The Analysis of the M8000/3 Coder of the Lung Cancer Case in a Hospital Between 2006 to 2010
|School||Dalian Medical University|
|Course||Epidemiology and Biostatistics,|
|Keywords||lung cancer pathology code M8000/3|
Objective: By exploring the feature of M8000/3 coder of the lung cancer case, find the reason of no definite pathological diagnosis basis, in order to provide references for a reasonable clinical diagnosis of the lung cancer and a targeted treatment.Methods: Extract the lung cancer patients’medical record information from the database of the medical record room of our hospital, including: (1)General: name, sex, age, marital status and etc; (2) Treatment: surgery, chemotherapy, radiotherapy, supportive care (Conservative treatment) and etc.; (3) Discharge conditions: including better, healed and death; (4) Diagnosis basis: including x ray, CT, ultrasound, immunological and biochemical, cytological and pathological examination of blood films and so on. The statistical analysis is based of the SPSS11.5 statistical software.Results:1. The total of 2064 cases of primary lung cancer patients were investigated, of which 1310 cases are male, 754 cases are female, and their average age is 66.62±12.34;2. From the analysis of the composition of coder in the lung case, we found the pathology coding which is not explicitly carcinoma (M8000/3) of the lung cancer cases accounted for 43.46%, which is nearly the half ot the total number of hospitalized patients with newly diagnosed primary lung cancer;3. The average age of M8000/3 coders is 71.33±11.71, and the average of coders with clear pathology is 63.00±11.57. The age difference of the two is statistically significant;4. The largest number of M8000/3 coders is treated in the Department of Respiratory Medicine, followed by is the oncology and thoracic surgery; The largest number of clear pathological coders is treated at the Thoracic Surgery, followed is admitted to medical oncology and Respiratory Medicine, which is statistically significant difference between the two;5. The highest percentage of M8000/3 corders chooses the conservative treatment, while those with clear pathology coding and surgical treatment of chemotherapy take the highest proportion. The difference between the two is statistically significant;6. The average hospital stay of M8000/3 coders is 15.85±13.58 days, for those with clear pathological code is 21.39±21.50 days. The statistical analysis showed a statistically significant difference between the two;7. The highest proportion of M8000/3 coders takes the imaging studies, followed by are the biological immunity and pathology and cytology of blood films. The highest proportion of clear pathological coders takes the pathology, which is 92.54% and far higher than other inspection basis.The statistical analysis showed the difference is statistically significant.Conclusion: The higher the age, the occupancy of Respiratory Medicine, conservative treatment, a shorter hospital stay of the patients with lung cancer, the higher possibility to be M8000/3 corders eventually. Therefore, in order to achieve specific pathological type of lung cancer for a reasonable treatment reference, the above-mentioned characteristics for lung cancer clinically patients should be taken relevant measures to increase the proportion of pathological diagnosis.