Databases for pediatric surgical health services research
2018; Elsevier BV; Volume: 164; Issue: 3 Linguagem: Inglês
10.1016/j.surg.2017.12.015
ISSN1532-7361
AutoresCalista M. Harbaugh, Jennifer N. Cooper, Peter C. Minneci, Katherine J. Deans,
Tópico(s)Emergency and Acute Care Studies
ResumoAdministrative databases are composed of health care billing records from private or public payers or from health care providers such as hospitals (Table 1). Insurance claims data sets are available for children covered by Medicaid (Medicaid Analytic eXtract) and children covered by commercial payers (Truven Health Analytics Marketscan, OptumInsight Clinformatics Datamart, Health Care Cost Institute). 1 Ruttner L. Borck R. Nysenbaum J. Williams S. Guide to MAX data. Mathematica Pol Res. 2015 Google Scholar , 2 Hansen L. The Truven Health MarketScan Databases for life sciences researchers; 2017. http://truvenhealth.com/Portals/0/Assets/2017-MarketScan-Databases-Life-Sciences-Researchers-WP.pdf. Accessed January 9, 2018. Google Scholar , 3 OPTUM. Clinformatics Data Mart. 2014. https://www.optum.com/content/dam/optum/resources/productSheets/Clinformatics_for_Data_Mart.pdf. Accessed November 11, 2017. Google Scholar , 4 Health Care Cost Institute. About HCCI. 2017. http://www.healthcostinstitute.org/about-hcci/. Accessed November 22, 2017. Google Scholar Hospital discharge data sets are created from records of service utilization collected from hospital billing records. These records are aggregated across hospitals, regions, or states by a number of organizations and thus have varying degrees of generalizability. For example, the Healthcare Cost and Utilization Project State Inpatient and Ambulatory Surgery databases include all admissions and outpatient surgery encounters, respectively, at community hospitals within a state. 6 Healthcare Cost and Utilization Project (HCUP). HCUP databases; March 2017. http://www.hcup-us.ahrq.gov. Accessed August 30, 2017. Google Scholar In contrast, the Pediatric Health Information System includes patients treated in the emergency department, inpatient, observation, or ambulatory surgery setting at participating large tertiary children's hospitals. 5 Children's Hospital Association PHIS. https://www.childrenshospitals.org/programs-and-services/data-analytics-and-research/pediatric-analytic-solutions/pediatric-health-information-system. Accessed August 31, 2017. Google Scholar Table 1Administrative databases available for pediatric surgical research. Database (maintaining organization, yr available) Population (Size) Accessibility Health care encounters Coding Data element categories Ability to track Medicaid Analytic eXtract (Centers for Medicare & Medicaid, 1999) 1 Ruttner L. Borck R. Nysenbaum J. Williams S. Guide to MAX data. Mathematica Pol Res. 2015 Google Scholar Medicaid enrollees Medicaid expansion Children's Health Insurance Program (Variable by state) Public ($36,000 per data set year; may vary by data request) Inpatient, outpatient, ED, long-term care Diagnosis: ICDProcedure: ICD/CPT Comorbidities, medications, utilization, charges, payments Yes MarketScan (Truven Health Analytics, 1995) 2 Hansen L. The Truven Health MarketScan Databases for life sciences researchers; 2017. http://truvenhealth.com/Portals/0/Assets/2017-MarketScan-Databases-Life-Sciences-Researchers-WP.pdf. Accessed January 9, 2018. Google Scholar Commercial insurance enrollees (~100 different insurance companies and third party administrators, 132 million enrollees) Public ($5,000–$20,000 per study cohort) Inpatient, outpatient, ED Diagnosis: ICDProcedure: ICD/CPT Comorbidities, medications, utilization, charges, payments Yes Clinformatics Datamart (OptumInsight, 2001) 3 OPTUM. Clinformatics Data Mart. 2014. https://www.optum.com/content/dam/optum/resources/productSheets/Clinformatics_for_Data_Mart.pdf. Accessed November 11, 2017. Google Scholar Commercial insurance enrollees (UnitedHealthcare, 56 million