ArticleBMJ (Clinical research ed.)2001
A survey of validity and utility of electronic patient records in a general practice.
Article in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
53 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The diagnostic value of 11q13 amplification and protein expression in the detection of nodal metastasis from oral squamous cell carcinoma: a systematic review and meta-analysis.Virchows Archiv : an international journal of pathology · 2015Pooled it
- Quality of medication use in primary care--mapping the problem, working to a solution: a systematic review of the literature.BMC medicine · 2009Pooled it
- Systematic review of scope and quality of electronic patient record data in primary care.BMJ (Clinical research ed.) · 2003Pooled it
- Stratified versus usual care for the management of primary care patients with sciatica: the SCOPiC RCT.Health technology assessment (Winchester, England) · 2020Trial
- The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581).BMC musculoskeletal disorders · 2017Trial
- Improving management of hypertension in general practice: a randomised controlled trial of feedback derived from electronic patient data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Trial
- Article
- Factors associated with change in health-related quality of life in people with gout: a 3-year prospective cohort study in primary care.Rheumatology (Oxford, England) · 2023Article
- Risk-based stratified primary care for common musculoskeletal pain presentations (STarT MSK): a cluster-randomised, controlled trial.The Lancet. Rheumatology · 2022Article
- Inconsistency in prevalence of hypertension based on self-reports and use of standard tests: Implications for large scale surveys.SSM - population health · 2022Article
- Using primary care databases for addiction research: An introduction and overview of strengths and weaknesses.Addictive behaviors reports · 2022Review
- Stratified care versus usual care for management of patients presenting with sciatica in primary care (SCOPiC): a randomised controlled trial.The Lancet. Rheumatology · 2020Article
- A basic model for assessing primary health care electronic medical record data quality.BMC medical informatics and decision making · 2019Article
- Self-reported and routinely collected electronic healthcare resource-use data for trial-based economic evaluations: the current state of play in England and considerations for the future.BMC medical research methodology · 2019Article
- Incorporating Transition-Affirming Language into Anatomical Pathology Reporting for Gender Affirmation Surgery.Transgender health · 2019Article
- The Burden of Chronic Heart Failure in Primary Care in Italy.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2017Article
- Affective concordance in couples: a cross-sectional analysis of depression and anxiety consultations within a population of 13,507 couples in primary care.BMC psychiatry · 2017Article
- Data quality in electronic medical records in Manitoba: Do problem lists reflect chronic disease as defined by prescriptions?Canadian family physician Medecin de famille canadien · 2017Article
- The pain, depression, disability pathway in those with low back pain: a moderation analysis of health locus of control.Journal of pain research · 2017Article
- Data quality of electronic medical records in Manitoba: do problem lists accurately reflect chronic disease billing diagnoses?Journal of the American Medical Informatics Association : JAMIA · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop methods of measuring the validity and utility of electronic patient records in general practice.
designA survey of the main functional areas of a practice and use of independent criteria to measure the validity of the practice database.
settingA fully computerised general practice in Skipton, north Yorkshire. SUBJECTS: The records of all registered practice patients.
main outcome measuresValidity of the main functional areas of the practice clinical system. Measures of the completeness, accuracy, validity, and utility of the morbidity data for 15 clinical diagnoses using recognised diagnostic standards to confirm diagnoses and identify further cases. Development of a method and statistical toolkit to validate clinical databases in general practice.
resultsThe practice electronic patient records were valid, complete, and accurate for prescribed items (99.7%), consultations (98.1%), laboratory tests (100%), hospital episodes (100%), and childhood immunisations (97%). The morbidity data for 15 clinical diagnoses were complete (mean sensitivity=87%) and accurate (mean positive predictive value=96%). The presence of the Read codes for the 15 diagnoses was strongly indicative of the true presence of those conditions (mean likelihood ratio=3917). New interpretations of descriptive statistics are described that can be used to estimate both the number of true cases that are unrecorded and quantify the benefits of validating a clinical database for coded entries.
conclusionThis study has developed a method and toolkit for measuring the validity and utility of general practice electronic patient records.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.