Evidence map›Paper›PMID 25954325›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2014

Capture of osteoporosis and fracture information in an electronic medical record database from primary care.

Sonya Allin, Sarah Munce, Susan Jaglal, Debra Butt, Jacqueline Young, Karen Tu

Open access · greenAbstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

Sonya AllinUniversity of Toronto, Toronto, ON, Canada.
Sarah MunceUniversity of Toronto, Toronto, ON, Canada.
Susan JaglalUniversity of Toronto, Toronto, ON, Canada ; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
Debra ButtUniversity of Toronto, Toronto, ON, Canada ; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
Jacqueline YoungInstitute for Clinical Evaluative Sciences, Toronto, ON, Canada.
Karen TuUniversity of Toronto, Toronto, ON, Canada ; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
University of Toronto · CAInstitute for Clinical Evaluative Sciences · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a large database of EMR records, we explore: 1) completeness in capture of bone mineral density (BMD) T-scores required for diagnosis of osteoporosis; 2) concordance of BMD exam information with other osteoporosis information; and 3) evidence of osteoporosis screening among fracture patients. To explore completeness of exam capture, BMD exams in the EMR were related to a provincial billing database. To explore concordance of information and screening rates, 7500 EMR records were reviewed for osteoporosis and fracture details. Results show that 98% of exams billed to the province for EMR patients were found in the EMR. However, documented osteoporosis was substantiated with BMD results only 55.8% of the time. Of 151 charts for fragility fracture patients, 1 in 4 contained no evidence of osteoporosis investigation. In summary, while EMR information about osteoporosis is of variable quality, EMR records shed light on osteoporosis management indicators and completely capture BMD results.

Indexed as

Bone DensityDatabases, FactualElectronic Health RecordsFractures, BoneOsteoporosisHumansInsurance Claim ReportingNational Health ProgramsOntarioPrimary Health Care

Identifiers

PMID25954325
PMCPMC4419931
OpenAlexW2412279003

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.