Evidence map›Paper›PMID 22135501›Full record

ArticleClinical epidemiology2011

Use of electronic medical records (EMR) for oncology outcomes research: assessing the comparability of EMR information to patient registry and health claims data.

Edmund C Lau, Fionna S Mowat, Michael A Kelsh, Jason C Legg, Nicole M Engel-Nitz, Heather N Watson, Helen L Collins, Robert J Nordyke, Joanna L Whyte

Abstract read
In one paragraph

Article in Clinical epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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

27 citing papers in PubMed.

  1. Comparison of primary payer in cancer registry and discharge data.The American journal of managed care · 2023
    Article
  2. Enabling realistic health data re-identification risk assessment through adversarial modeling.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  3. Article
  4. Cohort Identification for Translational Bioinformatics Studies.Methods in molecular biology (Clifton, N.J.) · 2021
    Article
  5. A Conceptual Model of an Oncology Information System.Cancer management and research · 2020
    Article
  6. Appropriateness of granulocyte colony-stimulating factor use in patients receiving chemotherapy by febrile neutropenia risk level.Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners · 2019
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Biases introduced by filtering electronic health records for patients with "complete data".Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  14. Estimation of State-Level Prevalence of Hepatitis C Virus Infection, US States and District of Columbia, 2010.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  15. Article
  16. -Omic and Electronic Health Record Big Data Analytics for Precision Medicine.IEEE transactions on bio-medical engineering · 2017
    Review
  17. Article
  18. Burden of symptoms associated with development of metastatic bone disease in patients with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Article
  19. Article
  20. Patients with bone metastases from solid tumors initiating treatment with a bone-targeted agent in 2011: a descriptive analysis using oncology clinic data in the US.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
    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

9 authors.

Edmund C LauExponent, Menlo Park, CA, USA.
Fionna S Mowat
Michael A Kelsh
Jason C Legg
Nicole M Engel-Nitz
Heather N Watson
Helen L Collins
Robert J Nordyke
Joanna L Whyte

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledElectronic medical records (EMRs) are used increasingly for research in clinical oncology, epidemiology, and comparative effectiveness research (CER).

objectiveTo assess the utility of using EMR data in population-based cancer research by comparing a database of EMRs from community oncology clinics against Surveillance Epidemiology and End Results (SEER) cancer registry data and two claims databases (Medicare and commercial claims). STUDY DESIGN AND

settingDEMOGRAPHIC, CLINICAL, AND TREATMENT PATTERNS IN THE EMR, SEER, MEDICARE, AND COMMERCIAL CLAIMS DATA WERE COMPARED USING SIX TUMOR SITES: breast, lung/bronchus, head/neck, colorectal, prostate, and non-Hodgkin's lymphoma (NHL). We identified various challenges in data standardization and selection of appropriate statistical procedures. We describe the patient and clinic inclusion criteria, treatment definitions, and consideration of the administrative and clinical purposes of the EMR, registry, and claims data to address these challenges.

resultsSex and 10-year age distributions of patient populations for each tumor site were generally similar across the data sets. We observed several differences in racial composition and treatment patterns, and modest differences in distribution of tumor site.

conclusionOur experience with an oncology EMR database identified several factors that must be considered when using EMRs for research purposes or generalizing results to the US cancer population. These factors were related primarily to evaluation of treatment patterns, including evaluation of stage, geographic location, race, and specialization of the medical facilities. While many specialty EMRs may not provide the breadth of data on medical care, as found in comprehensive claims databases and EMR systems, they can provide detailed clinical data not found in claims that are extremely important in conducting epidemiologic and outcomes research.

Indexed as

data generalizabilityelectronic health recordsepidemiologyhealth care claims dataoncology research

Identifiers

PMID22135501
PMCPMC3224632

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.