Osteoporosis-related fracture case definitions for population-based administrative data

BMC Public Health

Table 1 Osteoporosis-related fracture case definitions

Case def	# of DX & Data source	DX codes	MR versus any DX	Service codes	Fracture-free period (months)
Hip
H1	1H	ICD-9: 820‒821; ICD-10: S72.0-S72.2	MR	No	0
H2	1H	ICD-9: 820; ICD-10: S72.0-S72.2	MR	No	0
H3	1H	same as H2	MR	No	6
H4	1H	same as H2	MR	No	12
H5	1H	same as H2	Any	No	0
H6	1H	same as H2	Any	No	6
H7	1H	same as H2	Any	No	12
H8	1H	same as H2	MR	Yes	0
H9	1H	same as H2	MR	Yes	6
H10	1H	same as H2	MR	Yes	12
H11	1H	same as H2	Any	Yes	0
H12	1H	same as H2	Any	Yes	6
H13	1H	same as H2	Any	Yes	12
Wrist
W1	1H or 1 P	ICD-9: 813; ICD-10:S52	Any	Yes	0
W2	1H or 1 P	same as W1	Any	Yes	6
W3	1H or 1 P	same as W1	Any	No	6
W4	1H or (2+ P in 90days)	same as W1	Any	Yes	6
W5	1H or (2+ P in 90days)	same as W1	Any	No	6
W6	1H or (2+ P in 90days)	same as W1	MR	Yes	6
W7	1H or (2+ P in 90days)	same as W1	MR	No	6
Humerus
U1	1H or 1 P	ICD-9: 812; ICD-10:S42.2	MR	No	0
U2	1H or 1 P	same as U1	MR	No	6
U3	1H or 1 P	same as U1	Any	No	0
U4	1H or 1 P	same as U1	Any	No	6
U5	1H or (2+ P in 90days)	same as U1	MR	No	6
U6	1H or (2+ P in 90days)	same as U1	Any	No	6
U7	1H or (2+ P in 90days)	same as U1	Any	No	12
Clinical vertebral
V1	1H	ICD-9: 805; ICD-10: S22.0, S22.1, S32.0	MR	No	0
V2	1H	same as V1	Any	No	0
V3	1H or 1 P	same as V1	MR	Yes	0
V4	1H or 1 P	same as V1	Any	No	0
V5	1H or 1 P	same as V1	Any	No	12
V6	1H or 1 P	same as V1	MR	No	12
V7	1H or (2+ P in 90days)	same as V1	MR	No	12
V8	1H or (2+ P in 90days)	same as V1	MR	No	12

Note: DX=diagnosis; H=hospital record; P=physician billing claim; MR=most responsible or primary diagnosis in hospital records; A listing of the service codes used for incident fracture ascertainment is provided in the Appendix.

ISSN: 1471-2458