Evidence map›Paper›PMID 21368682›Full record

Trial reportMedical care2011

Health Insurance Portability and Accountability Act (HIPAA) authorization and survey nonresponse bias.

Timothy J Beebe, Jeanette Y Ziegenfuss, Jennifer L St Sauver, Sarah M Jenkins, Lindsey Haas, Michael E Davern, Nicholas J Talley

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 3% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Methods to increase response to postal and electronic questionnaires.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Review
  3. Increasing incidence of cataract surgery: population-based study.Journal of cataract and refractive surgery · 2013
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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 at 3 institutions in 2 countries.

Timothy J BeebeDivision of Health Care Policy and Research, Department of Health Sciences Research, Survey Research Center, Mayo Clinic, Rochester, MN 55905, USA. beebe.timothy@mayo.edu
Jeanette Y Ziegenfuss
Jennifer L St Sauver
Sarah M Jenkins
Lindsey Haas
Michael E Davern
Nicholas J Talley
Department of Medical Sciences · BYJacksonville College · USUniversity of Chicago · US

Funding

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
Survey Nonresponse Bias, HIPAA, and Mixed Data Collection ModesR03CA132974 · NCI · MAYO CLINIC ROCHESTER · PI BEEBE, TIMOTHY · 2008 to 2009
$161k
AHRQ HHS K12 HS026379NCI NIH HHS R03 CA132974NIAMS NIH HHS R01 AR030582NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

objectivesTo extend earlier work (Beebe et al, Med Care. 2007;45:959-965) that demonstrated Health Insurance Portability and Accountability Act authorization form (HAF) introduced potential nonresponse bias (toward healthier respondents). RESEARCH

designThe sample frame from the earlier experiment was linked to administrative medical record data, enabling the comparison of background and clinical characteristics of each set of respondents (HAF and No HAF) to the sample frame. SUBJECTS: A total of 6939 individuals residing in Olmsted County, Minnesota who were mailed a survey in September 2005 assessing recent gastrointestinal symptoms with an embedded HAF experiment comprised the study population. MEASURES: The outcomes of interest were response status (survey returned vs. not) by HAF condition (randomized to receive HAF or not). Sociodemographic indicators included gender, age, and race. Health status was measured using the severity-weighted Charlson Score and utilization was measured using emergency room visits, hospital admissions, clinic office visits, and procedures.

resultsYounger and nonwhite residents were under-represented and those with more clinical office visits were over-represented in both conditions. Those responding to the survey in the HAF condition were significantly more likely to be in poor health compared with the population (27.3% with 2+ comorbidities vs. 24.6%, P=0.02).

conclusionsThe HAF did not influence the demographic composition of the respondents. However, in contrast to earlier findings based on self-reported health status (Beebe et al, Med Care. 2007;45:959-965), responders in the HAF condition were slightly sicker than in the non-HAF condition. The HAF may introduce a small amount of measurement error by suppressing reports of poor health. Furthermore, researchers should consider the effect of the HAF on resultant precision, respondent burden, and available financial resources.

Indexed as

BiasHealth Insurance Portability and Accountability ActAdolescentAdultAgedFemaleHealth SurveysHumansMaleMiddle AgedMinnesotaUnited StatesYoung Adult

Identifiers

PMID21368682
PMCPMC3179247
OpenAlexW81512849

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.