enrollees) Public (up to $40,000 per study cohort) Inpatient, outpatient, ED Diagnosis: ICDProcedure: CPT Comorbidities, medications, utilization, laboratories, charges Yes Healthcare Cost Institute (2011) 4 Health Care Cost Institute. About HCCI. 2017. http://www.healthcostinstitute.org/about-hcci/. Accessed November 22, 2017. Google Scholar Commercial insurance enrollees (Aetna, Humana, Kaiser Permanente, UnitedHealthcare; 50 million enrollees) Public (35,000 per yr) Inpatient, outpatient, ED, ambulatory surgery Diagnosis: ICDProcedure: ICD/CPT Comorbidities, medications, utilization, charges, payments Yes Pediatric Health Information System (Children's Hospital Association, 1992) 5 Children's Hospital Association PHIS. https://www.childrenshospitals.org/programs-and-services/data-analytics-and-research/pediatric-analytic-solutions/pediatric-health-information-system. Accessed August 31, 2017. Google Scholar Patient encounters at participating hospitals (48 freestanding children's hospitals, 20.5 million patient encounters) Participating hospitals (no cost) Inpatient, ED, ambulatory surgery, observation Diagnosis: ICDProcedure: ICD/CPT, clinical transaction codes for drugs, supplies, etc Comorbidities, medications, utilization, charges, payments Yes (within a hospital only) Healthcare Utilization Project Databases (Agency for Healthcare Research & Quality)6 Healthcare Cost and Utilization Project (HCUP). HCUP databases; March 2017. http://www.hcup-us.ahrq.gov. Accessed August 30, 2017. Google Scholar State Inpatient Databases (AHRQ, 1988, varies by state) All discharges from community hospitals in participating states (varies by state) Public ($50–$2,550 per state per year) Inpatient ICD, UB-92 revenue codes Comorbidities, service utilization, charges Yes (some states) State Emergency Department Databases (AHRQ, 2006, varies by state) All ED visits that do not result in admission in participating states (varies by state) Public ($35–$2,635 per state per yr) ED ICD, UB-92 revenue codes Comorbidities, service utilization, charges Yes (some states) State Ambulatory Surgery and Services Databases (1997) Ambulatory surgery and some other outpatient services from hospital-based facilities and, in some states, non–hospital-affiliated facilities (22 states participating, varies by state) Public ($35-$2,635 per state per yr) Ambulatory Surgery and some other outpatient encounters ICD, UB-92 revenue codes Comorbidities, service utilization, charges Yes (some states) Nationwide Inpatient Sample (AHRQ, 1988) 20% of discharges (~7 million discharges annually from SID [ ~ 35 million weighted]) Public ($50–$500 per year) Inpatient ICD Comorbidities, service utilization, charges No Kids' Inpatient Database (AHRQ, 1997) 10% of normal newborn and 80% of other pediatric discharges every 3 years from SID (~3 million discharges per sample [ ~ 7 million weighted]) Public ($50–$350 per yr) Inpatient ICD Comorbidities, service utilization, charges No Nationwide Emergency Department Sample (AHRQ, 2006) Sampled from SID and SEDD (~30 million visits annually [ ~ 135 million weighted]) Public ($75–$750 per yr) ED ICD, CPT Comorbidities, service utilization, charges No Nationwide Readmissions Database (AHRQ, 2013) 100% of discharges from SID in 22 states (~14 million weighted]) Public ($150–$1,000 per yr) Inpatient ICD Comorbidities, service utilization, charges Yes AHRQ, Agency for Healthcare Research & Quality; CPT, Current Procedural Terminology; ED, emergency department; ICD, International Classification of Diseases; SEDD, State Emergency Department Databases; SID, State Inpatient Databases; UB, Uniform/Universal Billing. Open table in a new tab AHRQ, Agency for Healthcare Research & Quality; CPT, Current Procedural Terminology; ED, emergency department; ICD, International Classification of Diseases; SEDD, State Emergency Department Databases; SID, State Inpatient Databases; UB, Uniform/Universal Billing.
Referência(s)