2021 journal article

Trends in Comorbidities and Complications Using ICD-9 and ICD-10 in Total Hip and Knee Arthroplasties

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 103(8), 696–704.

By: T. Ohnuma*, K. Raghunathan*, M. Fuller*, A. Ellis n, E. JohnBull*, R. Bartz*, M. Stefan*, P. Lindenauer*, M. Horn*, V. Krishnamoorthy*

MeSH headings : Adolescent; Adult; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Comorbidity; Cross-Sectional Studies; Databases, Factual; Female; Humans; International Classification of Diseases; Interrupted Time Series Analysis; Linear Models; Logistic Models; Male; Middle Aged; Odds Ratio; Postoperative Complications / diagnosis; Postoperative Complications / epidemiology; Prevalence; United States / epidemiology; Young Adult
TL;DR: The discontinuities after the transition from I CD-9 to ICD-10 coding were relatively small for most comorbidities, and these findings support caution when conducting joint replacement studies that rely on ICD coding and include the I CD coding transition period. (via Semantic Scholar)
UN Sustainable Development Goal Categories
3. Good Health and Well-being (Web of Science; OpenAlex)
Source: Web Of Science
Added: June 28, 2021

Background: The transition to the new ICD-10 (International Classification of Diseases, Tenth Revision) coding system in the U.S. poses challenges to the ability to consistently and accurately measure trends in comorbidities and complications. We examined the prevalence of comorbidities and postoperative medical complications before and after the transition from ICD-9 to ICD-10 among patients who underwent primary total hip or knee arthroplasty (THA or TKA). We hypothesized that the transition to ICD-10 codes was associated with discontinuity and slope change in comorbidities and medical complications.