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Research article:
Protocol for an observational cohort using routinely collected data from the POpulation Level Analysis and Reporting (POLAR) database in Australia to understand patterns of care for people presenting to general practice with musculoskeletal condition
Reference:
Haas R, Busija L, Gorelik A, O'Connor D, Pearce C, Mazza D, Buchbinder R.(2020) Protocol for an observational cohort using routinely collected data from the POpulation Level Analysis and Reporting (POLAR) database in Australia to understand patterns of care for people presenting to general practice with musculoskeletal condition. , doi:
- Link to article
- Abstract
- Introduction General practice is a key component of the Australian health care system. Outcome Health’s POpulation Level Analysis and Reporting (POLAR) data space system uses de-identified electronic health records to enable data analysis at the general practice level in Australia. Previous studies using routinely collected health data for research purposes have not consistently reported the codes and algorithms used to describe the population, exposures or interventions, and outcomes in sufficient detail to allow replication. The aim of this study is to describe the methods used to classify, identify and merge eligible records from the POLAR data space system into a customised database so as to examine patterns of care for people presenting to general practice in Victoria, Australia. In doing so, this study will provide a framework for other researchers using routinely collected health data for research purposes. Methods and analysis This is a retrospective, observational cohort study. Patient-related data will be obtained through electronic health records from general practices across three primary health networks in South Eastern Victoria. Study participants will include people diagnosed with low back (aged 18 years and over), or shoulder, knee or neck conditions (aged 45 years and over) from 2014 to 2018 who were receiving care from a general practitioner (GP). Eligible records were identified deductively using coding conducted by Outcome Health and where necessary we coded data inductively. Data quality checks will be conducted and data files with eligible records will be merged to select the study cohort and create customised databases for analyses. The numbers, timing and characteristics of patients, GPs, consultations, prescriptions for pain relief, referrals to other health providers and requests for imaging tests will be examined throughout the study duration.
- Author for correspondence
- Romi Haas
- Email for correspondence
- romi.haas@monash.edu
Code list: res174: cancer comorbidities
186 codes in list
| Code | Coding system | Description | Entity type | List name | |||
|---|---|---|---|---|---|---|---|
| 10438002 | SNOMED | Glomus tumour | diagnostic | res174: cancer comorbidities | |||
| 109385007 | SNOMED | Kaposi's sarcoma (clinical) | diagnostic | res174: cancer comorbidities | |||
| 109978004 | SNOMED | T-cell lymphoma (clinical) | diagnostic | res174: cancer comorbidities | |||
| 109979007 | SNOMED | B cell lymphoma | diagnostic | res174: cancer comorbidities | |||
| 109995007 | SNOMED | Myelodysplastic syndrome (clinical) | diagnostic | res174: cancer comorbidities | |||
| 115239009 | SNOMED | Bone tumour | diagnostic | res174: cancer comorbidities | |||
| 11671000 | SNOMED | Adenoid cystic carcinoma | diagnostic | res174: cancer comorbidities | |||
