The American Journal of Medicine
Volume 123, Issue 1 , Pages 66-71 , January 2010

Diagnosis of Pulmonary Malignancy after Hospitalization for Pneumonia

  • Eric M. Mortensen, MD, MSc

      Affiliations

    • VERDICT Research Program and South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio
    • Department of Medicine, University of Texas Health Science Center at San Antonio
    • Corresponding Author InformationRequests for reprints should be addressed to Eric Mortensen, MD, MSc, VERDICT Research Program, ALMD/UTHSCSA, 7400 Merton Minter Boulevard (11C6), San Antonio, TX 78229
    • ,
  • Laurel A. Copeland, PhD

      Affiliations

    • VERDICT Research Program and South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio
    • Department of Psychiatry, University of Texas Health Science Center at San Antonio
    • ,
  • Mary Jo Pugh, PhD

      Affiliations

    • VERDICT Research Program and South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio
    • Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio
    • ,
  • Michael J. Fine, MD, MSc

      Affiliations

    • VA Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pa
    • Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pa
    • ,
  • Brandy Nakashima, MA

      Affiliations

    • VERDICT Research Program and South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio
    • ,
  • Marcos I. Restrepo, MD, MSc

      Affiliations

    • VERDICT Research Program and South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio
    • Division of Pulmonary/Critical Care Medicine, University of Texas Health Science Center at San Antonio
    • ,
  • Rosa Malo de Molina, MD

      Affiliations

    • VERDICT Research Program and South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio
    • Division of Pulmonary/Critical Care Medicine, University of Texas Health Science Center at San Antonio
    • ,
  • Antonio Anzueto, MD

      Affiliations

    • VERDICT Research Program and South Texas Veterans Health Care System, Audie L. Murphy Division, San Antonio
    • Division of Pulmonary/Critical Care Medicine, University of Texas Health Science Center at San Antonio

References 

  1. Pneumonia most common reason for hospitalization. AHRQ News and Numbers. Rockville, MD: Agency for Healthcare Research and Quality; 2008;
  2. Kung HC, Hoyert DL, Xu JQ, Murphy SL. Deaths: final data for 2005. Natl Vital Stat Rep. 2008;56:1–120
  3. Marrie TJ. Pneumonia and carcinoma of the lung. J Infect. 1994;29:45–52
  4. Holmberg H, Kragsbjerg P. Association of pneumonia and lung cancer: the value of convalescent chest radiography and follow-up. Scand J Infect Dis. 1993;25:93–100
  5. Brown SH, Lincoln MJ, Groen PJ, Kolodner RM. VistA—U.S. Department of Veterans Affairs national-scale HIS. Int J Med Inform. 2003;69(2-3):135–156
  6. Meehan TP, Fine MJ, Krumholz HM, et al. Quality of care, process, and outcomes in elderly patients with pneumonia. JAMA. 1997;278:2080–2084
  7. Charlson ME, Pompei P, Ales KL, MackKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40:373–383
  8. Charlson M, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol. 1994;47:1245–1251
  9. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–619
  10. Thomas SK, Brooks SE, Mullins CD, et al. Use of ICD-9 coding as a proxy for stage of disease in lung cancer. Pharmacoepidemiol Drug Saf. 2002;11:709–713
  11. Sohn MW, Arnold N, Maynard C, Hynes DM. Accuracy and completeness of mortality data in the Department of Veterans Affairs. Popul Health Metr. 2006;4:2
  12. Therneau TM, Grambsch PM. Modeling Survival Data: Extending the Cox Model (Statistics for Biology and Health). New York: Springer; 2000;
  13. Therneau TM, Grambsch PM, Fleming TR. Martingale hazards regressions and the analysis of censored survival data. Biometrika. 1990;77:147–170
  14. van Rens MT, de la Riviere AB, Elbers HR, van Den Bosch JM. Prognostic assessment of 2,361 patients who underwent pulmonary resection for non-small cell lung cancer, stage I, II, and IIIA. Chest. 2000;117:374–379
  15. Marrie TJ, Durant H, Sealy E. Pneumonia—the quality of medical records data. Med Care. 1987;25:20–24
  16. Whittle J, Fine MJ, Joyce DZ, et al. Community-acquired pneumonia: can it be defined with claims data?. Am J Med Qual. 1997;12:187–193
  17. Aronsky D, Haug PJ, Lagor C, Dean NC. Accuracy of administrative data for identifying patients with pneumonia. Am J Med Qual. 2005;20:319–328
  18. Fine MJ, Auble TE, Yealy DM, et al. A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med. 1997;336:243–250

 Funding: The project described was supported by Grant Number R01NR010828 from the National Institute of Nursing Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health. This material is the result of work supported with resources and the use of facilities at the South Texas Veterans Health Care System. Dr Copeland is funded by Merit Review Entry Program grant MRP-05-145 from the VA Health Services Research and Development program. Dr. Restrepo is funded by a KL2 of the National Institutes of Health and the University of Texas Health Science Center at San Antonio. The funding agencies had no role in conducting the study, or role in the preparation, review, or approval of the manuscript.

 Conflict of Interest: None of the authors have any conflicts of interests to disclose regarding this article.

 Authorship: All authors had free access to the data and were actively involved in writing the manuscript.

 The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

PII: S0002-9343(09)00798-0

doi: 10.1016/j.amjmed.2009.08.009

The American Journal of Medicine
Volume 123, Issue 1 , Pages 66-71 , January 2010

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