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Concordance between health administrative data and survey‐derived diagnoses for mood and anxiety disorders.

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Title: Concordance between health administrative data and survey‐derived diagnoses for mood and anxiety disorders.
Authors: Edwards, J. (AUTHOR), Thind, A. (AUTHOR), Stranges, S. (AUTHOR), Chiu, M. (AUTHOR), Anderson, K. K. (AUTHOR)
Source: Acta Psychiatrica Scandinavica. Apr2020, Vol. 141 Issue 4, p385-395. 11p. 1 Diagram, 2 Charts, 1 Graph.
Subjects: Anxiety disorders, Affective disorders, Mental illness, Diagnosis
Geographic Terms: Ontario
Abstract: Objective: To assess whether estimates of survey structured interview diagnoses of mood and anxiety disorders were concordant with diagnoses of these disorders obtained from health administrative data. Methods: All Ontario respondents to the 2012 Canadian Community Health Survey‐Mental Health (CCHS‐MH) were linked to health administrative databases at ICES (formerly known as the Institute for Clinical Evaluative Sciences). Survey structured interview diagnoses were compared with health administrative data diagnoses obtained using a standardized algorithm. We used modified Poisson regression analyses to assess whether socio‐demographic factors were associated with concordance between the two measures. Results: Of the 4157 Ontarians included in our sample, 20.4% had either a structured interview diagnosis (13.9%) or health administrative diagnosis (10.4%) of a mood or anxiety disorder. There was high discordance between measures, with only 19.4% agreement. Migrant status, age, employment, and income were associated with discordance between measures. Conclusions: Our findings indicate that previous estimates of the 12‐month prevalence of mood and anxiety disorders in Ontario may be underestimating the true prevalence, and that population‐based surveys and health administrative data may be capturing different groups of people. Understanding the limitations of data commonly used in epidemiologic studies is a key foundation for improving population‐based estimates of mental disorders. [ABSTRACT FROM AUTHOR]
Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Concordance between health administrative data and survey‐derived diagnoses for mood and anxiety disorders.
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  Data: <searchLink fieldCode="JN" term="%22Acta+Psychiatrica+Scandinavica%22">Acta Psychiatrica Scandinavica</searchLink>. Apr2020, Vol. 141 Issue 4, p385-395. 11p. 1 Diagram, 2 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Anxiety+disorders%22">Anxiety disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink>
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  Data: Objective: To assess whether estimates of survey structured interview diagnoses of mood and anxiety disorders were concordant with diagnoses of these disorders obtained from health administrative data. Methods: All Ontario respondents to the 2012 Canadian Community Health Survey‐Mental Health (CCHS‐MH) were linked to health administrative databases at ICES (formerly known as the Institute for Clinical Evaluative Sciences). Survey structured interview diagnoses were compared with health administrative data diagnoses obtained using a standardized algorithm. We used modified Poisson regression analyses to assess whether socio‐demographic factors were associated with concordance between the two measures. Results: Of the 4157 Ontarians included in our sample, 20.4% had either a structured interview diagnosis (13.9%) or health administrative diagnosis (10.4%) of a mood or anxiety disorder. There was high discordance between measures, with only 19.4% agreement. Migrant status, age, employment, and income were associated with discordance between measures. Conclusions: Our findings indicate that previous estimates of the 12‐month prevalence of mood and anxiety disorders in Ontario may be underestimating the true prevalence, and that population‐based surveys and health administrative data may be capturing different groups of people. Understanding the limitations of data commonly used in epidemiologic studies is a key foundation for improving population‐based estimates of mental disorders. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Psychiatrica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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