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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: low back diagnoses

96 codes in list

Code Coding system Description Entity type List name
123798002 SNOMED Lumbosacral spondylosis diagnostic res174: low back diagnoses
125608002 SNOMED Fracture of lumbar spine diagnostic res174: low back diagnoses
125872003 SNOMED Fracture of sacrum diagnostic res174: low back diagnoses
128196005 SNOMED Lumbar radiculopathy diagnostic res174: low back diagnoses
134407002 SNOMED Chronic back pain diagnostic res174: low back diagnoses
161891005 SNOMED Backache diagnostic res174: low back diagnoses
178771000 SNOMED Exploration of spine diagnostic res174: low back diagnoses
18347007 SNOMED Spinal stenosis of lumbar region diagnostic res174: low back diagnoses
202487003 SNOMED Sacroiliac joint pain diagnostic res174: low back diagnoses
202708005 SNOMED Prolapsed lumbar intervertebral disc diagnostic res174: low back diagnoses
203095000 SNOMED Spasm of back muscles diagnostic res174: low back diagnoses
203438009 SNOMED Vertebral osteoporosis diagnostic res174: low back diagnoses
209548004 SNOMED Sprain, lumbosacral ligament diagnostic res174: low back diagnoses
209565008 SNOMED Lumbar sprain diagnostic res174: low back diagnoses
22791004 SNOMED X-ray of lumbosacral spine diagnostic res174: low back diagnoses
2304001 SNOMED Discitis diagnostic res174: low back diagnoses
239542002 SNOMED Lumbar discectomy diagnostic res174: low back diagnoses
239880009 SNOMED Osteoarthritis of lumbar spine diagnostic res174: low back diagnoses
240219003 SNOMED Spinal claudication diagnostic res174: low back diagnoses
240221008 SNOMED Spondylolysis diagnostic res174: low back diagnoses
2415007 SNOMED Lumbosacral radiculopathy diagnostic res174: low back diagnoses
241577003 SNOMED CT of spine diagnostic res174: low back diagnoses
241580002 SNOMED CT of lumbar spine diagnostic res174: low back diagnoses
241645008 SNOMED Magnetic resonance imaging of spine diagnostic res174: low back diagnoses
241648005 SNOMED MRI of lumbar spine diagnostic res174: low back diagnoses
243338005 SNOMED Nerve root compression syndrome diagnostic res174: low back diagnoses
247369005 SNOMED Facet joint pain diagnostic res174: low back diagnoses
24856003 SNOMED Diagnostic radiography of coccyx diagnostic res174: low back diagnoses
249921008 SNOMED Stiff back diagnostic res174: low back diagnoses
260649000 SNOMED Lumbar microdiscectomy diagnostic res174: low back diagnoses
262521009 SNOMED Spinal injury diagnostic res174: low back diagnoses
264082005 SNOMED Lumbar diagnostic res174: low back diagnoses
26538006 SNOMED Degeneration of lumbar intervertebral disc diagnostic res174: low back diagnoses
267982002 SNOMED Pain in lumbar spine diagnostic res174: low back diagnoses
274152003 SNOMED Spondylolisthesis diagnostic res174: low back diagnoses
275249009 SNOMED Correction of scoliosis diagnostic res174: low back diagnoses
278860009 SNOMED Chronic lower back pain diagnostic res174: low back diagnoses
279039007 SNOMED Low back pain diagnostic res174: low back diagnoses
281598004 SNOMED Sprain of spinal ligament diagnostic res174: low back diagnoses
281933002 SNOMED Crush fracture of lumbar vertebra diagnostic res174: low back diagnoses
282764008 SNOMED Injury of coccyx diagnostic res174: low back diagnoses
282766005 SNOMED Lower back injury diagnostic res174: low back diagnoses
283165009 SNOMED Decompression laminectomy diagnostic res174: low back diagnoses
298382003 SNOMED Scoliosis deformity of spine diagnostic res174: low back diagnoses
298591003 SNOMED Scoliosis of lumbar spine diagnostic res174: low back diagnoses
299966003 SNOMED Compression of lumbar nerve root diagnostic res174: low back diagnoses
300956001 SNOMED Low back strain diagnostic res174: low back diagnoses
