Reliability and Clinical Utility of ICD-11 Diagnostic Guidelines for Severe Mental Disorders in Nigeria

Onofa, Lucky; Odunleye, Mayokun; Kola, Lola; Gureje, Oye

doi:10.1016/j.arcmed.2020.01.004

Cited by 7 publications

(9 citation statements)

References 20 publications

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“…Finally, when interpreting the clinical utility ratings, it should be contemplated that the participating clinicians might have been biased towards a positive evaluation of the new diagnoses given the context of participating in an official field testing. 34,36 In conclusion, the results of the ICE TEA study, obtained in specialized pain clinic settings, provide evidence that the new ICD-11 chronic pain classification can contribute significantly to global public health. By providing a standard definition of chronic pain with reliable and clinically useful diagnoses, pain research is facilitated and access to adequate pain treatment can be improved globally.…”

Section: Discussionmentioning

confidence: 85%

Reliability and clinical utility of the chronic pain classification in the 11th Revision of the International Classification of Diseases from a global perspective: results from India, Cuba, and New Zealand

Korwisi

Suarez

Goswami

et al. 2021

Pain

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Section: Discussionmentioning

confidence: 85%

Reliability and clinical utility of the chronic pain classification in the 11th Revision of the International Classification of Diseases from a global perspective: results from India, Cuba, and New Zealand

Korwisi

Suarez

Goswami

et al. 2021

Pain

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“…Examples of these forgotten syndromes include de Clarambault syndrome, Capra’s syndrome, and Fregoli syndrome to name a few [ 26 , 27 ]. Furthermore, Onofa et al, in their study on the reliability and clinical utility of ICD-11 in Nigeria, recognized the importance of classification and diagnostic systems, acknowledging that the value of such classification systems is dependent on their utility and acceptability to those who may need to apply them in the clinical setting [ 19 ]. Taking all of this into consideration, the findings of our study could contribute to the assessment of catatonia in a clinical setting.…”

Section: Discussionmentioning

confidence: 99%

Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study

Zingela

Stroud

Cronje

et al. 2021

Int J Ment Health Syst

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Background Clinical assessment of catatonia includes the use of diagnostic systems, such as the Diagnostic and Statistical Manual, Fifth Edition (DSM-5) and the International Classification of Disease, Tenth Revision (ICD-10), or screening tools such as the Bush Francis Catatonia Screening Instrument (BFCSI)/Bush Francis Catatonia Rating Scale (BFCRS) and the Braunig Catatonia Rating Scale. In this study, we describe the inter-rater reliability (IRR), utilizing the BFCSI, BFCRS, and DSM-5 to screen for catatonia. Methods Data from 10 participants recruited as part of a larger prevalence study (of 135 participants) were used to determine the IRR by five assessors after they were trained in the application of the 14-item BFCSI, 23-item BFCRS, and DSM-5 to assess catatonia in new admissions. Krippendorff’s α was used to compute the IRR, and Spearman’s correlation was used to determine the concordance between screening tools. The study site was a 35-bed acute mental health unit in Dora Nginza Hospital, Nelson Mandela Bay Metro. Participants were mostly involuntary admissions under the Mental Health Care Act of 2002 and between the ages of 13 and 65 years. Results Of the 135 participants, 16 (11.9%) had catatonia. The majority (92 [68.1%]) were between 16 and 35 years old, with 126 (93.3%) of them being Black and 89 (66.4%) being male. The BFCRS (complete 23-item scale) had the greatest level of inter-rater agreement with α = 0.798, while the DSM-5 had the lowest level of inter-rater agreement with α = 0.565. The highest correlation coefficients were observed between the BFCRS and the BFCSI. Conclusion The prevalence rate of catatonia was 11.9%, with the BFCSI and BFCRS showing the highest pick-up rate and a high IRR with high correlation coefficients, while the DSM-5 had deficiencies in screening for catatonia with low IRR and the lowest correlation with the other two tools.

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“…The eczema-related keywords primarily include the critical treatment procedures, which are defined in a keyword list extracted from guideline-based eczema knowledge base. (6) Analyze the sentiment score of each eczema-related keyword. The sentence where the keyword exists is also queried from the MySQL database to execute sentiment analysis.…”

Section: Medical Decision Support For Eczemamentioning

confidence: 99%

“…Sentiment analysis of the drugs is executed in step (6). For each eczema-related keyword, the sentence where it exists is extracted from the articles or reply messages.…”

Section: Medical Decision Support For Eczemamentioning

confidence: 99%

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Guideline-Driven Medical Decision Support Methods for Family Healthcare

Wang

Qian

2021

IEEE Access

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Medical guidelines are effective to guide medical practice and improve therapeutic effect. Currently, medical guidelines are primarily used in medical institutions but are still not available to the public. To improve the practicality of guidelines in family practice, this paper proposes a novel approach to assisting family medical decision support using semantic technology and open data analysis. A diseasespecific knowledge model is constructed using semantic guideline expressions, which provide standard care plans to the public. A medical text corpus is formed by collecting medical information from open data sources online. Via text mining and sentiment analysis of the medical text corpus, the word frequency and sentiment score of different medical procedures are calculated, which are used to provide detailed instructions for public treatment. A guideline-based knowledge model is constructed to create eczema-specific standard care plans. According to the resulting frequencies, hydrocortisone butyrate cream (HBC) elicited the most concern among hormone drugs (54%), followed by mometasone furoate cream (MFC), accounting for 28% among all hormone drugs. According to the average sentiment score, MFC is more frequently recommended than HBC. For skin care products, YMJ elicited the most concern, while Cetaphil was the most recommended. The results of the word frequency analysis and sentiment analysis are combined to provide detailed and clear recommendations to supplement standard care plans for family medical decision support. The method proposed by this paper is an important supplement and extension to in-hospital data analysis.

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Reliability and Clinical Utility of ICD-11 Diagnostic Guidelines for Severe Mental Disorders in Nigeria

Cited by 7 publications

References 20 publications

Reliability and clinical utility of the chronic pain classification in the 11th Revision of the International Classification of Diseases from a global perspective: results from India, Cuba, and New Zealand

Reliability and clinical utility of the chronic pain classification in the 11th Revision of the International Classification of Diseases from a global perspective: results from India, Cuba, and New Zealand

Assessment of catatonia and inter-rater reliability of three instruments: a descriptive study

Guideline-Driven Medical Decision Support Methods for Family Healthcare

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