Universität zu Köln

Wicke, Felix Sebastian, Glushan, Anastasiya, Schubert, Ingrid, Koster, Ingrid, Luebeck, Robert, Hammer, Marc, Beyer, Martin and Karimova, Kateryna (2019). Performance of the Adapted Diabetes Complications Severity Index Translated to ICD-10. Am. J. Manag. Care, 25 (2). S. E45 - 9. PLAINSBORO: MANAGED CARE & HEALTHCARE COMMUNICATIONS LLC. ISSN 1088-0224

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Abstract

OBJECTIVES: To assess the performance of the adapted Diabetes Complications Severity Index (aDCSI) translated to International Classification of Diseases, Tenth Revision (ICD-10) in predicting hospitalizations, mortality, and healthcare-associated costs. STUDY DESIGN: Retrospective closed cohort study based on secondary data analysis. METHODS: We translated the aDCSI to ICD-10 and calculated aDCSI scores based on health insurance claims data. To assess predictive performance, we used multivariate regression models to calculate risk ratios (RRs) of hospitalizations and mortality and linear predictors of cost. RESULTS: We analyzed a sample of 157,115 patients with diabetes mellitus. RRs of hospitalizations (total and cause specific) rose with increasing aDCSI scores. Predicting total hospitalizations over a 4-year period, unadjusted RRs were 1.22 for an aDCSI score of 1 (compared with a score of 01, 1.55 for a score of 2, 1.77 fora score of 3, 2.11 fora score of 4, and 2.72 for scores of 5 and higher. Cause-specific hospitalizations and mortality showed similar results. Costs clearly increased in each successive score category. CONCLUSIONS: Our study supports the validity of the aDCSI as a severity measure for complications of diabetes, as it correlates to and predicts total and cause-specific hospitalizations, mortality, and costs. The aDCSI's performance in ICD-10-coded data is comparable with that in international Classification of Diseases, Ninth Revision-coded data.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wicke, Felix Sebastian UNSPECIFIED UNSPECIFIED UNSPECIFIED Glushan, Anastasiya UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Koster, Ingrid UNSPECIFIED UNSPECIFIED UNSPECIFIED Luebeck, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammer, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED Beyer, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Karimova, Kateryna UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-157802
Journal or Publication Title:	Am. J. Manag. Care
Volume:	25
Number:	2
Page Range:	S. E45 - 9
Date:	2019
Publisher:	MANAGED CARE & HEALTHCARE COMMUNICATIONS LLC
Place of Publication:	PLAINSBORO
ISSN:	1088-0224
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CARE; HOSPITALIZATION; INSURANCE; RISK Multiple languages Health Care Sciences & Services; Health Policy & Services; Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15780