302129007 SNOMED Decompression of lumbar spine diagnostic res174: low back diagnoses
302258001 SNOMED Back problem diagnostic res174: low back diagnoses
303697006 SNOMED CT of lumbar region diagnostic res174: low back diagnoses
307138004 SNOMED Spondylolisthesis L5/S1 level diagnostic res174: low back diagnoses
309710005 SNOMED Lumbosacral strain diagnostic res174: low back diagnoses
314668006 SNOMED Wedge fracture of vertebra diagnostic res174: low back diagnoses
3418002 SNOMED Chondrectomy of spine diagnostic res174: low back diagnoses
34789001 SNOMED Pain in the coccyx diagnostic res174: low back diagnoses
356139006 SNOMED Lumbosacral spine diagnostic res174: low back diagnoses
371082009 SNOMED Arthritis of spine diagnostic res174: low back diagnoses
3.71E+11 SNOMED Stenosis of intervertebral foramina diagnostic res174: low back diagnoses
372109003 SNOMED Disorder of joint of spine diagnostic res174: low back diagnoses
37822005 SNOMED Lower back structure diagnostic res174: low back diagnoses
387731002 SNOMED Laminectomy diagnostic res174: low back diagnoses
392236004 SNOMED Operative procedure on spinal structure diagnostic res174: low back diagnoses
401226007 SNOMED Vertebroplasty diagnostic res174: low back diagnoses
425585009 SNOMED L5/S1 disc diagnostic res174: low back diagnoses
427094005 SNOMED L4/5 disc diagnostic res174: low back diagnoses
429350001 SNOMED Arthropathy of spinal facet joint diagnostic res174: low back diagnoses
429377005 SNOMED Lumbar laminectomy diagnostic res174: low back diagnoses
42942008 SNOMED Compression fracture of vertebral column diagnostic res174: low back diagnoses
430886005 SNOMED Disorder of vertebra diagnostic res174: low back diagnoses
44275008 SNOMED Manipulation of spine diagnostic res174: low back diagnoses
443395009 SNOMED Compression fracture diagnostic res174: low back diagnoses
445734009 SNOMED Fracture of body of vertebra diagnostic res174: low back diagnoses
48210000 SNOMED Lumbosacral spondylosis without myelopathy diagnostic res174: low back diagnoses
49668003 SNOMED Bone structure of L5 diagnostic res174: low back diagnoses
50172003 SNOMED Lumbar spinal fusion diagnostic res174: low back diagnoses
50448004 SNOMED Fracture of vertebral column diagnostic res174: low back diagnoses
52612000 SNOMED Lumbar region back structure diagnostic res174: low back diagnoses
53332000 SNOMED Spinal arthritis deformans diagnostic res174: low back diagnoses
54735007 SNOMED Bone structure of sacrum diagnostic res174: low back diagnoses
55146009 SNOMED Sacroiliac joint inflamed diagnostic res174: low back diagnoses
55705006 SNOMED Spinal arthrodesis diagnostic res174: low back diagnoses
608830002 SNOMED Discogenic pain diagnostic res174: low back diagnoses
61486003 SNOMED Sacral back pain diagnostic res174: low back diagnoses
61960001 SNOMED Lordosis deformity of spine diagnostic res174: low back diagnoses
64217002 SNOMED Curvature of spine diagnostic res174: low back diagnoses
64688005 SNOMED Bone structure of coccyx diagnostic res174: low back diagnoses
67721000 SNOMED Sacroiliac arthrodesis diagnostic res174: low back diagnoses
68859000 SNOMED Spondylosis without myelopathy diagnostic res174: low back diagnoses
72274001 SNOMED Nerve root disorder diagnostic res174: low back diagnoses
73589001 SNOMED Intervertebral disc prolapse diagnostic res174: low back diagnoses
76107001 SNOMED Spinal stenosis diagnostic res174: low back diagnoses
77547008 SNOMED Degeneration of intervertebral disc diagnostic res174: low back diagnoses
79760008 SNOMED Radiography of spine diagnostic res174: low back diagnoses
81102000 SNOMED Injury of back diagnostic res174: low back diagnoses
84172003 SNOMED Spondylitis diagnostic res174: low back diagnoses
8847002 SNOMED Spondylosis diagnostic res174: low back diagnoses

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