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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: neck diagnoses

40 codes in list

Code Coding system Description Entity type List name
11049006 SNOMED Cervical radiculitis diagnostic res174: neck diagnoses
1.121E+12 SNOMED Chronic neck pain diagnostic res174: neck diagnoses
122494005 SNOMED Cervical spine structure diagnostic res174: neck diagnoses
161882006 SNOMED Stiff neck diagnostic res174: neck diagnoses
169068008 SNOMED CT of neck diagnostic res174: neck diagnoses
202664003 SNOMED Cervical myelopathy diagnostic res174: neck diagnoses
209557005 SNOMED Neck sprain diagnostic res174: neck diagnoses
239541009 SNOMED Excision of cervical intervertebral disc diagnostic res174: neck diagnoses
240215009 SNOMED Prolapsed cervical intervertebral disc diagnostic res174: neck diagnoses
241578008 SNOMED CT of cervical spine diagnostic res174: neck diagnoses
241646009 SNOMED MRI of cervical spine diagnostic res174: neck diagnoses
262522002 SNOMED Injury of cervical spine diagnostic res174: neck diagnoses
279016001 SNOMED Cervicogenic headache diagnostic res174: neck diagnoses
279029001 SNOMED Pain in cervical spine diagnostic res174: neck diagnoses
298393001 SNOMED cervical kyphosis diagnostic res174: neck diagnoses
3.01E+11 SNOMED Muscle spasm of cervical muscle of neck diagnostic res174: neck diagnoses
33420007 SNOMED Diffuse cervicobrachial syndrome diagnostic res174: neck diagnoses
360437006 SNOMED Strain of tendon of neck diagnostic res174: neck diagnoses
360450007 SNOMED Strain of neck muscle diagnostic res174: neck diagnoses
387800004 SNOMED Cervical spine Degeneration diagnostic res174: neck diagnoses
387801000 SNOMED Cervical arthritis diagnostic res174: neck diagnoses
39848009 SNOMED Whiplash injury to neck diagnostic res174: neck diagnoses
405773007 SNOMED Kyphoscoliosis deformity of spine diagnostic res174: neck diagnoses
414564002 SNOMED Kyphosis deformity of spine diagnostic res174: neck diagnoses
425878001 SNOMED Cervical disc disorder diagnostic res174: neck diagnoses
445429009 SNOMED Cervical laminectomy diagnostic res174: neck diagnoses
45048000 SNOMED Neck structure diagnostic res174: neck diagnoses
54404000 SNOMED Cervical radiculopathy diagnostic res174: neck diagnoses
59703009 SNOMED cervical spinal fusion by anterior technique diagnostic res174: neck diagnoses
66769009 SNOMED Radiography of cervical spine diagnostic res174: neck diagnoses
69195002 SNOMED Degeneration of cervical intervertebral disc diagnostic res174: neck diagnoses
70070008 SNOMED Torticollis diagnostic res174: neck diagnoses
71760005 SNOMED Cervico-occipital neuralgia diagnostic res174: neck diagnoses
72221006 SNOMED Magnetic resonance imaging of neck diagnostic res174: neck diagnoses
72535009 SNOMED Cervical rib diagnostic res174: neck diagnoses
81099000 SNOMED Cervical arthrodesis diagnostic res174: neck diagnoses
81680005 SNOMED Neck pain diagnostic res174: neck diagnoses
83561009 SNOMED Spinal stenosis in cervical region diagnostic res174: neck diagnoses
90460009 SNOMED Neck injury diagnostic res174: neck diagnoses
95671001 SNOMED Cervical nerve root compression diagnostic res174: neck diagnoses

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