Evidence map›Paper›PMID 21176171›Full record

ArticleBMC health services research2010

Data linkage: a powerful research tool with potential problems.

Megan A Bohensky, Damien Jolley, Vijaya Sundararajan, Sue Evans, David V Pilcher, Ian Scott, Caroline A Brand

Abstract read
In one paragraph

Article in BMC health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 4 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

111 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. GUILD: GUidance for Information about Linking Data sets.Journal of public health (Oxford, England) · 2018
    Guideline
  4. Guideline
  5. Trial
  6. Article
  7. Attitudes towards data access and sharing health data for research: a case study of Australian data custodian perspectives.Health information management : journal of the Health Information Management Association of Australia · 2026
    Article
  8. Article
  9. Health-related quality of life among adults with chronic diseases: a linked, retrospective cohort study using the EQ-5D-5L in Queensland, Australia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  10. Procedure-level data linkage to drive improvement in case ascertainment for the Australian Breast Device Registry.Health information management : journal of the Health Information Management Association of Australia · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Megan A BohenskyCentre of Research Excellence in Patient Safety, Dept of Epidemiology & Preventive Medicine, School Public Health & Preventive Medicine, Monash University, Melbourne, Victoria, Australia. megan.bohensky@monash.edu
Damien Jolley
Vijaya Sundararajan
Sue Evans
David V Pilcher
Ian Scott
Caroline A Brand

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolicy makers, clinicians and researchers are demonstrating increasing interest in using data linked from multiple sources to support measurement of clinical performance and patient health outcomes. However, the utility of data linkage may be compromised by sub-optimal or incomplete linkage, leading to systematic bias. In this study, we synthesize the evidence identifying participant or population characteristics that can influence the validity and completeness of data linkage and may be associated with systematic bias in reported outcomes.

methodsA narrative review, using structured search methods was undertaken. Key words "data linkage" and Mesh term "medical record linkage" were applied to Medline, EMBASE and CINAHL databases between 1991 and 2007. Abstract inclusion criteria were; the article attempted an empirical evaluation of methodological issues relating to data linkage and reported on patient characteristics, the study design included analysis of matched versus unmatched records, and the report was in English. Included articles were grouped thematically according to patient characteristics that were compared between matched and unmatched records.

resultsThe search identified 1810 articles of which 33 (1.8%) met inclusion criteria. There was marked heterogeneity in study methods and factors investigated. Characteristics that were unevenly distributed among matched and unmatched records were; age (72% of studies), sex (50% of studies), race (64% of studies), geographical/hospital site (93% of studies), socio-economic status (82% of studies) and health status (72% of studies).

conclusionA number of relevant patient or population factors may be associated with incomplete data linkage resulting in systematic bias in reported clinical outcomes. Readers should consider these factors in interpreting the reported results of data linkage studies.

Indexed as

Outcome and Process Assessment, Health CareClinical AuditDatabases, BibliographicData CollectionEmpirical ResearchHealth Services ResearchHealth StatusHospitalsHumansInformation Storage and RetrievalQuality Assurance, Health CareResearch DesignSensitivity and Specificity

Identifiers

PMID21176171
PMCPMC3271236

What OpenQuestion holds

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Registered trials

None linked

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.