Table 3.
Frequencies of diagnoses and validity indices for the dental claims-based diagnosis identification
| Eligible patients | Frequency (charts) | Inter-reviewer agreement (kappa) | Frequency (dental claim) | Sensitivity (95% CI) | Specificity (95% CI) | PPV (95% CI) | NPV (95% CI) | |||
|---|---|---|---|---|---|---|---|---|---|---|
| n | n | (%) | n | (%) | ||||||
| Diagnoses | ||||||||||
| Oral cancer (outpatient) | 200 | 5 | (2.5) | 1.00 | 10 | (5.0) | 1.00 (0.48, 1.00) | 0.97 (0.94, 0.99) | 0.50 (0.19, 0.81) | 1.00 (0.98, 1.00) |
| Oral cancer (inpatient) | 100 | 6 | (6.0) | 0.82 | 5 | (5.0) | 0.83 (0.36, 1.00) | 1.00 (0.96, 1.00) | 1.00 (0.48, 1.00) | 0.99 (0.94, 1.00) |
| Jaw fracture (outpatient) | 200 | 2 | (1.0) | 1.00 | 4 | (2.0) | 1.00 (0.16, 1.00) | 0.99 (0.96, 1.00) | 0.50 (0.07, 0.93) | 1.00 (0.98, 1.00) |
| Jaw fracture (inpatient) | 100 | 7 | (7.0) | 0.92 | 7 | (7.0) | 0.86 (0.42, 1.00) | 0.99 (0.94, 1.00) | 0.86 (0.42, 1.00) | 0.99 (0.94, 1.00) |
| Periodontal disease | 200 | 69 | (34.5) | 0.91 | 98 | (49.0) | 0.88 (0.78, 0.95) | 0.72 (0.63, 0.79) | 0.62 (0.52, 0.72) | 0.92 (0.85, 0.97) |
| Pericoronitis | 200 | 24 | (12.0) | 0.93 | 24 | (12.0) | 0.67 (0.45, 0.84) | 0.95 (0.91, 0.98) | 0.67 (0.45, 0.84) | 0.95 (0.91, 0.98) |
| Temporomandibular disorders | 200 | 7 | (3.5) | 1.00 | 26 | (13.0) | 0.86 (0.42, 1.00) | 0.90 (0.84, 0.94) | 0.23 (0.09, 0.44) | 0.99 (0.97, 1.00) |
| Diagnoses (PPV) | ||||||||||
| Death | 12 | 2 | 0.63 | 12 | 0.16 (−0.04, 0.37) | |||||
| Surgical site infection | 51 | 16 | 0.22 | 51 | 0.31 (0.19, 0.44) | |||||
| Dysphagia | 34 | 27 | 0.59 | 34 | 0.79 (0.66, 0.93) | |||||
| MRONJ | 14 | 13 | 1.00 | 14 | 0.93 (0.79, 1.06) | |||||
| Pneumonia | 87 | 12 | 0.44 | 87 | 0.14 (0.06, 0.21) | |||||
| Bleeding | 99 | 76 | 0.70 | 99 | 0.77 (0.69, 0.85) | |||||
MRONJ Medication related osteonecrosis of the jaw, NPV Negative predictive value, PPV Positive predictive value