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Spurious trends in coronary heart disease incidence: unintended consequences of the new GP contract?


ABSTRACT: Comparisons of the same patient data in 2004 and 2006 downloads of the DIN-LINK UK primary care database demonstrated unexpected differences in the rates of coronary heart disease between the datasets. Incidence rates were lower between 1996-2003 in the new (2006) download. Patient record checks demonstrated that coronary heart disease codes had been removed in the new download during the run-up to the new contract. Planners need to be aware of such issues when evaluating trends in CHD or other similar conditions.

SUBMITTER: Carey IM 

PROVIDER: S-EPMC2078192 | biostudies-other | 2007 Jun

REPOSITORIES: biostudies-other

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Spurious trends in coronary heart disease incidence: unintended consequences of the new GP contract?

Carey Iain M IM   Dewilde Stephen S   Harris Tess T   Whincup Peter H PH   Cook Derek G DG  

The British journal of general practice : the journal of the Royal College of General Practitioners 20070601 539


Comparisons of the same patient data in 2004 and 2006 downloads of the DIN-LINK UK primary care database demonstrated unexpected differences in the rates of coronary heart disease between the datasets. Incidence rates were lower between 1996-2003 in the new (2006) download. Patient record checks demonstrated that coronary heart disease codes had been removed in the new download during the run-up to the new contract. Planners need to be aware of such issues when evaluating trends in CHD or other  ...[more]

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