Evidence map›Paper›PMID 2021767›Full record

ArticleBMJ (Clinical research ed.)1991

Use of computerised general practice data for population surveillance: comparative study of influenza data.

N Johnson, D Mant, L Jones, T Randall

Abstract readComparative Study
In one paragraph

Article in BMJ (Clinical research ed.), 1991. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Changing disease incidence: the consulting room perspective.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
    Article
  10. The quality of record keeping in primary care: a comparison of computerised, paper and hybrid systems.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003
    Article
  11. Article
  12. Completeness and accuracy of morbidity and repeat prescribing records held on general practice computers in Scotland.The British journal of general practice : the journal of the Royal College of General Practitioners · 1996
    Article
  13. Assessment of the completeness and accuracy of computer medical records in four practices committed to recording data on computer.The British journal of general practice : the journal of the Royal College of General Practitioners · 1995
    Article
  14. Article
  15. Article
  16. Computerised general practice data.BMJ (Clinical research ed.) · 1991
    Article
  17. Computerised general practice data.BMJ (Clinical research ed.) · 1991
    Article
  18. Large computer databases in general practice.BMJ (Clinical research ed.) · 1991
    Article
  19. Accuracy of data in computer-based patient records.Journal of the American Medical Informatics Association : JAMIA
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

N JohnsonDepartment of Public Health and Primary Care, University of Oxford.
D Mant
L Jones
T Randall

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the potential for using routine computerised general practice data for surveillance of illness.

designComparison of the incidence of influenza during the 1989 epidemic derived from a computerised database with that derived from the Royal College of General Practitioners's weekly returns service--a well established predominantly manual surveillance system.

setting433 general practices throughout the United Kingdom that used a commercial computer system linked to a central databank.

main outcome measureIncidence of influenza.

resultsThe slope of the influenza epidemic curve was essentially the same whether derived from the routine computerised data or royal college's weekly returns service data, and the computerised data were geographically consistent. Throughout the study period, however, the computer derived incidence was between one third and one quarter of that derived from the royal college's system (which is served by practitioners trained in surveillance methods). The peak weekly rates were 164 cases per 100,000 for the computerised system and 583 cases per 100,000 for the royal college's surveillance system.

conclusionsThe apparent underreporting in the routine computerised data probably reflects lack of motivation and experience in disease surveillance and haphazard computer entry (particularly of consultations that took place outside of the surgery and consultations that did not result in a prescription), along with overestimation of the population under surveillance. Nevertheless, routine computerised surveillance allows rapid data collection from a large number of practices over a wide geographical area and would greatly augment existing methods.

Indexed as

Computer SystemsDatabases, FactualData CollectionFamily PracticeHumansInfluenza, HumanMedical Records Systems, ComputerizedMicrocomputersPopulation SurveillanceUnited Kingdom

Identifiers

PMID2021767
PMCPMC1669527

What OpenQuestion holds

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Registered trials

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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.