Diagnostic codes associated with hypnotic medications during outpatient physician-patient encounters in the United States from 1990-1998

William Vaughn McCall, Alan B. Fleischer, Steven R. Feldman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Study Objectives: This investigation tabulates the most common diagnostic codes associated with use of hypnotic medications during physician-patient encounters in the U.S. Design: Estimates were derived from the National Ambulatory Medical Care Survey (NAMCS) from 1990 through 1998. Diagnoses were coded according to the International Classification of Disease-Clinical Modification-9th Edition (ICD-9-CM). Setting: The NAMCS collects outpatient visit data from nonfederal physicians of all specialties, except anesthesiology, pathology, and radiology. Participants: N/A Interventions: N/A Measurements and Results: Hypnotic medications were more commonly associated with psychiatric codes than with the symptom of insomnia. Primary insomnia did not appear among the codes most commonly associated with a hypnotic prescription. Conclusions: Hypnotics were more commonly associated with psychiatric codes than with insomnia codes, but it is unknown whether the coding accurately reflects the true diagnoses. Still; since there is minimal data on the efficacy and safety of hypnotics in persons with psychiatric disorders, these findings may signal a critical knowledge gap in the treatment of insomnia.

Original languageEnglish (US)
Pages (from-to)221-223
Number of pages3
JournalSleep
Volume25
Issue number2
DOIs
StatePublished - Mar 15 2002
Externally publishedYes

Fingerprint

Hypnotics and Sedatives
Sleep Initiation and Maintenance Disorders
Outpatients
Physicians
Health Care Surveys
Psychiatry
International Classification of Diseases
Anesthesiology
Radiology
Prescriptions
Pathology
Safety
Therapeutics

Keywords

  • Health services
  • Hypnotics
  • Insomnia
  • National Ambulatory Medical Care Survey

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

Cite this

Diagnostic codes associated with hypnotic medications during outpatient physician-patient encounters in the United States from 1990-1998. / McCall, William Vaughn; Fleischer, Alan B.; Feldman, Steven R.

In: Sleep, Vol. 25, No. 2, 15.03.2002, p. 221-223.

Research output: Contribution to journalArticle

@article{bd3b94ed95b3415ab22a2ef15228a162,
title = "Diagnostic codes associated with hypnotic medications during outpatient physician-patient encounters in the United States from 1990-1998",
abstract = "Study Objectives: This investigation tabulates the most common diagnostic codes associated with use of hypnotic medications during physician-patient encounters in the U.S. Design: Estimates were derived from the National Ambulatory Medical Care Survey (NAMCS) from 1990 through 1998. Diagnoses were coded according to the International Classification of Disease-Clinical Modification-9th Edition (ICD-9-CM). Setting: The NAMCS collects outpatient visit data from nonfederal physicians of all specialties, except anesthesiology, pathology, and radiology. Participants: N/A Interventions: N/A Measurements and Results: Hypnotic medications were more commonly associated with psychiatric codes than with the symptom of insomnia. Primary insomnia did not appear among the codes most commonly associated with a hypnotic prescription. Conclusions: Hypnotics were more commonly associated with psychiatric codes than with insomnia codes, but it is unknown whether the coding accurately reflects the true diagnoses. Still; since there is minimal data on the efficacy and safety of hypnotics in persons with psychiatric disorders, these findings may signal a critical knowledge gap in the treatment of insomnia.",
keywords = "Health services, Hypnotics, Insomnia, National Ambulatory Medical Care Survey",
author = "McCall, {William Vaughn} and Fleischer, {Alan B.} and Feldman, {Steven R.}",
year = "2002",
month = "3",
day = "15",
doi = "10.1093/sleep/25.2.221",
language = "English (US)",
volume = "25",
pages = "221--223",
journal = "Sleep",
issn = "0161-8105",
publisher = "American Academy of Sleep Medicine",
number = "2",

}

TY - JOUR

T1 - Diagnostic codes associated with hypnotic medications during outpatient physician-patient encounters in the United States from 1990-1998

AU - McCall, William Vaughn

AU - Fleischer, Alan B.

AU - Feldman, Steven R.

PY - 2002/3/15

Y1 - 2002/3/15

N2 - Study Objectives: This investigation tabulates the most common diagnostic codes associated with use of hypnotic medications during physician-patient encounters in the U.S. Design: Estimates were derived from the National Ambulatory Medical Care Survey (NAMCS) from 1990 through 1998. Diagnoses were coded according to the International Classification of Disease-Clinical Modification-9th Edition (ICD-9-CM). Setting: The NAMCS collects outpatient visit data from nonfederal physicians of all specialties, except anesthesiology, pathology, and radiology. Participants: N/A Interventions: N/A Measurements and Results: Hypnotic medications were more commonly associated with psychiatric codes than with the symptom of insomnia. Primary insomnia did not appear among the codes most commonly associated with a hypnotic prescription. Conclusions: Hypnotics were more commonly associated with psychiatric codes than with insomnia codes, but it is unknown whether the coding accurately reflects the true diagnoses. Still; since there is minimal data on the efficacy and safety of hypnotics in persons with psychiatric disorders, these findings may signal a critical knowledge gap in the treatment of insomnia.

AB - Study Objectives: This investigation tabulates the most common diagnostic codes associated with use of hypnotic medications during physician-patient encounters in the U.S. Design: Estimates were derived from the National Ambulatory Medical Care Survey (NAMCS) from 1990 through 1998. Diagnoses were coded according to the International Classification of Disease-Clinical Modification-9th Edition (ICD-9-CM). Setting: The NAMCS collects outpatient visit data from nonfederal physicians of all specialties, except anesthesiology, pathology, and radiology. Participants: N/A Interventions: N/A Measurements and Results: Hypnotic medications were more commonly associated with psychiatric codes than with the symptom of insomnia. Primary insomnia did not appear among the codes most commonly associated with a hypnotic prescription. Conclusions: Hypnotics were more commonly associated with psychiatric codes than with insomnia codes, but it is unknown whether the coding accurately reflects the true diagnoses. Still; since there is minimal data on the efficacy and safety of hypnotics in persons with psychiatric disorders, these findings may signal a critical knowledge gap in the treatment of insomnia.

KW - Health services

KW - Hypnotics

KW - Insomnia

KW - National Ambulatory Medical Care Survey

UR - http://www.scopus.com/inward/record.url?scp=0037087181&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037087181&partnerID=8YFLogxK

U2 - 10.1093/sleep/25.2.221

DO - 10.1093/sleep/25.2.221

M3 - Article

VL - 25

SP - 221

EP - 223

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 2

ER -