| 118600007 | SNOMED | Malignant lymphoma (clinical) | diagnostic | res174: cancer comorbidities | |||
| 118601006 | SNOMED | Non-Hodgkin's lymphoma (clinical) | diagnostic | res174: cancer comorbidities | |||
| 118613001 | SNOMED | Hairy cell leukaemia (clinical) | diagnostic | res174: cancer comorbidities | |||
| 118617000 | SNOMED | Burkitt's lymphoma (clinical) | diagnostic | res174: cancer comorbidities | |||
| 123841004 | SNOMED | Neoplasm of uterine cervix | diagnostic | res174: cancer comorbidities | |||
| 123843001 | SNOMED | Neoplasm of ovary | diagnostic | res174: cancer comorbidities | |||
| 123845008 | SNOMED | Adenocarcinoma of endometrium | diagnostic | res174: cancer comorbidities | |||
| 126488004 | SNOMED | Neoplasm of skin | diagnostic | res174: cancer comorbidities | |||
| 126713003 | SNOMED | Neoplasm of lung | diagnostic | res174: cancer comorbidities | |||
| 126824007 | SNOMED | Neoplasm of stomach | diagnostic | res174: cancer comorbidities | |||
| 126838000 | SNOMED | Neoplasm of colon | diagnostic | res174: cancer comorbidities | |||
| 126851005 | SNOMED | Neoplasm of liver | diagnostic | res174: cancer comorbidities | |||
| 126880001 | SNOMED | Neoplasm of kidney | diagnostic | res174: cancer comorbidities | |||
| 126885006 | SNOMED | Neoplasm of bladder | diagnostic | res174: cancer comorbidities | |||
| 126921000 | SNOMED | Neoplasm of vagina | diagnostic | res174: cancer comorbidities | |||
| 126926005 | SNOMED | Neoplasm of breast | diagnostic | res174: cancer comorbidities | |||
| 126949007 | SNOMED | Acoustic neuroma | diagnostic | res174: cancer comorbidities | |||
| 126951006 | SNOMED | Neoplasm of central nervous system | diagnostic | res174: cancer comorbidities | |||
| 126962006 | SNOMED | Neoplasm of spinal cord | diagnostic | res174: cancer comorbidities | |||
| 127018007 | SNOMED | Neoplasm of thyroid gland | diagnostic | res174: cancer comorbidities | |||
| 127020005 | SNOMED | Neoplasm of parathyroid gland | diagnostic | res174: cancer comorbidities | |||
| 127021009 | SNOMED | Neoplasm of adrenal gland | diagnostic | res174: cancer comorbidities | |||
| 127024001 | SNOMED | Neoplasm of pituitary gland | diagnostic | res174: cancer comorbidities | |||
| 127225006 | SNOMED | Chronic myelomonocytic leukaemia | diagnostic | res174: cancer comorbidities | |||
| 127231009 | SNOMED | Neoplasm of thymus | diagnostic | res174: cancer comorbidities | |||
| 128462008 | SNOMED | Secondary malignant neoplastic disease | diagnostic | res174: cancer comorbidities | |||
| 128474007 | SNOMED | Parathyroid adenoma | diagnostic | res174: cancer comorbidities | |||
| 128822004 | SNOMED | Precursor cell lymphoblastic leukaemia | diagnostic | res174: cancer comorbidities | |||
| 128929007 | SNOMED | Non-Hodgkin lymphoma - category | diagnostic | res174: cancer comorbidities | |||
| 129000002 | SNOMED | Langerhans cell histiocytosis, unifocal (clinical) | diagnostic | res174: cancer comorbidities | |||
| 14537002 | SNOMED | Hodgkin lymphoma | diagnostic | res174: cancer comorbidities | |||
| 1651000119109 | SNOMED | Primary adenocarcinoma of pancreas | diagnostic | res174: cancer comorbidities | |||
| 16652001 | SNOMED | Fabry's disease | diagnostic | res174: cancer comorbidities | |||
| 1761000119103 | SNOMED | Chronic obstructive airway disease with asthma | diagnostic | res174: cancer comorbidities | |||
| 188192002 | SNOMED | Malignant neoplasm of endometrium of corpus uteri | diagnostic | res174: cancer comorbidities | |||
| 189336000 | SNOMED | Carcinoma in situ of breast | diagnostic | res174: cancer comorbidities | |||
