Where Am I? -> WP 6 - Accuracy of Coding -> WP6 Survey Results
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Replies to questions for WP6 – Autumn 2017

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Objectives of Workpackage 6

To evaluate the accuracy and the quality of the ICD coding of congenital anomalies in healthcare databases compared to EUROCAT data - UMCG

To develop algorithms for use of healthcare data in the surveillance of congenital anomalies to improve the quality of the data - UNIFE

To evaluate the accuracy and the quality of data on terminations of pregnancy for fetal anomalies from healthcare databases and provide advice on coding to improve it - RSD

 

Replies to questions for WP6 – Autumn 2017

WP6 registries:

Wales (PHW NHS), Northern Netherlands (UMCG), Finland (THL), Funen DK (RSD), IMER  (UNIFE),

S Portugal (INSA), Zagreb (KDB), Valencia Region (FISABIO), Basque Country (BIOEF),

BINOCAR_NORCAS, BINOCAR_EMSYCAR, BINOCAR_CAROBB, BINOCAR_SWCAR, BINOCAR_WANDA

 Questions:

  1. Please confirm your interest and contribution to the WP6 validation studies 

Yes: Wales, Funen DK, Northern Netherlands, Basque, Valencia Region, Finland, Zagreb, Emilia Romagna, South Portugal, BINOCAR_NORCAS, BINOCAR_EMSYCAR, BINOCAR_CAROBB, BINOCAR_SWCAR, BINOCAR_WANDA

 

No:

  

  1. Is it possible for you to link your TOPFA data in EUROCAT to healthcare databases with discharge diagnosis and outpatient diagnosis based on the maternal ID?

 

Yes: Wales, Basque, Northern Netherlands, Funen DK, Finland, BINOCAR_NORCAS, BINOCAR_EMSYCAR, BINOCAR_CAROBB, BINOCAR_SWCAR, BINOCAR_WANDA

 

No: Valencia Region, Zagreb, EMILIA ROMAGNA due to privacy, South Portugal

  

  1. Do you forsee any problems in this linkage? Can you get access to all maternal codes related to these pregnancies including those TOPFA that are fetal reductions?

 

Yes:Wales (very little info except the procedure code), Basque (fetal reductions not liable), Northern Netherlands (TOPFA in private clinics also not available, not all maternal codes might be available), BINOCAR_NORCAS, BINOCAR_EMSYCAR, BINOCAR_CAROBB, BINOCAR_SWCAR, BINOCAR_WANDA (TOPFA in private clinics not available, uncertain how much information is available)

 No:  Funen DK, Finland

  

  1. Do you prefer to apply for ethics for this TOPFA linkage together with the linkage of livebirths for the morbidity studies in WP4 or to apply for ethics for WP6 after month 24?

 

Yes, now: Basque (not a big issue)

 

No: Finland (no ethical review is required, but permission to use the confidential health register data is required), BINOCAR_NORCAS, BINOCAR_EMSYCAR, BINOCAR_CAROBB, BINOCAR_SWCAR, BINOCAR_WANDA (separate process than linking livebirths)

  

  1. Can you contribute with all years planned for you to contribute to EUROlinkCAT? Or do you prefer to focus on a more recent time period, could be 5 years?

 

All years: Wales, Valencia Region (data are available from 2007 onwards), Finland (data are available from 1993 onwards), Zagreb, BINOCAR_NORCAS, BINOCAR_EMSYCAR, BINOCAR_CAROBB, BINOCAR_SWCAR, BINOCAR_WANDA

 

Prefer recent years: Basque, Northern Netherlands, Funen DK, Emilia Romagna: We are limited to the years since the creation of the databases so from 2004, South Portugal: more accurate data in recent years (2010), but we would like to contribute since 2000

 

  1. Fetal deaths from 20 weeks are only a very small proportion of all congenital anomalies, but still important. Can you include these in the validation studies?

Yes: Wales, Valencia Region, Basque, Northern Netherlands, Funen DK, Finland (yes until 24+0 weeks, which is the upper limit in Finland), Zagreb Emilia Romagna, South Portugal, BINOCAR_NORCAS, BINOCAR_EMSYCAR, BINOCAR_CAROBB, BINOCAR_SWCAR, BINOCAR_WANDA

 

No: