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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: shoulder diagnoses

49 codes in list

Code Coding system Description Entity type List name
119633005 SNOMED Shoulder reconstruction diagnostic res174: shoulder diagnoses
125594001 SNOMED Injury of shoulder region diagnostic res174: shoulder diagnoses
16982005 SNOMED Shoulder region structure diagnostic res174: shoulder diagnoses
179893007 SNOMED Arthroscopic acromioplasty diagnostic res174: shoulder diagnoses
202329003 SNOMED Detachment of the glenoid labrum and/or capsule of the shoulder joint diagnostic res174: shoulder diagnoses
202841003 SNOMED Supraspinatus tendinitis diagnostic res174: shoulder diagnoses
202843000 SNOMED Full thickness rotator cuff tear diagnostic res174: shoulder diagnoses
202852009 SNOMED Shoulder tendinitis diagnostic res174: shoulder diagnoses
20904001 SNOMED Arthrodesis of shoulder diagnostic res174: shoulder diagnoses
217225009 SNOMED Repair of shoulder diagnostic res174: shoulder diagnoses
239865003 SNOMED Osteoarthritis of acromioclavicular joint diagnostic res174: shoulder diagnoses
239958005 SNOMED Painful arc syndrome diagnostic res174: shoulder diagnoses
239960007 SNOMED Impingement syndrome of shoulder region diagnostic res174: shoulder diagnoses
239961006 SNOMED Bursitis of shoulder diagnostic res174: shoulder diagnoses
241633004 SNOMED MRI of shoulder diagnostic res174: shoulder diagnoses
263049003 SNOMED Subluxation of acromioclavicular joint diagnostic res174: shoulder diagnoses
263122000 SNOMED Injury of glenoid labrum of shoulder joint diagnostic res174: shoulder diagnoses
263480002 SNOMED Entire tendon of supraspinatus muscle diagnostic res174: shoulder diagnoses
27182002 SNOMED Sprain of acromioclavicular ligament diagnostic res174: shoulder diagnoses
274140005 SNOMED Subscapularis tendinitis diagnostic res174: shoulder diagnoses
275334004 SNOMED Shoulder strain diagnostic res174: shoulder diagnoses
27741009 SNOMED Calcific tendinitis of shoulder diagnostic res174: shoulder diagnoses
281812007 SNOMED Arthroscopy of shoulder diagnostic res174: shoulder diagnoses
29592009 SNOMED Radiography of shoulder diagnostic res174: shoulder diagnoses
303922008 SNOMED US shoulder region diagnostic res174: shoulder diagnoses
3199001 SNOMED Sprain of shoulder diagnostic res174: shoulder diagnoses
359532006 SNOMED Rotator cuff impingement syndrome diagnostic res174: shoulder diagnoses
399114005 SNOMED Adhesive capsulitis of shoulder diagnostic res174: shoulder diagnoses
399346004 SNOMED Supraspinatus tear diagnostic res174: shoulder diagnoses
40257000 SNOMED Contusion of shoulder region diagnostic res174: shoulder diagnoses
40799003 SNOMED Subacromial bursitis diagnostic res174: shoulder diagnoses
4106009 SNOMED Rotator cuff syndrome diagnostic res174: shoulder diagnoses
42262007 SNOMED Total shoulder replacement diagnostic res174: shoulder diagnoses
428883008 SNOMED Rupture of tendon of biceps diagnostic res174: shoulder diagnoses
429459001 SNOMED Arthritis of acromioclavicular joint diagnostic res174: shoulder diagnoses
430263007 SNOMED Arthroscopic shoulder decompression diagnostic res174: shoulder diagnoses
442520000 SNOMED Inflammation of rotator cuff tendon diagnostic res174: shoulder diagnoses
45326000 SNOMED Shoulder pain diagnostic res174: shoulder diagnoses
56060000 SNOMED Repair of musculotendinous cuff of shoulder diagnostic res174: shoulder diagnoses
67315001 SNOMED Osteoarthritis of shoulder diagnostic res174: shoulder diagnoses
6858004 SNOMED Capsulitis diagnostic res174: shoulder diagnoses
78715003 SNOMED Subdeltoid bursitis diagnostic res174: shoulder diagnoses
7885001 SNOMED Structure of rotator cuff including muscles and tendons diagnostic res174: shoulder diagnoses
79092002 SNOMED Arthrography of shoulder diagnostic res174: shoulder diagnoses
85856004 SNOMED Acromioclavicular joint structure diagnostic res174: shoulder diagnoses
86128003 SNOMED Rupture of tendon of biceps, long head diagnostic res174: shoulder diagnoses
91774008 SNOMED Structure of right shoulder region diagnostic res174: shoulder diagnoses
91775009 SNOMED Structure of left shoulder region diagnostic res174: shoulder diagnoses
95414005 SNOMED calcific tendinitis diagnostic res174: shoulder diagnoses

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