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Table 1 Validation of International Classification of Disease (ICD) hospital discharge abstract data based on chart review data for depression

From: Systematic review and assessment of validated case definitions for depression in administrative data

Case definition

Codes employed

Sensitivity (%) (95% CI)

Specificity (%) (95% CI)

Positive predictive value (%) (95% CI)

Negative predictive value (%) (95% CI)

Alaghehbandan (2012) 1

ICD-9: 311

19.92 (16.42-23.79)

99.69 (99.44-99.84)

89.62 (82.19-94.70)

90.21 (89.23-91.13)

Alaghehbandan (2012) 2

ICD-10-CA: F32.0-F32.3, F32.8, F32.9, F33.0-F33.4, F33.8, F34.1

29.56 (25.50-33.88)

99.58 (99.30-99.76)

90.38 (84.64-94.52)

91.28 (90.34-92.15)

Noyes (2011) 1

ICD-9: 296.20-.24, 296.30.-34

1.05 (0.34-2.43)

100.00 (99.90-100.00)

100.00 (47.82-100.00)

88.21 (87.17-89.19)

Noyes (2011) 2

ICD-9: 296.20-.24, 296.30-.34, 300.4, 311

28.93 (24.90-33.23)

99.66 (99.41-99.82)

92.00 (86.44-95.80)

91.21 (90.28-92.09)

Singh (2006)

ICD-9: 296.xx, 300.4, 301.1x, 298, 311

28.90 (24.9-33.2)

99.70 (99.40-99.80)

92.00 (86.40-95.80)

91.20 (90.30-92.10)

ICD-9-CM (new definitions tested)

     

Case Definition 1*

296.20-.25, 296.30-.35, 300.4, & 311

28.93 (24.90-33.23)

99.66 (99.41-99.82)

92.00 (86.44-95.80)

91.21 (90.28-92.09)

Case Definition 2*

CD1 + 296.5, 296.6, 296.82 & 296.90

29.14 (25.10-33.34)

99.52 (99.23-99.72)

89.10 (83.13-93.52)

91.23 (90.29-92.10)

Case Definition 3*

CD2 + 309.0, 309.1 & 309.28

32.91 (28.71-37.33)

99.49 (99.20-99.70)

89.71 (84.23-93.79)

91.65 (90.73-92.51)

ICD-10 (new definitions tested)

     

Case Definition 4**

F32.0-32.9, F33.0-33.3, F33.8, F33.9, F34.1 & F41.2

34.17 (29.92-38.62)

99.55 (99.27-99.74)

91.06 (85.89-94.80)

91.80 (90.89-92.65)

Case Definition 5**

CD4 + F31.3-F31.6

34.59 (30.32-39.05)

99.52 (99.23-99.72)

90.66 (85.47-94.46)

91.85 (90.93-92.69)

Case Definition 6**

CD5 + F34.8, F34.9, F38.0, F38.1, F38.8, F39, F99

35.64 (31.34-40.12)

99.43 (99.13-99.65)

89.47 (84.21-93.45)

91.96 (91.05-92.80)

  1. CD: Case Definition, ICD: International Classification of Disease.
  2. *CD 1: most restrictive, CD 2: moderately inclusive, CD 3: most inclusive.
  3. **CD 4: most restrictive, CD 5: moderately inclusive, CD 6: most inclusive.