SynthesisPloS one2024
Validity and reliability International Classification of Diseases-10 codes for all forms of injury: A systematic review.
Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validity and reliability International Classification of Diseases-10 codes for all forms of injury: A systematic review.PloS one · 2024Pooled it
- Temporal and cross-site validation of an AI system for self-harm detection.PLOS digital health · 2026Article
- Frequency, Plausibility and Internal Consistency of International Classification of Diseases (ICD) Coding Related to Cystic Echinococcosis Within the Jordanian Ministry of Health Database: A Quality-Assurance Study.Healthcare (Basel, Switzerland) · 2026Article
- Optimizing identification of major adverse limb and cardiovascular events among adults with peripheral artery disease in administrative data.Journal of vascular surgery · 2026Article
- Decoding the hallmarks of GLP-1RA weight-loss super-responders.Biology methods & protocols · 2026Article
- Longitudinal, population-based analysis of burn injuries across Canada pre-recreational and post-recreational cannabis legalisation.BMJ public health · 2026Article
- Self-Harm Presentations to a Pediatric Trauma Centre During the First Year of the COVID-19 Pandemic.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2025Article
- Examining the rollout of the Triple P system parenting program in Manitoba on rates of child maltreatment: Administrative data analyses and document review of policies and programs.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Navigating Dual-Harm: Integrating Self- and Other-Harm Into Public Health Inquiry.American journal of public health · 2025Article
- Determinant Factors and Characteristics of Injuries Among Preschool Children in Public Daycare Centers.Children (Basel, Switzerland) · 2025Article
- Validation Study of Mild Traumatic Brain Injury Case-Identifying Algorithms in French Emergency Departments: High Performance in Children but Limited in Adults.Clinical epidemiology · 2025Article
- Correction: Validity and reliability International Classification of Diseases-10 codes for all forms of injury: A systematic review.PloS one · 2025Article
- Parkinson's Disease Progression and Exposure to Contaminated Water at Camp Lejeune.Movement disorders : official journal of the Movement Disorder Society · 2024Article
- Adoption of network and plan-do-check-action in the international classification of disease 10 coding.World journal of clinical cases · 2024Article
- Epidemiological and clinical characteristics of hospitalized unintentional injuries among children in central China from 2017-2023.Frontiers in pediatrics · 2024Article
- Memory Loss and Missteps: Investigating Fall Risks in Alzheimer's and Dementia Patients.Advances in geriatric medicine and research · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntentional and unintentional injuries are a leading cause of death and disability globally. International Classification of Diseases (ICD), Tenth Revision (ICD-10) codes are used to classify injuries in administrative health data and are widely used for health care planning and delivery, research, and policy. However, a systematic review of their overall validity and reliability has not yet been done.
objectiveTo conduct a systematic review of the validity and reliability of external cause injury ICD-10 codes.
methodsMEDLINE, EMBASE, COCHRANE, and SCOPUS were searched (inception to April 2023) for validity and/or reliability studies of ICD-10 external cause injury codes in all countries for all ages. We examined all available data for external cause injuries and injuries related to specific body regions. Validity was defined by sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Reliability was defined by inter-rater reliability (IRR), measured by Krippendorff's alpha, Cohen's Kappa, and/or Fleiss' kappa.
resultsTwenty-seven published studies from 2006 to 2023 were included. Across all injuries, the mean outcome values and ranges were sensitivity: 61.6% (35.5%-96.0%), specificity: 91.6% (85.8%-100%), PPV: 74.9% (58.6%-96.5%), NPV: 80.2% (44.6%-94.4%), Cohen's kappa: 0.672 (0.480-0.928), Krippendorff's alpha: 0.453, and Fleiss' kappa: 0.630. Poisoning and hand and wrist injuries had higher mean sensitivity (84.4% and 96.0%, respectively), while self-harm and spinal cord injuries were lower (35.5% and 36.4%, respectively). Transport and pedestrian injuries and hand and wrist injuries had high PPVs (96.5% and 92.0%, respectively). Specificity and NPV were generally high, except for abuse (NPV 44.6%). CONCLUSIONS AND SIGNIFICANCE: The validity and reliability of ICD-10 external cause injury codes vary based on the injury types coded and the outcomes examined, and overall, they only perform moderately well. Future work, potentially utilizing artificial intelligence, may improve the validity and reliability of ICD codes used to document injuries.
Indexed as
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.