Comorbidity | Case definition | Comparison to medical records | Prevalence index | Bias index | Adjusted kappa | |||
---|---|---|---|---|---|---|---|---|
No. years of data | No. and type of claimsa | Sens (95% CI) | Spec (95% CI) | Observed kappa (95% CI) | ||||
Omnibus (Any Mental) | 2 | ≥ 1 H or ≥ 5 P OR (≥ 1 P AND ≥ 4 Rx) | 63.5 (54.0, 72.2) | 86.8 (82.1, 90.6) | 0.51 (0.41, 0.60) | 0.42 | 0.01 | 0.60 |
Any Mood or anxiety disorder | 2 | ≥ 1 H or ≥ 5 P OR (≥ 1 P AND ≥ 4 Rx) | 62.8 (53.2, 71.7) | 86.9 (82.2, 90.6) | 0.50 (0.41, 0.60) | 0.43 | 0.01 | 0.60 |
Depression | 2 | ≥ 1 H or ≥ 5 P OR (≥ 1 P AND ≥ 7 Rx) | 62.2 (52.4, 71.2) | 86.7 (82.2, 90.4) | 0.49 (0.40, 0.59) | 0.45 | 0 | 0.60 |
Bipolar disorder | 5 | ≥ 1 H or ≥ 3P OR (≥ 1 P AND ≥ 3 Rx) | 75.0 (19.4, 99.4) | 97.5 (95.5, 99.4) | 0.30 (0.036, 0.57) | 0.95 | 0.02 | 0.94 |
Anxiety | 2 | ≥ 1 H or ≥ 2 P OR (≥ 1 P AND ≥ 2 Rx) | 42.3 (23.3, 63.1) | 82.2 (78.0, 85.9) | 0.23 (0.022, 0.23) | 0.74 | 0.12 | 0.69 |
Schizophrenia | 2 | ≥ 1 H or ≥ 2 P | 1.0 (15.8, 100) | 0.99 (98.6, 100) | 1.0 (0, 1.0) | 0.99 | 0 | 1.0 |