Table 2: Performance of candidate case definitions of end-stage renal disease (ESRD)* using administrative data over 1 year (2010), with data from the Manitoba Renal Program (MRP) registry database as the reference standard
Case definitionSource of dataNo. (%) of patientsMeasure†Value (95% CI)
Administrative dataMRP
data
Any 1 claim for outpatient dialysisNoNo2774(64.1)Sensitivity77.0(74.7–79.2)
NoYes315(7.4)Specificity93.8(92.9–94.7)
YesNo183(4.2)PPV85.2(83.2–87.2)
YesYes1053(24.4)NPV89.8(88.7–90.9)
Accuracy88.5(87.4–89.6)
κ value0.73(0.70–0.75)
Any 2 claims for outpatient dialysisNoNo2791(64.5)Sensitivity74.6(72.3–76.9)
NoYes347(8.0)Specificity94.4(93.6–95.2)
YesNo166(3.8)PPV86.0(84.0–88.0)
YesYes1021(23.6)NPV88.9(87.8–90.0)
Accuracy88.1(87.0–89.3)
κ value0.72(0.69–0.74)
Any 2 claims for outpatient dialysis at least 90 d apartNoNo2872(66.4)Sensitivity64.8(62.2–67.3)
NoYes482(11.1)Specificity97.1(96.5–97.7)
YesNo85(2.0)PPV91.2(89.5–93.0)
YesYes886(20.5)NPV85.6(84.4–86.8)
Accuracy86.9(85.8–88.0)
κ value0.67(0.65–0.70)
Any 2 claims for outpatient dialysis at least 90 d apart, with no gap greater than 21 dNoNo2883(66.7)Sensitivity52.7(50.1–55.4)
NoYes647(15.0)Specificity97.5(96.9–98.1)
YesNo74(1.7)PPV90.7(88.7–92.7)
YesYes721(16.7)NPV81.7(80.4–83.0)
Accuracy83.3(82.1–84.6)
κ value0.57(0.54–0.59)

Note: CI = confidence interval, NPV = negative predictive value, PPV = positive predictive value. 
*Definitions are derived from those used in a study by Clement and colleagues.3
†All values are reported as percentages except for kappa values.