| 233854003 | SNOMED | Atrial myxoma | diagnostic | res174: cancer comorbidities | |||
| 253010003 | SNOMED | Microprolactinoma | diagnostic | res174: cancer comorbidities | |||
| 25370001 | SNOMED | Hepatocellular carcinoma | diagnostic | res174: cancer comorbidities | |||
| 254582000 | SNOMED | Adenocarcinoma of rectum | diagnostic | res174: cancer comorbidities | |||
| 254609000 | SNOMED | Carcinoma of ampulla of Vater | diagnostic | res174: cancer comorbidities | |||
| 254622008 | SNOMED | Squamous cell carcinoma of bronchus | diagnostic | res174: cancer comorbidities | |||
| 254626006 | SNOMED | Adenocarcinoma of lung | diagnostic | res174: cancer comorbidities | |||
| 254629004 | SNOMED | Large cell carcinoma of lung | diagnostic | res174: cancer comorbidities | |||
| 254632001 | SNOMED | Small cell carcinoma of lung | diagnostic | res174: cancer comorbidities | |||
| 254634000 | SNOMED | Squamous cell carcinoma of lung | diagnostic | res174: cancer comorbidities | |||
| 254637007 | SNOMED | Non-small cell lung cancer | diagnostic | res174: cancer comorbidities | |||
| 254837009 | SNOMED | Malignant tumour of breast | diagnostic | res174: cancer comorbidities | |||
| 254838004 | SNOMED | Carcinoma of breast | diagnostic | res174: cancer comorbidities | |||
| 254849005 | SNOMED | Malignant epithelial tumour of ovary | diagnostic | res174: cancer comorbidities | |||
| 254877001 | SNOMED | Sarcoma of uterus | diagnostic | res174: cancer comorbidities | |||
| 25487800 | SNOMED | Endometrial carcinoma | diagnostic | res174: cancer comorbidities | |||
| 254887002 | SNOMED | Adenocarcinoma of cervix | diagnostic | res174: cancer comorbidities | |||
| 254893005 | SNOMED | Carcinoma of vagina | diagnostic | res174: cancer comorbidities | |||
| 254900004 | SNOMED | Carcinoma of prostate | diagnostic | res174: cancer comorbidities | |||
| 254915003 | SNOMED | Clear cell carcinoma of kidney | diagnostic | res174: cancer comorbidities | |||
| 254935002 | SNOMED | Intracranial tumour | diagnostic | res174: cancer comorbidities | |||
| 254956000 | SNOMED | Pituitary adenoma | diagnostic | res174: cancer comorbidities | |||
| 254963000 | SNOMED | Pituitary microadenoma | diagnostic | res174: cancer comorbidities | |||
| 254965007 | SNOMED | Pituitary macroadenoma | diagnostic | res174: cancer comorbidities | |||
| 255029007 | SNOMED | Papillary thyroid carcinoma | diagnostic | res174: cancer comorbidities | |||
| 255034006 | SNOMED | Thyroid follicular adenoma | diagnostic | res174: cancer comorbidities | |||
| 255035007 | SNOMED | Adrenal carcinoma | diagnostic | res174: cancer comorbidities | |||
| 255046005 | SNOMED | Neuroendocrine tumour | diagnostic | res174: cancer comorbidities | |||
| 255081007 | SNOMED | Carcinoma of caecum | diagnostic | res174: cancer comorbidities | |||
| 255084004 | SNOMED | Squamous cell carcinoma of anal margin | diagnostic | res174: cancer comorbidities | |||
| 255108000 | SNOMED | Carcinoma of bladder | diagnostic | res174: cancer comorbidities | |||
| 255109008 | SNOMED | Transitional cell carcinoma of bladder | diagnostic | res174: cancer comorbidities | |||
| 269533000 | SNOMED | Carcinoma of colon | diagnostic | res174: cancer comorbidities | |||
| 27090000 | SNOMED | Transitional cell carcinoma | diagnostic | res174: cancer comorbidities | |||
| 276811008 | SNOMED | Gastric lymphoma | diagnostic | res174: cancer comorbidities | |||
| 276975007 | SNOMED | Carcinoma of larynx | diagnostic | res174: cancer comorbidities | |||
