{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T17:37:19Z","timestamp":1758476239507,"version":"3.37.3"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,8,31]],"date-time":"2018-08-31T00:00:00Z","timestamp":1535673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcoholism Clin &amp;amp; Exp Res"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In October 2015, the United States transitioned healthcare diagnosis codes from the International Classification of Diseases, Ninth Revision, Clinical Modification (<jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u20109\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content>), to the Tenth Revision (<jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content>). Trend analyses of alcohol\u2010related stays could show discontinuities solely from the change in classification systems. This study examined the impact of the <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> coding system on estimates of hospital stays involving alcohol\u2010related diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This analysis used 2014 to 2017 administrative data from the Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project State Inpatient Databases for 17 states. Quarterly <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u20109\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> data from second quarter 2014 through third quarter 2015 were concatenated with <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> data from fourth quarter 2015 through first quarter 2017. Quarterly counts of alcohol\u2010related stays were examined overall and then by 6 diagnostic subgroups: withdrawal, abuse, dependence, alcohol\u2010induced mental disorders (AIMD), nonpsychiatric alcohol\u2010induced disease, and intoxication or toxic effects. Within each group, we calculated the difference in the average number of stays between <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u20109\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> coding periods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On average, the number of stays involving any alcohol\u2010related diagnosis in the 6 quarters before and after the <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> transition was stable. However, substantial shifts in stays occurred for alcohol abuse, AIMD, and intoxication or toxic effects. For example, the average quarterly number of stays involving AIMD was 170.7% higher in the <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> period than in the <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u20109\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> period. This increase was driven in large part by 1 <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> code, <jats:italic>Alcohol use, unspecified with unspecified alcohol\u2010induced disorder<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Researchers conducting trend analyses of inpatient stays involving alcohol\u2010related diagnoses should consider how ongoing modifications in the <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> code system and coding guidelines might affect their work. An advisable approach for trend analyses across the <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\u201010\u2010<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> transition is to aggregate diagnosis codes into broader, clinically meaningful groups\u2014including a single global group that encompasses all alcohol\u2010related stays\u2014and then to select diagnostic groupings that minimize discontinuities between the 2 coding systems while providing useful information on this important indicator of population health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.13866","type":"journal-article","created":{"date-parts":[[2018,8,12]],"date-time":"2018-08-12T10:33:18Z","timestamp":1534069998000},"page":"2205-2213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Shifts in Alcohol\u2010Related Diagnoses After the Introduction of International Classification of Diseases, Tenth Revision, Clinical Modification Coding in U.S. Hospitals: Implications for Epidemiologic Research"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5400-6649","authenticated-orcid":false,"given":"Kevin C.","family":"Heslin","sequence":"first","affiliation":[{"name":"Center for Delivery, Organization, and Markets Agency for Healthcare Research and Quality Rockville Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marguerite L.","family":"Barrett","sequence":"additional","affiliation":[{"name":"ML Barrett, Inc. Del Mar California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,31]]},"reference":[{"unstructured":"Agency for Healthcare Research and Quality(2018)Overview