{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T09:28:54Z","timestamp":1778405334248,"version":"3.51.4"},"reference-count":10,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,5,11]]},"published-print":{"date-parts":[[2017,6]]},"abstract":"\n Objectives<\/jats:title>\n The International Classification of Diseases 10th Revision (ICD-10) system used in the English hospital administrative database (Hospital Episode Statistics (HES)) does not contain a specific code for oesophageal high-grade dysplasia (HGD). The aim of this paper was to examine how patients with HGD were coded in HES and whether it was done consistently.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n National population-based cohort study of patients with newly diagnosed with HGD in England. The study used data collected prospectively as part of the National Oesophago-Gastric Cancer Audit (NOGCA). These records were linked to HES to investigate the pattern of ICD-10 codes recorded for these patients at the time of diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n All patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014 in England, who had data submitted to the NOGCA.<\/jats:p>\n <\/jats:sec>\n \n Outcomes measured<\/jats:title>\n The main outcome assessed was the pattern of primary and secondary ICD-10 diagnostic codes recorded in the HES records at endoscopy at the time of diagnosis of HGD.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among 452 patients with a new diagnosis of HGD between 1 April 2013 and 31 March 2014, Barrett\u2019s oesophagus was the only condition coded in 200 (44.2%) HES records. Records for 59 patients (13.1%) contained no oesophageal conditions. The remaining 193 patients had various diagnostic codes recorded, 93 included a diagnosis of Barrett\u2019s oesophagus and 57 included a diagnosis of oesophageal\/gastric cardia cancer.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n HES is not suitable to support national studies looking at the management of HGD. This is one reason for the UK to adopt an extended ICD system (akin to ICD-10-CM).<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-014281","type":"journal-article","created":{"date-parts":[[2017,6,9]],"date-time":"2017-06-09T21:03:55Z","timestamp":1497042235000},"page":"e014281","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Coding of Barrett\u2019s oesophagus with high-grade dysplasia in national administrative databases: a population-based cohort study"],"prefix":"10.1136","volume":"7","author":[{"given":"Georgina","family":"Chadwick","sequence":"first","affiliation":[{"name":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mira","family":"Varagunam","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Brand","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, UK"},{"name":"Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart A","family":"Riley","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Northern General Hospital, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Maynard","sequence":"additional","affiliation":[{"name":"Oxford Health NHS Trust, Department of Oesophago-Gastric Surgery, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Crosby","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy, Velindre Cancer Centre, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Michalowski","sequence":"additional","affiliation":[{"name":"Health and Social Care Information Centre, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A","family":"Cromwell","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Unit, The Royal College of Surgeons of England, London, UK"},{"name":"Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,9]]},"reference":[{"key":"2025121402393009000_7.6.e014281.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(89)80011-3"},{"key":"2025121402393009000_7.6.e014281.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103042"},{"key":"2025121402393009000_7.6.e014281.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2007.07.019"},{"key":"2025121402393009000_7.6.e014281.4","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-305372"},{"key":"2025121402393009000_7.6.e014281.5","unstructured":"HSCIC. Hospital Episode Statistics: BMJ Publishing Group, 2013."},{"key":"2025121402393009000_7.6.e014281.6","unstructured":"ICD-10. International statistical classification of diseases and related health problems. 10th Edn. Geneva: BMJ Publishing Group, 2010."},{"key":"2025121402393009000_7.6.e014281.7","unstructured":"OPCS-4. Office of Population Censuses and Surveys: version 4.4. 2007. London, 2007."},{"key":"2025121402393009000_7.6.e014281.8","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/MEG.0b013e3283595086","article-title":"Temporal trends of Barrett's oesophagus and gastro-oesophageal reflux and related oesophageal cancer over a 10-year period in England and Wales and associated proton pump inhibitor and H2RA prescriptions: a GPRD study","volume":"25","author":"Alexandropoulou","year":"2013","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"2025121402393009000_7.6.e014281.9","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.gie.2015.08.020","article-title":"Management of Barrett's high-grade dysplasia: initial results from a population-based national audit","volume":"83","author":"Chadwick","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"2025121402393009000_7.6.e014281.10","unstructured":"APS. Documenting and coding for diseases of the gastrointestinal system. 2016 http:\/\/apsmedbill.com\/icd-10\/2014-04\/documenting-coding-diseases-gastrointestinal-system (accessed 1 Mar 2016)."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2016-014281","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T10:39:39Z","timestamp":1765708779000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2016-014281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":10,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2017,6,9]]},"published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1136\/bmjopen-2016-014281"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2016-014281","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}