- Title
- Coding OSICS sports injury diagnoses in epidemiological studies : Does the background of the coder matter?
- Creator
- Finch, Caroline; Orchard, John; Twomey, Dara; Saleem, Muhammad Saad; Ekegren, Christina; Lloyd, David; Elliott, Bruce
- Date
- 2012
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/65859
- Identifier
- vital:4741
- Identifier
-
https://doi.org/10.1136/bjsports-2012-091219
- Identifier
- ISSN:0306-3674
- Abstract
- Objective: To compare Orchard Sports Injury Classification System (OSICS-10) sports medicine diagnoses assigned by a clinical and non-clinical coder. Design: Assessment of intercoder agreement. Setting: Community Australian football. Participants: 1082 standardised injury surveillance records. Main outcome measurements: Direct comparison of the four-character hierarchical OSICS-10 codes assigned by two independent coders (a sports physician and an epidemiologist). Adjudication by a third coder (biomechanist). Results: The coders agreed on the first character 95% of the time and on the first two characters 86% of the time. They assigned the same four-digit OSICS-10 code for only 46% of the 1082 injuries. The majority of disagreements occurred for the third character; 85% were because one coder assigned a non-specific 'X' code. The sports physician code was deemed correct in 53% of cases and the epidemiologist in 44%. Reasons for disagreement included the physician not using all of the collected information and the epidemiologist lacking specific anatomical knowledge. Conclusions: Sports injury research requires accurate identification and classification of specific injuries and this study found an overall high level of agreement in coding according to OSICS-10. The fact that the majority of the disagreements occurred for the third OSICS character highlights the fact that increasing complexity and diagnostic specificity in injury coding can result in a loss of reliability and demands a high level of anatomical knowledge. Injury report form details need to reflect this level of complexity and data management teams need to include a broad range of expertise. Copyright Article author (or their employer) 2012.
- Relation
- British Journal of Sports Medicine, Vol.48, p.552-556.; http://purl.org/au-research/grants/nhmrc/565900
- Rights
- Copyright 2012 Article Author (or employer)
- Rights
- Open Access
- Rights
- This metadata is freely available under a CCO license
- Subject
- OSICS-10; Sports medicine; Australian football; Sports injury; Identification; Classification; Coding; 09 Engineering; 11 Medical and Health Sciences; 13 Education
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