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Back Pain

Tim Doran, Evangelos Kontopantelis, Jose M Valderas, Stephen Campbell, Martin Roland, Chris Salisbury, David Reeves

Type
Disease or Syndrome
ID
PH406
Version ID
812
Data Sources
Valid event data range
01/01/2000 - 31/12/2007
Sex
Female, Male
Agreement Date
2011-06-28
Coding system
Read codes v2 OXMIS codes
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Patient level data were extracted from the General Practice Research Database (GPRD), which contains anonymised, patient based data on morbidity, prescribing, treatment, and referral collected from over 500 general practices, covering about 7% of the UK population (4.4 million patients).14 Data are in Read code format—a hierarchical system used to code clinical data. Additional data on prescriptions and test results are available as free-text entries. We selected a sample of 148 practices that provided data to the GPRD continuously between January 2000 and December 2007, structured to include a range of list (patient panel) sizes. Selected practices were nationally representative in terms of patient sex and age distribution and area socioeconomic deprivation but had a relatively large average list size, reflecting a bias towards larger practices in the GPRD. Overall, the selected practices performed marginally better than national practices on the clinical indicators in the Quality and Outcomes Framework. A random selection of 4500 patients registered for at least one day between 1 January 2000 and 31 December 2007 was drawn from each practice. For practices with fewer than 4501 patients, all patients were selected. The final sample consisted of 653 500 patients. Patients with relevant conditions were identified from their diagnostic Read codes. Patients for whom targets were met were identified from the relevant Read codes and free-text terms.

Publications

  • Tim Doran, Evangelos Kontopantelis, Jose M Valderas, Stephen Campbell, Martin Roland, Chris Salisbury, David Reeves, Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework. BMJ, 342:d3590, 2011.