of the State Inpatient Databases (SID) [HCUP\u2010US web site]. Available at:http:\/\/www.hcup-us.ahrq.gov\/sidoverview.jsp. Accessed May 15 2017.","key":"e_1_2_8_2_1"},{"unstructured":"1988 American Psychiatric Association Washington DC American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders","key":"e_1_2_8_3_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_4_1","DOI":"10.1007\/s00038-017-1041-y"},{"doi-asserted-by":"publisher","key":"e_1_2_8_5_1","DOI":"10.1377\/hlthaff.2017.1524"},{"key":"e_1_2_8_6_1","first-page":"5","article-title":"Recent trends in alcohol\u2010related mortality, and the impact of ICD\u201010 on the monitoring of these deaths in England and Wales","volume":"17","author":"Baker A","year":"2003","journal-title":"Health Stat Q"},{"key":"e_1_2_8_7_1","article-title":"Medicare reminds providers of end to ICD\u201010 unspecified codes grace period","author":"Butler M","year":"2016","journal-title":"J AHIMA"},{"unstructured":"2015 AHIMA Press Chicago IL A Casto ICD\u201010\u2010CM Code Book","key":"e_1_2_8_8_1"},{"unstructured":"Centers for Disease Control and Prevention(2017)ICD\u201010\u2010CM official guidelines for coding and reporting FY 2017 (October 1 2016\u2013September 30 2017). Available at:https:\/\/www.cdc.gov\/nchs\/data\/icd\/10cmguidelines_2017_final.pdf. Accessed April 19 2018.","key":"e_1_2_8_9_1"},{"unstructured":"Centers for Medicare and Medicaid Services(2017)General equivalence mappings FAQs. Available at:https:\/\/www.cms.gov\/medicare\/coding\/icd10\/downloads\/gems-crosswalksbasicfaq.pdf. Accessed May 10 2018.","key":"e_1_2_8_10_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_11_1","DOI":"10.1377\/hlthaff.2011.1258"},{"doi-asserted-by":"publisher","key":"e_1_2_8_12_1","DOI":"10.1002\/9780470976739.ch21"},{"unstructured":"HCUPnet(2017) [database online]Agency for Healthcare Research and Quality Rockville MD.2017. Available at:https:\/\/hcupnet.ahrq.gov\/. Accessed April 15 2018.","key":"e_1_2_8_13_1"},{"unstructured":"HeslinKC ElixhauserA SteinerCA(2015)Hospitalizations involving mental and substance use disorders among adults 2012. HCUP Statistical Brief #191. Agency for Healthcare Research and Quality. Available at:https:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb191-Hospitalization-Mental-Substance-Use-Disorders-2012.jsp. Accessed May 1 2018.","key":"e_1_2_8_14_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_15_1","DOI":"10.1097\/MLR.0000000000000805"},{"key":"e_1_2_8_16_1","first-page":"904","article-title":"ICD coding changes and discontinuities in trends in cause\u2010specific mortality in six European countries, 1950\u201399","volume":"82","author":"Janssen F","year":"2004","journal-title":"Bull World Health Organ"},{"doi-asserted-by":"publisher","key":"e_1_2_8_17_1","DOI":"10.1001\/jama.294.10.1255"},{"doi-asserted-by":"publisher","key":"e_1_2_8_18_1","DOI":"10.1001\/jama.2018.6823"},{"doi-asserted-by":"publisher","key":"e_1_2_8_19_1","DOI":"10.1016\/j.puhe.2014.09.004"},{"unstructured":"2018 The National Academies Press Washington DC National Academies of Sciences Engineering and Medicine Getting to Zero Alcohol\u2010Impaired Driving Fatalities: A Comprehensive Approach to a Persistent Problem","key":"e_1_2_8_20_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_21_1","DOI":"10.1097\/01.mlr.0000182534.19832.83"},{"doi-asserted-by":"publisher","key":"e_1_2_8_22_1","DOI":"10.1111\/1475-6773.12528"},{"doi-asserted-by":"publisher","key":"e_1_2_8_23_1","DOI":"10.1111\/add.14019"},{"unstructured":"2017 Center for Behavioral Health Statistics and Quality Substance Abuse and Mental Health Services Administration Rockville MD Substance Abuse and Mental Health Services Administration Key Substance Use and Mental Health Indicators in the United States: Results from the 2016 National Survey on Drug Use and Health","key":"e_1_2_8_24_1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_25_1","DOI":"10.1186\/1472-6963-12-149"}],"container-title":["Alcoholism: Clinical and Experimental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Facer.13866","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acer.13866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T07:55:33Z","timestamp":1694937333000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acer.13866"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,31]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/acer.13866"],"URL":"https:\/\/doi.org\/10.1111\/acer.13866","archive":["Portico"],"relation":{},"ISSN":["0145-6008","1530-0277"],"issn-type":[{"type":"print","value":"0145-6008"},{"type":"electronic","value":"1530-0277"}],"subject":[],"published":{"date-parts":[[2018,8,31]]},"assertion":[{"value":"2018-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}