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

W. 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

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, W. 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, {W. 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, W. 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

C2 - 11902432

AN - SCOPUS:0037087181

VL - 25

SP - 221

EP - 223

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 2

ER -