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. 2003 May 24;326(7399):1130.
doi: 10.1136/bmj.326.7399.1130.

Use of Read codes in diabetes management in a south London primary care group: implications for establishing disease registers

Jeremy Gray  1 , Douglas Orr, Azeem Majeed
Affiliations

Use of Read codes in diabetes management in a south London primary care group: implications for establishing disease registers

Jeremy Gray et al. BMJ. .

Abstract

Objective: To establish current practice in the use of Read codes for diabetes.

Design: Cross sectional study.

Setting: 17 practices in the Battersea primary care group in southwest London.

Data sources: Computerised medical records.

Main outcome measures: Number of codes in use in all practices; variation in the use of codes between practices; and prevalence of Read code use in diabetic patients.

Results: At least 9 separate Read code groupings and 25 individual diabetes codes were in use in the 17 general practices. Only one Read code (C10, diabetes mellitus) and its subcodes was being used in all 17 practices, but its use varied from 14% to 98% of patients with diabetes. The use of other key Read codes for monitoring the care of patients with diabetes also varied widely between practices; for example, < 20% of practices used the code for the location of care. Less than half of patients (45%) with diabetes had their type of diabetes coded, and even fewer (21%) had measures such as the examination of the retina coded.

Conclusions: The use of Read codes for diabetes needs to be standardised and coding levels improved if valid diabetic registers are to be constructed and the quality of care is to be monitored effectively. Until all patients with diabetes have the C10 Read code recorded, clinicians will have to use a wide range of Read codes and prescribing data to ensure that diabetes registers are complete.

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Figures

Figure 1
Figure 1
Method used to identify Read codes associated with management of diabetes
See this image and copyright information in PMC

Comment in

References

    1. Newnham A, Ryan R, Khunti K, Majeed A. Prevalence of diagnosed diabetes mellitus in general practice in England and Wales, 1994 to 1998. Health Statistics Quarterly 2002;14:5-13. Available at www.statistics.gov.uk/
    1. Gatling W, Budd S, Walters D, Mullee MA, Goddard JR, Hill RD. Evidence of an increasing prevalence of diagnosed diabetes mellitus in the Poole area from 1983 to 1996. Diabet Med 15;1998: 1015-21. - PubMed
    1. Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications: estimates and projections to the year 2010. Diabet Med 1997;14(suppl): S1-85. - PubMed
    1. Laing SP, Swerdlow AJ, Slater SD, Botha JL, Burden AC, Waugh NR, et al. The British Diabetic Association cohort study, I: all-cause mortality in people with insulin-treated diabetes mellitus. Diabet Med 1999;16: 459-65. - PubMed
    1. Currie CJ, Kraus D, Morgan CL, Gill L, Stott NC, Peters JR. NHS acute sector expenditure for diabetes: the present, future, and excess in-patient cost of care. Diabet Med 1997:14: 686-92. - PubMed

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