| 277637000 | SNOMED | Large cell anaplastic lymphoma | diagnostic | res174: cancer comorbidities | |||
| 28054005 | SNOMED | Cutaneous T-cell lymphoma | diagnostic | res174: cancer comorbidities | |||
| 285312008 | SNOMED | Carcinoma of sigmoid colon | diagnostic | res174: cancer comorbidities | |||
| 285432005 | SNOMED | Carcinoma of cervix | diagnostic | res174: cancer comorbidities | |||
| 301756000 | SNOMED | Adenocarcinoma of sigmoid colon | diagnostic | res174: cancer comorbidities | |||
| 302822000 | SNOMED | Insulinoma | diagnostic | res174: cancer comorbidities | |||
| 302823005 | SNOMED | Glucagonoma | diagnostic | res174: cancer comorbidities | |||
| 302828001 | SNOMED | Syringoma | diagnostic | res174: cancer comorbidities | |||
| 302841002 | SNOMED | Malignant lymphoma - small lymphocytic | diagnostic | res174: cancer comorbidities | |||
| 302849000 | SNOMED | Nephroblastoma | diagnostic | res174: cancer comorbidities | |||
| 309245001 | SNOMED | Adenocarcinoma of uterus | diagnostic | res174: cancer comorbidities | |||
| 310498001 | SNOMED | Malignant melanoma of back | diagnostic | res174: cancer comorbidities | |||
| 312823001 | SNOMED | Villous adenoma of rectum | diagnostic | res174: cancer comorbidities | |||
| 315058005 | SNOMED | Hereditary nonpolyposis colon cancer | diagnostic | res174: cancer comorbidities | |||
| 35868009 | SNOMED | Carcinoid syndrome | diagnostic | res174: cancer comorbidities | |||
| 359987004 | SNOMED | Krukenberg tumour | diagnostic | res174: cancer comorbidities | |||
| 363346000 | SNOMED | Malignant neoplastic disease | diagnostic | res174: cancer comorbidities | |||
| 363349007 | SNOMED | Malignant tumour of stomach | diagnostic | res174: cancer comorbidities | |||
| 363351006 | SNOMED | Malignant tumour of rectum | diagnostic | res174: cancer comorbidities | |||
| 363358000 | SNOMED | Malignant tumour of lung | diagnostic | res174: cancer comorbidities | |||
| 363402007 | SNOMED | Malignant tumour of oesophagus | diagnostic | res174: cancer comorbidities | |||
| 363403002 | SNOMED | Malignant tumour of duodenum | diagnostic | res174: cancer comorbidities | |||
| 363406005 | SNOMED | Malignant tumour of colon | diagnostic | res174: cancer comorbidities | |||
| 363418001 | SNOMED | Malignant tumour of pancreas | diagnostic | res174: cancer comorbidities | |||
| 363429002 | SNOMED | Malignant tumour of larynx | diagnostic | res174: cancer comorbidities | |||
| 363443007 | SNOMED | Malignant tumor of ovary | diagnostic | res174: cancer comorbidities | |||
| 363449006 | SNOMED | Malignant tumor of testis | diagnostic | res174: cancer comorbidities | |||
| 363478007 | SNOMED | Malignant tumour of thyroid gland | diagnostic | res174: cancer comorbidities | |||
| 363492001 | SNOMED | Malignant tumour of peritoneum | diagnostic | res174: cancer comorbidities | |||
| 363507003 | SNOMED | Malignant tumour of pharynx | diagnostic | res174: cancer comorbidities | |||
| 363508008 | SNOMED | Malignant tumour of intestine | diagnostic | res174: cancer comorbidities | |||
| 363518003 | SNOMED | Malignant tumour of kidney | diagnostic | res174: cancer comorbidities | |||
| 369766003 | SNOMED | Low grade | diagnostic | res174: cancer comorbidities | |||
| 369850009 | SNOMED | T1b: Tumour involves both vocal cords | diagnostic | res174: cancer comorbidities | |||
| 371486001 | SNOMED | Neoplasm of eye proper | diagnostic | res174: cancer comorbidities | |||
| 372140005 | SNOMED | Carcinoma of gallbladder | diagnostic | res174: cancer comorbidities | |||
