Research

Supplementing Tuberculosis Surveillance with Automated Data from Health Maintenance Organizations

Deborah S. Yokoe,* Girish S. Subramanyan,* Edward Nardell,† Sharon Sharnprapai,† Eugene McCray,‡ and Richard Platt*§
*Brigham and Women's Hospital, Boston, Massachusetts, USA; †Massachusetts Department of Public Health, Jamaica Plain, Massachusetts, USA; ‡Centers for Disease Control and Prevention, Atlanta, Georgia, USA; and §Harvard Medical School, Harvard Pilgrim Health Care,

Boston, Massachusetts, USA

This table was inadvertently left off Yokoe's original article and added on the date at the bottom of this page. We apologize for any inconvenience this may have caused.
  

Table 3. Reasons for meeting screening criteria among individuals without incident tuberculosis (TB) who had automated ambulatory-patient records
	Screening criteria that include a TB diagnosis code or multiple anti-TB drugs
				Diagnosis codeb
				for TB,
				a microbiology	At least one
Reasons why	Two or more	Diagnosis	Diagnosis	code, c and a	anti-TB druga and
non-TB cases met	anti-TB	codeb for	codeb for	a radiology	an ICD-9 diagnosis
screening criteria	drugsa	active TB	pulmonary TB	coded	code for TB
Active TB diagnosed outside study window	9 (13%)	0	0	0	0
Suspected active TB	26 (37%)	2 (67%)	4 (5%)	19 (58%)	6 (86%)
TB prophylaxis	11 (15%)	0	0	0	0
Prenatal TB screening	0	0	57 (76%)	0	0
Prior history of TB	0	0	5 (7%)	7 (21%)	0
Other mycobacterial infections	23 (32%)	0	0	0	0
Treatment of other conditions	2 (3%)	0	0	0	0
No documentation of reason in HMO medical record	0	1 (33%)	9 (12%)	7 (21%)	1 (14%)
Total no. without	71	3	75	33	7
incident active TB
aPharmacy dispensing data; antituberculosis drugs include isoniazid, rifampin, pyrazinamide, ethambutol, streptomycin, capreomycin, kanamycin, ethionamide, para-aminosalicyclic acid, and cycloserine. bAmbulatory codes were obtained from automated ambulatory records in the staff model division and from claims in the network and group model division. cMicrobiology codes include COSTAR (coding system for automated ambulatory-patient records [10]) or ICD-9CM (International Classification of Diseases, 9th Revision Clinical Modification) procedure codes for acid fast bacilli smear, culture and sensitivities and microscopy examination of sputum. dRadiology codes include current procedures terminology (CPT), COSTAR, or ICD-9 procedure codes for chest radiograph, thoracic computer- assisted tomography (CT), or thoracic magnetic resonance imaging (MRI). Back to article

Home | Top of Page | Current Issue | Expedited | Upcoming Issue | Past Issue | EID Search | Contact Us

CDC Home | Search | Health Topics A-Z

This page last reviewed June 14, 2001

Emerging Infectious Diseases Journal
National Center for Infectious Diseases
Centers for Disease Control and Prevention