1Convergence Medical Institute of Technology, Pusan National University Hospital, Busan, Korea
2Department of Neurosurgery, Pusan National University Hospital, Busan, Korea
3Department of Healthcare Information Management, Catholic University of Pusan, Busan, Korea
Copyright © 2019 Yeungnam University College of Medicine
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HNP, herniated nucleus pulposus; Lt, left; R/O, rule out; MCA, middle cerebral artery; Rt, right; OLM, open laminectomy and microdisectomy; ACDF, anterior cervical decompression and fusion; PEEK, polyestherestherketone; SDH, subdural hematoma; F-T-P, frontotemporoparietal; ICH, intracerebral hematoma; UBL, unilateral approach and bilateral laminectomy; IPG, implanted pulse generator.
Coder group | Informational stage (s) | Code-matching stage (s) | p-value |
---|---|---|---|
NSR | 45.44±31.59 | 113.03±53.45 | <0.001 |
MRA | 113.99±63.61 | 157.76±92.24 | 0.089 |
No | Diagnosis name | No | Surgery name |
---|---|---|---|
1 | Spinal stenosis with foraminal stenosis L4/5 L5/S1 | 11 | Nerve root block L2 Lt |
2 | HNP L4/5 Lt sequestrated | 12 | OLM L4/5 Rt |
3 | Brain tumor (R/O atypical meningioma) | 13 | ACDF C4/5 with allogenic bone filled zero-p PEEK cage |
4 | Unruputured aneurysm MCA aneurysm | 14 | Clipping of aneurysm |
5 | Hydrocephalus | 15 | Osteoplastic craniotomy for removal of acute SDH Lt F-T-P |
6 | Fracture of odontoid process (Type II) | 16 | Transcorporeal approach C6/7 Rt |
7 | Mature teratoma at middle cranial fossa with extracranial extension | 17 | Transsylvian approach for removal of ICH Rt basal ganglia |
8 | Posthemorrhage hydrocephalus | 18 | Percutaneous endoscopic laminectomy |
9 | Spinal intradural tumor T9/10 Rt (R/O Schwannoma) | 19 | UBL L3/4 Rt |
10 | Suprasellar cystic tumor with optic neuropathy | 20 | IPG insertion |
Term | Accuracy (%) | Informational stage (s) | Code-matching stage (s) | |||
---|---|---|---|---|---|---|
NSR | MRA | NSR | MRA | NSR | MRA | |
1 | 60.00 | 80.00 | 88.24 | 143.81 | 181.45 | 208.93 |
2 | 93.33 | 73.33 | 47.18 | 108.00 | 132.99 | 204.38 |
3 | 73.33 | 86.67 | 46.51 | 43.09 | 46.48 | 81.10 |
4 | 93.33 | 100.00 | 23.54 | 84.85 | 120.15 | 126.49 |
5 | 100.00 | 100.00 | 38.12 | 102.91 | 147.25 | 180.57 |
6 | 93.33 | 86.67 | 52.07 | 81.67 | 62.90 | 66.37 |
7 | 86.67 | 93.33 | 37.79 | 153.60 | 118.49 | 390.21 |
8 | 100.00 | 100.00 | 12.70 | 19.63 | 18.04 | 43.27 |
9 | 93.33 | 80.00 | 38.58 | 137.96 | 178.43 | 239.24 |
10 | 86.67 | 66.67 | 32.29 | 78.35 | 98.17 | 140.54 |
11 | 100.00 | 86.67 | 30.10 | 26.19 | 82.20 | 72.54 |
12 | 100.00 | 80.00 | 30.24 | 107.93 | 98.95 | 118.11 |
13 | 93.33 | 80.00 | 30.84 | 192.09 | 210.81 | 134.66 |
14 | 80.00 | 80.00 | 6.33 | 17.28 | 14.34 | 34.30 |
15 | 93.33 | 66.67 | 34.78 | 157.47 | 119.56 | 293.81 |
16 | 80.00 | 53.33 | 132.45 | 202.61 | 142.45 | 191.48 |
17 | 100.00 | 80.00 | 31.76 | 153.68 | 186.01 | 285.84 |
18 | 93.33 | 93.33 | 19.40 | 52.64 | 85.81 | 105.63 |
19 | 86.67 | 60.00 | 67.57 | 225.79 | 105.48 | 137.05 |
20 | 80.00 | 53.33 | 108.31 | 190.18 | 110.67 | 100.71 |
Parameter | NSR | MRA | p-value |
---|---|---|---|
Accuracy (%) | 89.33±10.46 | 80.00±14.35 | 0.024 |
Informational stage (s) | 45.44±31.59 | 113.99±63.61 | <0.001 |
Code-matching stage (s) | 113.03±53.45 | 157.76±92.24 | 0.070 |
Total time for coding (s) | 158.47±70.03 | 271.75±137.85 | 0.003 |
Coder group | Informational stage (s) | Code-matching stage (s) | p-value |
---|---|---|---|
NSR | 45.44±31.59 | 113.03±53.45 | <0.001 |
MRA | 113.99±63.61 | 157.76±92.24 | 0.089 |
Brain | Spine | |||||
---|---|---|---|---|---|---|
NSR | MRA | p-value | NSR | MRA | p-value | |
Accuracy (%) | 89.33±9.53 | 82.67±16.39 | 0.281 | 89.33±11.84 | 77.33±12.25 | 0.039 |
Informational stage (s) | 37.21±27.78 | 100.1±61.86 | 0.012 | 53.67±34.43 | 127.87±65.47 | 0.005 |
Code-matching stage (s) | 97.92±55.53 | 167.68±118.90 | 0.117 | 128.15±49.39 | 147.84±60.05 | 0.434 |
Total time for coding (s) | 135.13±69.18 | 267.79±168.34 | 0.040 | 181.81±66.01 | 275.71±108.36 | 0.034 |
HNP, herniated nucleus pulposus; Lt, left; R/O, rule out; MCA, middle cerebral artery; Rt, right; OLM, open laminectomy and microdisectomy; ACDF, anterior cervical decompression and fusion; PEEK, polyestherestherketone; SDH, subdural hematoma; F-T-P, frontotemporoparietal; ICH, intracerebral hematoma; UBL, unilateral approach and bilateral laminectomy; IPG, implanted pulse generator.
All values are mean. NSR, neurosurgical resident; MRA, medical record administrator.
NSR, neurosurgical resident; MRA, medical record administrator.
NSR, neurosurgical resident; MRA, medical record administrator.
NSR, neurosurgical resident; MRA, medical record administrator.