| 372142002 | SNOMED | Carcinoma of pancreas | diagnostic | res174: cancer comorbidities | |||
| 372143007 | SNOMED | Carcinoma of stomach | diagnostic | res174: cancer comorbidities | |||
| 386792000 | SNOMED | Transurethral resection of bladder neoplasm | diagnostic | res174: cancer comorbidities | |||
| 393563007 | SNOMED | Glioblastoma multiforme | diagnostic | res174: cancer comorbidities | |||
| 393564001 | SNOMED | Glioma | diagnostic | res174: cancer comorbidities | |||
| 399068003 | SNOMED | Malignant tumour of prostate | diagnostic | res174: cancer comorbidities | |||
| 399326009 | SNOMED | Malignant tumour of urinary bladder | diagnostic | res174: cancer comorbidities | |||
| 399490008 | SNOMED | Adenocarcinoma of prostate | diagnostic | res174: cancer comorbidities | |||
| 400122007 | SNOMED | Primary cutaneous T-cell lymphoma | diagnostic | res174: cancer comorbidities | |||
| 403202002 | SNOMED | Multiple actinic keratoses | diagnostic | res174: cancer comorbidities | |||
| 403946000 | SNOMED | Paget's disease of nipple | diagnostic | res174: cancer comorbidities | |||
| 404062002 | SNOMED | Multiple lipomata | diagnostic | res174: cancer comorbidities | |||
| 408647009 | SNOMED | Adenocarcinoma of stomach | diagnostic | res174: cancer comorbidities | |||
| 410812005 | SNOMED | Dupuytren's disease | diagnostic | res174: cancer comorbidities | |||
| 413440007 | SNOMED | Acute lymphoblastic leukaemia - category | diagnostic | res174: cancer comorbidities | |||
| 413839001 | SNOMED | Chronic lung disease | diagnostic | res174: cancer comorbidities | |||
| 414629003 | SNOMED | Lymphoproliferative disorder | diagnostic | res174: cancer comorbidities | |||
| 41607009 | SNOMED | Renal cell carcinoma | diagnostic | res174: cancer comorbidities | |||
| 417570003 | SNOMED | Gestational choriocarcinoma | diagnostic | res174: cancer comorbidities | |||
| 423673009 | SNOMED | Malignant melanoma of retina | diagnostic | res174: cancer comorbidities | |||
| 428905002 | SNOMED | Malignant neoplasm of gastrointestinal tract | diagnostic | res174: cancer comorbidities | |||
| 443250000 | SNOMED | Malignant fibromatous neoplasm | diagnostic | res174: cancer comorbidities | |||
| 443333004 | SNOMED | Medulloblastoma | diagnostic | res174: cancer comorbidities | |||
| 443439001 | SNOMED | Malignant fibrous histiocytoma | diagnostic | res174: cancer comorbidities | |||
| 443487006 | SNOMED | Mantle cell lymphoma | diagnostic | res174: cancer comorbidities | |||
| 443492008 | SNOMED | Carcinoid tumour | diagnostic | res174: cancer comorbidities | |||
| 443493003 | SNOMED | Metastatic malignant melanoma | diagnostic | res174: cancer comorbidities | |||
| 443520009 | SNOMED | Chondrosarcoma | diagnostic | res174: cancer comorbidities | |||
| 443675005 | SNOMED | Seminoma | diagnostic | res174: cancer comorbidities | |||
| 443719001 | SNOMED | Leiomyosarcoma | diagnostic | res174: cancer comorbidities | |||
| 443936004 | SNOMED | Oligodendroglioma | diagnostic | res174: cancer comorbidities | |||
| 443961001 | SNOMED | Malignant adenomatous neoplasm | diagnostic | res174: cancer comorbidities | |||
| 445738007 | SNOMED | Myelodysplastic/myeloproliferative disease | diagnostic | res174: cancer comorbidities | |||
| 446022000 | SNOMED | Carcinoma of uterus | diagnostic | res174: cancer comorbidities | |||
| 447882007 | SNOMED | Carcinoma of vulva | diagnostic | res174: cancer comorbidities | |||
| 447949005 | SNOMED | Carcinoma of cheek | diagnostic | res174: cancer comorbidities | |||
