[ { "phenotype_id": "PH847", "phenotype_version_id": 1773, "name": "Musculoskeletal Comorbidities", "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": "2022-04-04T07:06:47.791770Z", "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": "2022-04-04T07:06:47.791795Z", "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": 2603, "concept_version_id": 6619, "concept_name": "Musculoskeletal Comorbidities - Primary Care", "coding_system": { "id": 9, "name": "SNOMED CT codes", "description": "SNOMED CT codes" }, "phenotype_id": "PH847", "phenotype_version_id": 1773, "phenotype_name": "Musculoskeletal Comorbidities", "code_attribute_header": [ "Entity type", "Coding System (SNOMED)", "Category" ], "codes": [ { "code": "1120000000000.0", "description": "Chronic neck pain", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "134407002.0", "description": "Chronic back pain", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "161891005.0", "description": "Backache", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "1771000000000.0", "description": "Arthritis of wrist", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239792003.0", "description": "Seronegative rheumatoid arthritis", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "239872002.0", "description": "Osteoarthritis of hip", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "278860009.0", "description": "Chronic lower back pain", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "279039007.0", "description": "Low back pain", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "279040009.0", "description": "Mechanical low back pain", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "35908007.0", "description": "Chronic arthritis", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "371081002.0", "description": "Arthritis of knee", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "371082009.0", "description": "Arthritis of spine", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "3723001.0", "description": "Arthritis", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "387800004.0", "description": "Cervical spine Degeneration", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "38850007.0", "description": "Chronic arthropathy", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "399114005.0", "description": "Adhesive capsulitis of shoulder", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "430698003.0", "description": "Replacement of total knee joint", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "443435007.0", "description": "Total replacement of right hip joint", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "443681002.0", "description": "Total replacement of left knee joint", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "443682009.0", "description": "Total replacement of right knee joint", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "448394006.0", "description": "Arthritis of foot", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "448589005.0", "description": "Arthritis of hand", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "52734007.0", "description": "Total replacement of hip", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "609588000.0", "description": "Total knee replacement", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "65323003.0", "description": "Polymyalgia rheumatica", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "67315001.0", "description": "Osteoarthritis of shoulder", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "68449006.0", "description": "Arthritis of hip", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } }, { "code": "69896004.0", "description": "Rheumatoid arthritis", "attributes": { "Entity type": "res174: musculoskeletal comorbidities", "Coding System (SNOMED)": "SNOMED", "Category": "diagnostic" } } ] } ], "status": 2, "doi": "https://doi.org/10.48533/meq1-8z88", "is_deleted": null, "publish_status": 2, "owner": "ieuan.scanlon", "template": { "id": 1, "name": "Clinical-Coded Phenotype", "description": "Phenotype definitions that are based on lists of clinical codes, or algorithms using clinical codes.", "version_id": 1 }, "versions": [ { "version_id": 1773, "version_name": "Musculoskeletal Comorbidities", "version_date": "2022-04-04T07:06:47.817204Z", "is_published": true, "is_latest": true } ] } ]