View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
THURSDAY, March 10 (HealthDay News) -- Free text contains extra information relating to the diagnosis of ovarian cancer, and in some cases indicates a time lag between the diagnosis and coding in the medical record, according to a study published online Feb. 23 in BMJ Open.
A. Rosemary Tate, D.Phil., from Brighton and Sussex Medical School in the United Kingdom, and colleagues analyzed free text records from the General Practice Research Database of 344 women with a Read code indicating ovarian cancer between June 2002 and May 2008 for the date of diagnosis, and use of the word ovary. The diagnosis date recorded in the free text was compared to the date at which the diagnosis was first coded.
The investigators found that, in 22 percent of the cases, the text confirmed a diagnosis before the coded date; in 10 percent of cases, the text diagnosis was more than four weeks earlier. In 90 percent of the cases, the free text contained some information relating to the ovary but definite diagnosis of ovarian cancer was present in only 45 percent of cases. Four patients with coding for ovarian cancer did not have ovarian cancer and, in 10 percent of coded cases, the diagnosis was ambiguous or suspected.
"For diseases which rely on hospital consultants for diagnosis, free text (particularly letters) is invaluable for accurate dating of diagnosis and referrals and also for identifying misclassified cases," the authors write.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top