| 448216007 | SNOMED | Carcinoma of thyroid | diagnostic | res174: cancer comorbidities | |||
| 448930008 | SNOMED | Squamous cell carcinoma of nose | diagnostic | res174: cancer comorbidities | |||
| 448989001 | SNOMED | Carcinoma of brain | diagnostic | res174: cancer comorbidities | |||
| 448993007 | SNOMED | Carcinoma of lung | diagnostic | res174: cancer comorbidities | |||
| 449248000 | SNOMED | Nasopharyngeal carcinoma | diagnostic | res174: cancer comorbidities | |||
| 46732000 | SNOMED | Malignant lymphoma, large B-cell, diffuse | diagnostic | res174: cancer comorbidities | |||
| 5052009 | SNOMED | Merkel cell carcinoma | diagnostic | res174: cancer comorbidities | |||
| 51092000 | SNOMED | Chronic lymphocytic leukaemia | diagnostic | res174: cancer comorbidities | |||
| 55150002 | SNOMED | Follicular lymphoma | diagnostic | res174: cancer comorbidities | |||
| 55342001 | SNOMED | Neoplastic disease | diagnostic | res174: cancer comorbidities | |||
| 62064005 | SNOMED | Mesothelioma, malignant | diagnostic | res174: cancer comorbidities | |||
| 65399007 | SNOMED | Langerhans cell histiocytosis | diagnostic | res174: cancer comorbidities | |||
| 65692009 | SNOMED | spindle cell carcinoma | diagnostic | res174: cancer comorbidities | |||
| 68453008 | SNOMED | Carcinoma | diagnostic | res174: cancer comorbidities | |||
| 77284006 | SNOMED | Lobular carcinoma in situ | diagnostic | res174: cancer comorbidities | |||
| 79282002 | SNOMED | Carcinoma metastatic | diagnostic | res174: cancer comorbidities | |||
| 82711006 | SNOMED | Infiltrating duct carcinoma | diagnostic | res174: cancer comorbidities | |||
| 83270006 | SNOMED | Neoplastic pleural effusion | diagnostic | res174: cancer comorbidities | |||
| 86049000 | SNOMED | Neoplasm, malignant (primary) | diagnostic | res174: cancer comorbidities | |||
| 86616005 | SNOMED | Intraductal carcinoma, noninfiltrating | diagnostic | res174: cancer comorbidities | |||
| 91855006 | SNOMED | Acute leukaemia | diagnostic | res174: cancer comorbidities | |||
| 91857003 | SNOMED | Acute lymphoid leukaemia | diagnostic | res174: cancer comorbidities | |||
| 91861009 | SNOMED | Acute myeloid leukaemia disease | diagnostic | res174: cancer comorbidities | |||
| 92814006 | SNOMED | Chronic lymphoid leukaemia, disease | diagnostic | res174: cancer comorbidities | |||
| 92818009 | SNOMED | Chronic myeloid leukaemia | diagnostic | res174: cancer comorbidities | |||
| 93143009 | SNOMED | Leukemia | diagnostic | res174: cancer comorbidities | |||
| 93781006 | SNOMED | Primary malignant neoplasm of endometrium | diagnostic | res174: cancer comorbidities | |||
| 93870000 | SNOMED | Malignant neoplasm of liver | diagnostic | res174: cancer comorbidities | |||
| 94006002 | SNOMED | Primary malignant neoplasm of sigmoid colon | diagnostic | res174: cancer comorbidities | |||
| 94222008 | SNOMED | Secondary malignant neoplasm of bone | diagnostic | res174: cancer comorbidities | |||
| 94225005 | SNOMED | Secondary malignant neoplasm of brain | diagnostic | res174: cancer comorbidities | |||
| 94245002 | SNOMED | Secondary malignant neoplasm of cerebellum | diagnostic | res174: cancer comorbidities | |||
| 94248000 | SNOMED | Secondary malignant neoplasm of cerebrum | diagnostic | res174: cancer comorbidities | |||
| 94381002 | SNOMED | Secondary malignant neoplasm of liver | diagnostic | res174: cancer comorbidities | |||
| 94391008 | SNOMED | Secondary malignant neoplasm of lung | diagnostic | res174: cancer comorbidities |
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