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Table 4 Positive predictive value (PPV) of code-based algorithms for IPF case finding in routinely-collected health data

From: Validation of the recording of idiopathic pulmonary fibrosis in routinely collected electronic healthcare records in England

Diagnostic algorithm

Data source

Description

No. of patients found

No. of patients meeting gold standard

PPV

(95% CI)

Sensitivity (95% CI)

DA1

Aurum

• Any broad code in Aurum

9,498

6,113

64.3%

(63.3–65.3)

53.5%

(52.9–54.1)

DA2

Aurum and HES DID

• Any broad code in Aurum

and

• Evidence of HRCT of thorax at any time

and

• No other known causes of ILD recorded in Auruma

4,721

3,187

67.5%

(66.1–68.8)

28.2%

(27.3–29)

DA3

Aurum

• Any narrow code in Aurum

1,828

1,370

74.9%

(72.8–76.9)

12.1%

(11.5–12.7)

DA4

Aurum and HES DID

• Any narrow code in Aurum

and

• Evidence of HRCT of thorax at any time

and

• No other known causes of ILD recorded in Auruma

891

706

79.2%

(76.4–81.8)

6.3%

(5.8–6.7)

DA5

HES-APC

• ICD-10 codes J84.1, J84.8 or J84.9 as primary or secondary discharge diagnosis in either the first or any subsequent “episodes” within a hospital spell

10,714

6,651

62.0%

(61.1–63.0)

57.0

(56.4–57.7)

DA6

HES-APC and HES DID

• ICD-10 codes J84.1, J84.8 or J84.9 as primary or secondary discharge diagnosis in the first or any subsequent “episode” within a hospital spell

and

• Evidence of HRCT of thorax at any time

2,985

2,379

79.7%

(78.2–81.1)

21.0%

(20.3–21.8)

DA7

Aurum and HES-APC

• Any broad code in Aurum

and

• ICD-10 codes J84.1, J84.8 and J84.9 as primary or secondary discharge diagnosis in either the first or any subsequent “episodes” within a hospital spell

5,488

4,304

78.4%

(77.3–79.5)

38.1%

(37.2–39.0)

DA8

Aurum and HES-APC

• Any narrow code in Aurum

and

• ICD-10 codes J84.1, J84.8 or J84.9 as primary or secondary discharge diagnosis in the first or any subsequent “episode” within a hospital spell

1,190

974

81.8%

(79.5–84.0)

8.6%

(8.1–9.1)

  1. DA Diagnostic algorithm, IPF Idiopathic pulmonary fibrosis, ILD Interstitial lung disease, HRCT High resolution computed tomography, CPRD Clinical Practice Research Datalink, HES Hospital Episode Statistics
  2. aConnective tissue disease, pulmonary sarcoidosis, domestic and occupational environmental exposures, drug toxicity and other non-IPF ILD