Clinical Code List

Rows: 86
Code Description Entity type Coding System (OXMIS Read) Category
16C4.00 Back pain worse on sneezing back pain Read diagnostic
16C5.00 C/O - low back pain back pain Read diagnostic
16C6.00 Back pain without radiation NOS back pain Read diagnostic
16C9.00 Chronic low back pain back pain Read diagnostic
16CA.00 Mechanical low back pain back pain Read diagnostic
1A53.12 C/O - lumbar pain back pain Read diagnostic
25C..13 O/E - lumbar pain on palpation back pain Read diagnostic
25C5.00 O/E - abd. pain - R.lumbar back pain Read diagnostic
25C7.00 O/E - abd. pain - L.lumbar back pain Read diagnostic
8HTH.00 Referral to back pain clinic back pain Read diagnostic
F350.00 Sciatic nerve lesion back pain Read diagnostic
J3A..00 Sciatic hernia back pain Read diagnostic
J3A0.00 Sciatic hernia with gangrene back pain Read diagnostic
J3A1.00 Sciatic hernia with obstruction back pain Read diagnostic
J3A2.00 Sciatic hernia - irreducible back pain Read diagnostic
J3A3.00 Simple sciatic hernia back pain Read diagnostic
J3Ay.00 Unspecified sciatic hernia back pain Read diagnostic
J3Az.00 Sciatic hernia NOS back pain Read diagnostic
N12..13 Acute back pain - disc back pain Read diagnostic
N12C400 Prolapsed lumbar intervertebral disc with sciatica back pain Read diagnostic
N140.00 Spinal stenosis; excluding cervical region back pain Read diagnostic
N140.11 Spinal stenosis back pain Read diagnostic
N140000 Spinal stenosis of unspecified region back pain Read diagnostic
N140100 Thoracic spinal stenosis back pain Read diagnostic
N140200 Lumbar spinal stenosis back pain Read diagnostic
N140300 Idiopathic thoracic spinal stenosis back pain Read diagnostic
N140400 Degenerative thoracic spinal stenosis back pain Read diagnostic
N140500 Iatrogenic thoracic spinal stenosis back pain Read diagnostic
N140600 Thoracic spinal stenosis secondary to other disease back pain Read diagnostic
N140700 Idiopathic lumbar spinal stenosis back pain Read diagnostic
N140800 Degenerative lumbar spinal stenosis back pain Read diagnostic
N140900 Iatrogenic lumbar spinal stenosis back pain Read diagnostic
N140A00 Lumbar spinal stenosis secondary to other disease back pain Read diagnostic
N140z00 Spinal stenosis NOS back pain Read diagnostic
N141.00 Pain in thoracic spine back pain Read diagnostic
N141.11 Acute back pain - thoracic back pain Read diagnostic
N142.00 Pain in lumbar spine back pain Read diagnostic
N142.11 Low back pain back pain Read diagnostic
N142.12 Lumbalgia back pain Read diagnostic
N142.13 Acute back pain - lumbar back pain Read diagnostic
N142.14 Lumbago back pain Read diagnostic
N142000 Lumbago with sciatica back pain Read diagnostic
N143.00 Sciatica back pain Read diagnostic
N143.11 Acute back pain with sciatica back pain Read diagnostic
N144.00 Thoracic and lumbosacral neuritis back pain Read diagnostic
N144000 Thoracic neuritis; unspecified back pain Read diagnostic
N144011 Thoracic nerve root pain back pain Read diagnostic
N144100 Lumbosacral neuritis; unspecified back pain Read diagnostic
N144z00 Thoracic and lumbosacral neuritis NOS back pain Read diagnostic
N145.00 Backache; unspecified back pain Read diagnostic
N145.11 Acute back pain - unspecified back pain Read diagnostic
N145.12 Back pain; unspecified back pain Read diagnostic
N146000 Lumbosacral ankylosis back pain Read diagnostic
N146100 Sacroiliac ankylosis back pain Read diagnostic
N146200 Sacral ankylosis NOS back pain Read diagnostic
N146300 Lumbosacral instability back pain Read diagnostic
N146311 Lumbosacral strain back pain Read diagnostic
N146400 Sacroiliac instability back pain Read diagnostic
N146500 Sacral instability NOS back pain Read diagnostic
N146600 Sacroiliac disorder back pain Read diagnostic
N146z11 Sacroiliac strain back pain Read diagnostic
N147100 Hypermobility of the coccyx back pain Read diagnostic
N147200 Coccygodynia back pain Read diagnostic
N147211 Pain in coccyx back pain Read diagnostic
N148.00 Ankylosis/instability of cervical;thoracic or lumbar spine back pain Read diagnostic
N148000 Atlanto-occipital ankylosis back pain Read diagnostic
N148100 Atlanto-axial ankylosis back pain Read diagnostic
N148200 Cervical spine ankylosis back pain Read diagnostic
N148300 Cervico-thoracic ankylosis back pain Read diagnostic
N148400 Thoracic spine ankylosis back pain Read diagnostic
N148500 Thoraco-lumbar ankylosis back pain Read diagnostic
N148600 Lumbar spine ankylosis back pain Read diagnostic
N148700 Atlanto-occipital instability back pain Read diagnostic
N148800 Atlanto-axial instability back pain Read diagnostic
N148900 Cervical spine instability back pain Read diagnostic
N148A00 Cervico-thoracic instability back pain Read diagnostic
N148B00 Thoracic spine instability back pain Read diagnostic
N148C00 Lumbar spine instability back pain Read diagnostic
N149.00 Back stiffness back pain Read diagnostic
N14y.11 Facet joint syndrome back pain Read diagnostic
N14z.11 Ankylosis of spine NOS back pain Read diagnostic
N23yE00 Spasm of back muscles back pain Read diagnostic
SJ60.00 Sciatic nerve injury back pain Read diagnostic
SJ60000 Closed injury sciatic nerve back pain Read diagnostic
SJ60100 Open injury sciatic nerve back pain Read diagnostic
n142.00 Pain in lumbar spine back pain Read diagnostic
Rows: 31
Code Description Entity type Coding System (OXMIS Read) Category
353 SCIATICA back pain OXMIS diagnostic
353 A SCIATICA ACUTE back pain OXMIS diagnostic
353 C SCIATICA CHRONIC back pain OXMIS diagnostic
353 HP PALSY SCIATIC HIGH back pain OXMIS diagnostic
353 NP SCIATIC NEUROPATHY back pain OXMIS diagnostic
353 NT SCIATICA NEURITIS back pain OXMIS diagnostic
353 PP SCIATIC PARAESTHESIA back pain OXMIS diagnostic
353 T SCIATICA TRAUMATIC back pain OXMIS diagnostic
5518AT SCIATIC HERNIA back pain OXMIS diagnostic
7251D SCIATICA POSSIBLE INTERVERTEBRAL DISC LE back pain OXMIS diagnostic
7287A PAIN LOW BACK back pain OXMIS diagnostic
7287B PAIN LUMBAR REGION back pain OXMIS diagnostic
7288RP PAIN LUMBAR ROOT NEUROPATHY back pain OXMIS diagnostic
7289A SCIATICA WITH BACK PAIN back pain OXMIS diagnostic
7289B PAIN BACK WITH NEURITIS back pain OXMIS diagnostic
7289C BAD BACK back pain OXMIS diagnostic
7289CA VERTEBROGENIC PAIN SYNDROME back pain OXMIS diagnostic
7289CB CHRONIC BACKACHE back pain OXMIS diagnostic
7289CC PAIN COCCYX back pain OXMIS diagnostic
7289CE SYNDROME CAUDA EQUINA back pain OXMIS diagnostic
7289CF BACKACHE back pain OXMIS diagnostic
7289CG ACHE SPINE back pain OXMIS diagnostic
7289CH PAIN BACK back pain OXMIS diagnostic
7289CI TROUBLE BACK back pain OXMIS diagnostic
7289CT ACUTE BACK (PAIN) back pain OXMIS diagnostic
7289D PAIN BACK WITHOUT SCIATICA back pain OXMIS diagnostic
7289E COCCYDINIA back pain OXMIS diagnostic
7289G ACHE UPPER SPINE back pain OXMIS diagnostic
7289H ACHE LUMBOSACRAL back pain OXMIS diagnostic
7289J PAIN LOIN back pain OXMIS diagnostic
7289PL POSTURAL BACKACHE back pain OXMIS diagnostic

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH406/version/812/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH406/version/812/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH406', '812', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH406/version/812/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH406/version/812/export/codes/?format=json
CSV site_root/phenotypes/PH406/version/812/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH406', '812', api_client=client)

Version History

Version
ID
Name Owner Publish date
812 Back Pain ieuan.scanlon 2021-10-06 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

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