{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T23:31:08Z","timestamp":1759447868425},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,4,24]],"date-time":"2012-04-24T00:00:00Z","timestamp":1335225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacoepidemiology and Drug"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Previous studies suggest that disease\u2010modifying anti\u2010rheumatic drugs (DMARDs) increase tuberculosis (TB) risk. The accuracy of pharmacy and coded\u2010diagnosis information to identify persons with TB is unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Within a cohort of rheumatoid arthritis (RA) patients (2000\u20132005) enrolled in Tennessee Medicaid, we identified those with potential TB using <jats:italic>International Classification of Diseases, Ninth Revision, Clinical Modification<\/jats:italic> (ICD9\u2010CM) diagnosis codes and\/or pharmacy claims. Using the Tennessee TB registry as the gold standard for identification of TB, we estimated the sensitivity, specificity, predictive values, and the respective 95% confidence intervals for each TB case\u2010ascertainment strategy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten of 18\u2009094 RA patients had confirmed TB during 61\u2009461 person\u2010years of follow\u2010up (16.3 per 100\u2009000 person\u2010years). The sensitivity and positive predictive value (PPV) and respective 95% confidence intervals were low for confirmed TB based on ICD9\u2010CM codes alone (60.0% (26.2\u201387.8) and 1.3% (0.5\u20132.9)), pharmacy data alone (20% (2.5\u201355.6) and 4.1% (0.5\u201314.3)), and both (20% (2.5\u201355.6) and 25.0% (3.2\u201365.1)).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Algorithms that use administrative data alone to identify TB have a poor PPV that results in a high false positive rate of TB detection. Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pds.3243","type":"journal-article","created":{"date-parts":[[2012,4,25]],"date-time":"2012-04-25T03:25:25Z","timestamp":1335324325000},"page":"666-669","source":"Crossref","is-referenced-by-count":11,"title":["Accuracy of pharmacy and coded\u2010diagnosis information in identifying tuberculosis in patients with rheumatoid arthritis"],"prefix":"10.1002","volume":"21","author":[{"given":"Christina T.","family":"Fiske","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine Vanderbilt University School of Medicine  Nashville TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie R.","family":"Griffin","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Vanderbilt University School of Medicine  Nashville TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ed","family":"Mitchel","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Vanderbilt University School of Medicine  Nashville TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy R.","family":"Sterling","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine Vanderbilt University School of Medicine  Nashville TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos G.","family":"Grijalva","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine Vanderbilt University School of Medicine  Nashville TN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,4,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.23721"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa011110"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.11137"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/506935"},{"key":"e_1_2_7_6_1","first-page":"1","article-title":"Case definitions for infectious conditions under public health surveillance","volume":"46","author":"Centers for Disease Control and Prevention","year":"1997","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar3260"},{"key":"e_1_2_7_8_1","unstructured":"United States Census Bureau.Current Population Survey (Basic).www.census.gov"},{"key":"e_1_2_7_9_1","unstructured":"Centers for Disease Control.Reported Tuberculosis in the United States 2007. U.S. Department of Health and Human Services Atlanta GA September2008."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.2049"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem076"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24476"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1008.031075"}],"container-title":["Pharmacoepidemiology and Drug Safety"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpds.3243","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pds.3243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T06:44:01Z","timestamp":1696920241000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pds.3243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,24]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1002\/pds.3243"],"URL":"https:\/\/doi.org\/10.1002\/pds.3243","archive":["Portico"],"relation":{},"ISSN":["1053-8569","1099-1557"],"issn-type":[{"value":"1053-8569","type":"print"},{"value":"1099-1557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,24]]}}}