ArticleBMC health services research2010
Investigating concordance in diabetes diagnosis between primary care charts (electronic medical records) and health administrative data: a retrospective cohort study.
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 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors influencing the development of primary care data collection projects from electronic health records: a systematic review of the literature.BMC medical informatics and decision making · 2017Pooled it
- Systematic review and meta-analysis of validation studies on a diabetes case definition from health administrative records.PloS one · 2013Pooled it
- Identification of patients undergoing chronic kidney replacement therapy in primary and secondary care data: validation study based on OpenSAFELY and UK Renal Registry.BMJ medicine · 2024Article
- Electronic Medical Record-Based Case Phenotyping for the Charlson Conditions: Scoping Review.JMIR medical informatics · 2021Article
- High concordance between chart review adjudication and electronic medical record data to identify prevalent and incident diabetes mellitus among persons with and without HIV.Pharmacoepidemiology and drug safety · 2020Article
- Impact of the diabetes Canada guideline dissemination strategy on dispensed vascular protective medications for older patients in Ontario, Canada: a linked EMR and administrative data study.BMC health services research · 2020Article
- Using Routine Data Sources to Feed an Immunization Information System for High-Risk Patients-A Pilot Study.Frontiers in public health · 2018Article
- Novel Methods and Data Sources for Surveillance of State-Level Diabetes and Prediabetes Prevalence.Preventing chronic disease · 2017Article
- Using a stakeholder-engaged approach to develop and validate electronic clinical quality measures.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Effects of Integrated Care on Disease-Related Hospitalisation and Healthcare Costs in Patients with Diabetes, Cardiovascular Diseases and Respiratory Illnesses: A Propensity-Matched Cohort Study in Switzerland.International journal of integrated care · 2016Article
- Observational
- Use of administrative and electronic health record data for development of automated algorithms for childhood diabetes case ascertainment and type classification: the SEARCH for Diabetes in Youth Study.Pediatric diabetes · 2014Article
- Exploring the feasibility of using electronic health records in the surveillance of fetal alcohol syndrome.Birth defects research. Part A, Clinical and molecular teratology · 2014Article
- Distinguishing incident and prevalent diabetes in an electronic medical records database.Pharmacoepidemiology and drug safety · 2014Article
- Estimating the prevalence of comorbid conditions and their effect on health care costs in patients with diabetes mellitus in Switzerland.Diabetes, metabolic syndrome and obesity : targets and therapy · 2014Article
- Electronic health records as a tool for recruitment of participants' clinical effectiveness research: lessons learned from tobacco cessation.Translational behavioral medicine · 2013Article
- Caveats for the use of operational electronic health record data in comparative effectiveness research.Medical care · 2013Article
- Risk of incident diabetes in relation to long-term exposure to fine particulate matter in Ontario, Canada.Environmental health perspectives · 2013Article
- Chronic disease prevalence from Italian administrative databases in the VALORE project: a validation through comparison of population estimates with general practice databases and national survey.BMC public health · 2013Article
- Glycemic control and diabetes-related health care costs in type 2 diabetes; retrospective analysis based on clinical and administrative databases.ClinicoEconomics and outcomes research : CEOR · 2013Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElectronic medical records contain valuable clinical information not readily available elsewhere. Accordingly, they hold important potential for contributing to and enhancing chronic disease registries with the goal of improving chronic disease management; however a standard for diagnoses of conditions such as diabetes remains to be developed. The purpose of this study was to establish a validated electronic medical record definition for diabetes.
methodsWe constructed a retrospective cohort using health administrative data from the Institute for Clinical Evaluative Sciences Ontario Diabetes Database linked with electronic medical records from the Deliver Primary Healthcare Information Project using data from 1 April 2006-31 March 2008 (N = 19,443). We systematically examined eight definitions for diabetes diagnosis, both established and proposed.
resultsThe definition that identified the highest number of patients with diabetes (N = 2,180) while limiting to those with the highest probability of having diabetes was: individuals with ≥2 abnormal plasma glucose tests, or diabetes on the problem list, or insulin prescription, or ≥2 oral anti-diabetic agents, or HbA1c ≥6.5%. Compared to the Ontario Diabetes Database, this definition identified 13% more patients while maintaining good sensitivity (75%) and specificity (98%).
conclusionsThis study establishes the feasibility of developing an electronic medical record standard definition of diabetes and validates an algorithm for use in this context. While the algorithm may need to be tailored to fit available data in different electronic medical records, it contributes to the establishment of validated disease registries with the goal of enhancing research, and enabling quality improvement in clinical care and patient self-management.
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