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Shoulder Diagnosis

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

Type
Disease or Syndrome
ID
PH854
Version ID
1787
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: 49
Code Description Entity type Coding System (SNOMED) Category
119633005 Shoulder reconstruction res174: shoulder diagnoses SNOMED diagnostic
125594001 Injury of shoulder region res174: shoulder diagnoses SNOMED diagnostic
16982005 Shoulder region structure res174: shoulder diagnoses SNOMED diagnostic
179893007 Arthroscopic acromioplasty res174: shoulder diagnoses SNOMED diagnostic
202329003 Detachment of the glenoid labrum and/or capsule of the shoulder joint res174: shoulder diagnoses SNOMED diagnostic
202841003 Supraspinatus tendinitis res174: shoulder diagnoses SNOMED diagnostic
202843000 Full thickness rotator cuff tear res174: shoulder diagnoses SNOMED diagnostic
202852009 Shoulder tendinitis res174: shoulder diagnoses SNOMED diagnostic
20904001 Arthrodesis of shoulder res174: shoulder diagnoses SNOMED diagnostic
217225009 Repair of shoulder res174: shoulder diagnoses SNOMED diagnostic
239865003 Osteoarthritis of acromioclavicular joint res174: shoulder diagnoses SNOMED diagnostic
239958005 Painful arc syndrome res174: shoulder diagnoses SNOMED diagnostic
239960007 Impingement syndrome of shoulder region res174: shoulder diagnoses SNOMED diagnostic
239961006 Bursitis of shoulder res174: shoulder diagnoses SNOMED diagnostic
241633004 MRI of shoulder res174: shoulder diagnoses SNOMED diagnostic
263049003 Subluxation of acromioclavicular joint res174: shoulder diagnoses SNOMED diagnostic
263122000 Injury of glenoid labrum of shoulder joint res174: shoulder diagnoses SNOMED diagnostic
263480002 Entire tendon of supraspinatus muscle res174: shoulder diagnoses SNOMED diagnostic
27182002 Sprain of acromioclavicular ligament res174: shoulder diagnoses SNOMED diagnostic
274140005 Subscapularis tendinitis res174: shoulder diagnoses SNOMED diagnostic
275334004 Shoulder strain res174: shoulder diagnoses SNOMED diagnostic
27741009 Calcific tendinitis of shoulder res174: shoulder diagnoses SNOMED diagnostic
281812007 Arthroscopy of shoulder res174: shoulder diagnoses SNOMED diagnostic
29592009 Radiography of shoulder res174: shoulder diagnoses SNOMED diagnostic
303922008 US shoulder region res174: shoulder diagnoses SNOMED diagnostic
3199001 Sprain of shoulder res174: shoulder diagnoses SNOMED diagnostic
359532006 Rotator cuff impingement syndrome res174: shoulder diagnoses SNOMED diagnostic
399114005 Adhesive capsulitis of shoulder res174: shoulder diagnoses SNOMED diagnostic
399346004 Supraspinatus tear res174: shoulder diagnoses SNOMED diagnostic
40257000 Contusion of shoulder region res174: shoulder diagnoses SNOMED diagnostic
40799003 Subacromial bursitis res174: shoulder diagnoses SNOMED diagnostic
4106009 Rotator cuff syndrome res174: shoulder diagnoses SNOMED diagnostic
42262007 Total shoulder replacement res174: shoulder diagnoses SNOMED diagnostic
428883008 Rupture of tendon of biceps res174: shoulder diagnoses SNOMED diagnostic
429459001 Arthritis of acromioclavicular joint res174: shoulder diagnoses SNOMED diagnostic
430263007 Arthroscopic shoulder decompression res174: shoulder diagnoses SNOMED diagnostic
442520000 Inflammation of rotator cuff tendon res174: shoulder diagnoses SNOMED diagnostic
45326000 Shoulder pain res174: shoulder diagnoses SNOMED diagnostic
56060000 Repair of musculotendinous cuff of shoulder res174: shoulder diagnoses SNOMED diagnostic
67315001 Osteoarthritis of shoulder res174: shoulder diagnoses SNOMED diagnostic
6858004 Capsulitis res174: shoulder diagnoses SNOMED diagnostic
78715003 Subdeltoid bursitis res174: shoulder diagnoses SNOMED diagnostic
7885001 Structure of rotator cuff including muscles and tendons res174: shoulder diagnoses SNOMED diagnostic
79092002 Arthrography of shoulder res174: shoulder diagnoses SNOMED diagnostic
85856004 Acromioclavicular joint structure res174: shoulder diagnoses SNOMED diagnostic
86128003 Rupture of tendon of biceps, long head res174: shoulder diagnoses SNOMED diagnostic
91774008 Structure of right shoulder region res174: shoulder diagnoses SNOMED diagnostic
91775009 Structure of left shoulder region res174: shoulder diagnoses SNOMED diagnostic
95414005 calcific tendinitis res174: shoulder diagnoses SNOMED diagnostic

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH854/version/1787/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH854/version/1787/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('PH854', '1787', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH854/version/1787/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH854/version/1787/export/codes/?format=json
CSV site_root/phenotypes/PH854/version/1787/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('PH854', '1787', api_client=client)

Version History

Version
ID
Name Owner Publish date
1787 Shoulder Diagnosis 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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