deformity of spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "298591003.0", "description": "Scoliosis of lumbar spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "299966003.0", "description": "Compression of lumbar nerve root", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "300956001.0", "description": "Low back strain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "302129007.0", "description": "Decompression of lumbar spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "302258001.0", "description": "Back problem", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "303697006.0", "description": "CT of lumbar region", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "307138004.0", "description": "Spondylolisthesis L5/S1 level", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "309710005.0", "description": "Lumbosacral strain", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "314668006.0", "description": "Wedge fracture of vertebra", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "3418002.0", "description": "Chondrectomy of spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "34789001.0", "description": "Pain in the coccyx", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "356139006.0", "description": "Lumbosacral spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "371000000000.0", "description": "Stenosis of intervertebral foramina", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "371082009.0", "description": "Arthritis of spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "372109003.0", "description": "Disorder of joint of spine", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "37822005.0", "description": "Lower back structure", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "387731002.0", "description": "Laminectomy", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "392236004.0", "description": "Operative procedure on spinal structure", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "401226007.0", "description": "Vertebroplasty", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "425585009.0", "description": "L5/S1 disc", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "427094005.0", "description": "L4/5 disc", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "429350001.0", "description": "Arthropathy of spinal facet joint", "attributes": { "Entity type": "res174: low back diagnoses", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, 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