国际肿瘤分类编码质量的相关研究

目的 探讨提高国际疾病分类(ICD)中原发恶性肿瘤编码质量的方法及其可行性和必要性。方法 分析26 922例肿瘤诊断中肿瘤部位编码(C码)与肿瘤形态学编码(M码)的编配情况,发现错误,找出原因。结果 在检索结果中,有5 329例错误的C码与M码的编配,占全部编码的19.79%,成因复杂。结论 现行的编码操作方式有待改进,且在目前的技术条件下,完全有可能找到更科学的ICD肿瘤编码的计算机录入方式。

Analysis of the quality of coding for tumors in line with International Classification of Diseases

Objective To find a method for improving the quality of coding for malignant tumors according to the International Classification of Diseases (ICD) and edplore the feasibility and necessity of such a method. Methods The author collected 26 922 tumor cases and analyzed the matches of the codes for the position of tumors (C code) and the modality of tumors (M code). On the basis of searching result, mistakes in the coding were identified and the causes for these errors explored. Results and Conclusion Altogether 5 329 mistakes occurred in relation to the arrangement of C code and M code for various and complicated reasons, accounting for 19.79% among the cohort of cases investigated. The present methodology for the coding needs to be improved and better alternatives are possible on the basis of current technology.