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The utility and challenges of using ICD codes in child maltreatment research : a review of existing literature

Scott, Deborah A., Tonmyr, Lil, Fraser, Jenny, Walker, Sue M., & McKenzie, Kirsten (2009) The utility and challenges of using ICD codes in child maltreatment research : a review of existing literature. Child Abuse and Neglect, 33(11), pp. 791-808.

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Abstract

Objective: The objectives of this article are to explore the extent to which the International Statistical Classification of Diseases and Related Health Problems (ICD) has been used in child abuse research, to describe how the ICD system has been applied and to assess factors affecting the reliability of ICD coded data in child abuse research.-----

Methods: PubMed, CINAHL, PsychInfo and Google Scholar were searched for peer reviewed articles written since 1989 that used ICD as the classification system to identify cases and research child abuse using health databases. Snowballing strategies were also employed by searching the bibliographies of retrieved references to identify relevant associated articles. The papers identified through the search were independently screened by two authors for inclusion, resulting in 47 studies selected for the review. Due to heterogeneity of studies metaanalysis was not performed.-----

Results: This paper highlights both utility and limitations of ICD coded data. ICD codes have been widely used to conduct research into child maltreatment in health data systems. The codes appear to be used primarily to determine child maltreatment patterns within identified diagnoses or to identify child maltreatment cases for research.-----

Conclusions: A significant impediment to the use of ICD codes in child maltreatment research is the under-ascertainment of child maltreatment by using coded data alone. This is most clearly identified and, to some degree, quantified, in research where data linkage is used. Practice Implications: The importance of improved child maltreatment identification will assist in identifying risk factors and creating programs that can prevent and treat child maltreatment and assist in meeting reporting obligations under the CRC.

Impact and interest:

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ID Code: 29474
Item Type: Journal Article
Additional URLs:
Keywords: Child maltreatment, ICD, Health data
DOI: 10.1016/j.chiabu.2009.08.005
ISSN: 0145-2134
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health Information Systems (incl. Surveillance) (111711)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Research Centres > National Centre for Health Information Research & Training
Current > Schools > School of Nursing
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2009 Elsevier
Deposited On: 05 Jan 2010 08:31
Last Modified: 10 Apr 2013 10:05

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