{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:57:23Z","timestamp":1791284243900,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T00:00:00Z","timestamp":1485216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T00:00:00Z","timestamp":1485216000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004325","name":"AstraZeneca","doi-asserted-by":"publisher","award":["ERS\u201016\u201011927"],"award-info":[{"award-number":["ERS\u201016\u201011927"]}],"id":[{"id":"10.13039\/100004325","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Allergy"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      To consolidate the new classification model addressed to the allergic and hypersensitivity conditions according to the International Classification of Diseases (\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      )\u201011 revision timeline, we here propose real\u2010life application of quality assurance methodology to evaluate sensitivity and accuracy of the \u2018Anaphylaxis\u2019 subsection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We applied field\u2010testing methodology by analysing all the consecutive inpatients\u2019 files documented as allergies from the University Hospital of Montpellier electronic database for the period of 1 year. The files clinically validated as being anaphylaxis were manually blind\u2010coded under\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201010 and current\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011 beta draft. The correspondence of coding and the impressions regarding sensibility were evaluated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From all 2318 files related to allergic or hypersensitivity conditions, 673 had some of the anaphylaxis\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201010 codes; 309 files (46%) from 209 patients had anaphylaxis and allergic or hypersensitivity comorbidities description. The correspondence between the two coders was perfect for 162 codes from all 309 entities (52.4%) (Cohen\u2010kappa value 0.63) with the\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201010 and for 221 codes (71.5%) (Cohen\u2010kappa value 0.77) with the\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011. There was a high agreement regarding sensibility of the\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011 usability (Cohen\u2010kappa value 0.75).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      We here propose the first attempt of real\u2010life application to validate the new\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011 \u2018Anaphylaxis\u2019 subsection. Clearer was the improvement in accuracy reaching 71.5% of agreement when\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011 was used. By allowing all the relevant diagnostic terms for anaphylaxis to be included into the\n                      <jats:styled-content style=\"fixed-case\">ICD<\/jats:styled-content>\n                      \u201011 framework,\n                      <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content>\n                      has recognized their importance not only to clinicians but also to epidemiologists, statisticians, healthcare planners and other stakeholders.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/all.13093","type":"journal-article","created":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T06:26:49Z","timestamp":1479796009000},"page":"820-826","source":"Crossref","is-referenced-by-count":33,"title":["Field\u2010testing the new anaphylaxis' classification for the WHO International Classification of Diseases\u201011 revision"],"prefix":"10.1111","volume":"72","author":[{"given":"L. K.","family":"Tanno","sequence":"first","affiliation":[{"name":"Hospital S\u00edrio Liban\u00eas S\u00e3o Paulo Brazil"},{"name":"University Hospital of Montpellier Montpellier France"},{"name":"UPMC Paris 06 UMR\u2010S 1136 IPLESP Equipe EPAR Sorbonne Universit\u00e9s Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Molinari","sequence":"additional","affiliation":[{"name":"IMAG UMR 5149 DIM CHRU de Montpellier Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bruel","sequence":"additional","affiliation":[{"name":"University Hospital of Montpellier Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010L.","family":"Bourrain","sequence":"additional","affiliation":[{"name":"University Hospital of Montpellier Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"Calderon","sequence":"additional","affiliation":[{"name":"Section of Allergy and Clinical Immunology Imperial College London National Heart and Lung Institute Royal Brompton Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Aubas","sequence":"additional","affiliation":[{"name":"University Hospital of Montpellier Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Demoly","sequence":"additional","affiliation":[{"name":"University Hospital of Montpellier Montpellier France"},{"name":"UPMC Paris 06 UMR\u2010S 1136 IPLESP Equipe EPAR Sorbonne Universit\u00e9s Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Joint Allergy Academies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,24]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2005.12.1303"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1939-4551-7-9"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/all.12272"},{"key":"e_1_2_14_5_1","unstructured":"World Health Organization.International Classification of Diseases website. 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