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Accuracy of Administrative Coding for Type 2 Diabetes in Children, Adolescents, and Young Adults

In a recent study, Rhodes et al. (1) questioned the accuracy of administrative coding for type 2 diabetes in children and young adults, noting a very low positive predictive value (PPV) of 16.6%. The article also highlighted the importance of adopting standardized and validated diagnostic protocols in epidemiologic studies.

Using diagnostic criteria from the American Diabetes Association (ADA) (2), we assessed the validity of self-reported diabetes diagnosis in a cohort of 39,876 women aged ≥45 years who were without heart disease, stroke, or cancer at …