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Neck Diagnoses

Romi Haas, Ljoudmila Busija, Alexandra Gorelik, Denise A O'Connor, Christopher Pierce, Danielle Mazza, Rochelle Buchbinder

Type
Disease or Syndrome
ID
PH848
Version ID
1775
Data Sources
POpulation Level Analysis and Reporting (POLAR) Database Australia
Valid event data range
01/01/2014 - 31/12/2018
Sex
Female, Male
Agreement Date
2021-09-24
Coding system
SNOMED CT codes
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Introduction:

General 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.

Methods and analysis:

This 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.

Ethics and dissemination:

Ethics 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.

Publications

  • 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.

Clinical Code List

Rows: 40
Code Description Entity type Coding System (SNOMED) Category
11049006.0 Cervical radiculitis res174: neck diagnoses SNOMED diagnostic
1121000000000.0 Chronic neck pain res174: neck diagnoses SNOMED diagnostic
122494005.0 Cervical spine structure res174: neck diagnoses SNOMED diagnostic
161882006.0 Stiff neck res174: neck diagnoses SNOMED diagnostic
169068008.0 CT of neck res174: neck diagnoses SNOMED diagnostic
202664003.0 Cervical myelopathy res174: neck diagnoses SNOMED diagnostic
209557005.0 Neck sprain res174: neck diagnoses SNOMED diagnostic
239541009.0 Excision of cervical intervertebral disc res174: neck diagnoses SNOMED diagnostic
240215009.0 Prolapsed cervical intervertebral disc res174: neck diagnoses SNOMED diagnostic
241578008.0 CT of cervical spine res174: neck diagnoses SNOMED diagnostic
241646009.0 MRI of cervical spine res174: neck diagnoses SNOMED diagnostic
262522002.0 Injury of cervical spine res174: neck diagnoses SNOMED diagnostic
279016001.0 Cervicogenic headache res174: neck diagnoses SNOMED diagnostic
279029001.0 Pain in cervical spine res174: neck diagnoses SNOMED diagnostic
298393001.0 cervical kyphosis res174: neck diagnoses SNOMED diagnostic
301000000000.0 Muscle spasm of cervical muscle of neck res174: neck diagnoses SNOMED diagnostic
33420007.0 Diffuse cervicobrachial syndrome res174: neck diagnoses SNOMED diagnostic
360437006.0 Strain of tendon of neck res174: neck diagnoses SNOMED diagnostic
360450007.0 Strain of neck muscle res174: neck diagnoses SNOMED diagnostic
387800004.0 Cervical spine Degeneration res174: neck diagnoses SNOMED diagnostic
387801000.0 Cervical arthritis res174: neck diagnoses SNOMED diagnostic
39848009.0 Whiplash injury to neck res174: neck diagnoses SNOMED diagnostic
405773007.0 Kyphoscoliosis deformity of spine res174: neck diagnoses SNOMED diagnostic
414564002.0 Kyphosis deformity of spine res174: neck diagnoses SNOMED diagnostic
425878001.0 Cervical disc disorder res174: neck diagnoses SNOMED diagnostic
445429009.0 Cervical laminectomy res174: neck diagnoses SNOMED diagnostic
45048000.0 Neck structure res174: neck diagnoses SNOMED diagnostic
54404000.0 Cervical radiculopathy res174: neck diagnoses SNOMED diagnostic
59703009.0 cervical spinal fusion by anterior technique res174: neck diagnoses SNOMED diagnostic
66769009.0 Radiography of cervical spine res174: neck diagnoses SNOMED diagnostic
69195002.0 Degeneration of cervical intervertebral disc res174: neck diagnoses SNOMED diagnostic
70070008.0 Torticollis res174: neck diagnoses SNOMED diagnostic
71760005.0 Cervico-occipital neuralgia res174: neck diagnoses SNOMED diagnostic
72221006.0 Magnetic resonance imaging of neck res174: neck diagnoses SNOMED diagnostic
72535009.0 Cervical rib res174: neck diagnoses SNOMED diagnostic
81099000.0 Cervical arthrodesis res174: neck diagnoses SNOMED diagnostic
81680005.0 Neck pain res174: neck diagnoses SNOMED diagnostic
83561009.0 Spinal stenosis in cervical region res174: neck diagnoses SNOMED diagnostic
90460009.0 Neck injury res174: neck diagnoses SNOMED diagnostic
95671001.0 Cervical nerve root compression res174: neck diagnoses SNOMED diagnostic

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH848/version/1775/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH848/version/1775/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('PH848', '1775', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH848/version/1775/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH848/version/1775/export/codes/?format=json
CSV site_root/phenotypes/PH848/version/1775/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('PH848', '1775', api_client=client)

Version History

Version
ID
Name Owner Publish date
1775 Neck Diagnoses ieuan.scanlon 2022-04-04 currently shown

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

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