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Re: NEJM uterine ruptures From: art fougner, md (evsono@pipeline.com) Tue Jul 10 22:04:57 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: NEJM uterine ruptures" Previous message: Efrain Ramirez: "Re: OCP's and Anticardiolipin antibodies" In reply to: D. Ashley Hill, MD: "Re: NEJM uterine ruptures" Next in thread: Efrain Ramirez: "Re: NEJM uterine ruptures" how come we are expected to maintain strict analysis but then get sued because the science doesn't matter in court? so who's the smart one and who's the schmuck? just my opinion - i could be wrong. btw - Luis, what happened to that sick patient and the anticoagulation? art At Tue, 10 Jul 2001, D. Ashley Hill, MD wrote: > >At Tue, 10 Jul 2001, Luis Sanchez-Ramos, MD wrote: >> > The authors simply used the ICD code for >>uterine rupture (antepartum or intrapartum) and relied on whoever coded >>the birth certificates and hospital discharge data. As everyone knows, >>this type of information is prone to misclassification and coding >>errors. > >Absolutely. For example, at our hospital it seems the majority of >gynecologic surgery patients have "female genital symptoms not otherwise >specified" as a diagnosis. I am unsure why some of the coders (who are >not physicians) continue to place diagnoses like "intramural uterine >fibroids," "menorrhagia," "endometrial polyps" or "endometriosis" into a >general NOS code. I bet this is common everywhere. The authors of the >NEJM study apparently did not review each chart, therefore the data are >suspect. What's amazing is that the article received so much press. >Nice analysis, Luis. > >Ashley > >-- >D. Ashley Hill, MD >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency >Orlando, Florida > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: NEJM uterine ruptures" Previous message: Efrain Ramirez: "Re: OCP's and Anticardiolipin antibodies" In reply to: D. Ashley Hill, MD: "Re: NEJM uterine ruptures" Next in thread: Efrain Ramirez: "Re: NEJM uterine ruptures"

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