{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:33:13Z","timestamp":1791477193255,"version":"4.3.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T00:00:00Z","timestamp":1654905600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001232","name":"Royal Australasian College of Physicians","doi-asserted-by":"publisher","award":["Jacqout Research Entry Scholarship 2020"],"award-info":[{"award-number":["Jacqout Research Entry Scholarship 2020"]}],"id":[{"id":"10.13039\/501100001232","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIM J"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Background: Clinical quality registries provide rich and useful data for clinical quality monitoring and research purposes but are susceptible to data quality issues that can impact their usage. Objective: This study assessed the concordance between comorbidities recorded in the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry and those in state-based hospital admission datasets. Method: All patients in New South Wales, South Australia, Tasmania, Victoria and Western Australia recorded in ANZDATA as requiring chronic kidney replacement therapy (KRT) between 01\/07\/2000 and 31\/12\/2015 were linked with state-based hospital admission datasets. Coronary artery disease, diabetes mellitus, cerebrovascular disease, chronic lung disease and peripheral vascular disease recorded in ANZDATA at each annual census date were compared overall, over time and between different KRT modalities to comorbidities recorded in hospital admission datasets, as defined by the International Classification of Diseases (ICD-10-AM), using both the kappa statistic and logistic regression analysis. Results: 29, 334 patients with 207,369 hospital admissions were identified. Comparison was made at census date for every patient comparison. Overall agreement was \u201cvery good\u201d for diabetes mellitus (92%, k = 0.84) and \u201cpoor\u201d to \u201cfair\u201d (21\u201361%, k = 0.02\u20130.22) for others. Diabetes mellitus recording had the highest accuracy (sensitivity 93% (\u00b1SE 0.2) and specificity 93% (\u00b1SE 0.2)), and cerebrovascular disease had the lowest (sensitivity 54% (\u00b1SE 0.2) and specificity 21% (\u00b1SE 0.3)). The false positive rates for cerebrovascular disease, peripheral vascular disease and chronic airway disease ranged between 18 and 33%. The probability of a false positive was lowest for kidney transplant patients for all comorbidities and highest for patients on haemodialysis. Conclusions and Implications: Agreement between the clinical quality registry and hospital admission datasets was variable, with the prevalence of comorbidities being higher in ANZDATA.<\/jats:p>","DOI":"10.1177\/18333583221097724","type":"journal-article","created":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T05:16:47Z","timestamp":1654924607000},"page":"212-220","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluating data quality in the Australian and New Zealand dialysis and transplant registry using administrative hospital admission datasets and data-linkage"],"prefix":"10.1177","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1505-3482","authenticated-orcid":false,"given":"Dharmenaan","family":"Palamuthusingam","sequence":"first","affiliation":[{"name":"Kidney Health Service, Metro North Hospitals and Health Service, Department of Nephrology, Royal Brisbane and Women's Hospital, Australia;"},{"name":"Faculty of Medicine, University of Queensland, Australia;"},{"name":"School of Medicine, Griffith University, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine M","family":"Pascoe","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research, University of Queensland, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel M","family":"Hawley","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Queensland, Australia;"},{"name":"Metro South Integrated Nephrology and Transplant Services, Princess Alexandra Hospital, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W","family":"Johnson","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Queensland, Australia;"},{"name":"Metro South Integrated Nephrology and Transplant Services, Princess Alexandra Hospital, Australia;"},{"name":"Translational Research Institute, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gishan","family":"Ratnayake","sequence":"additional","affiliation":[{"name":"Radiation Oncology, Princess Alexandra Raymond Terrace, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"McDonald","sequence":"additional","affiliation":[{"name":"Central Northern Adelaide Renal and Transplantation Service, Royal Adelaide Hospital, Australia;"},{"name":"Australia and New Zealand Dialysis and Transplant Registry (ANZDATA), South Australia Health and Medical Research Institute (SAHMRI), Australia;"},{"name":"Adelaide Medical School, The University of Adelaide, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Boudville","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Western Australia, Australia;"},{"name":"Sir Charles Gairdner Hospital, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Jose","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Royal Hobart Hospital, Australia;"},{"name":"Faculty of Medicine, University of Tasmania, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magid","family":"Fahim","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Queensland, Australia;"},{"name":"Metro South Integrated Nephrology and Transplant Services, Princess Alexandra Hospital, Australia;"},{"name":"Metro North Hospital and Health Service, Royal Brisbane and Women\u2019s Hospital, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,6,11]]},"reference":[{"key":"bibr1-18333583221097724","volume-title":"Health Do","author":"Care ACoSaQiH","year":"2008"},{"key":"bibr2-18333583221097724","volume-title":"Health Do","author":"Care 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