Evidence map›Paper›PMID 26013663›Full record

ArticleBMC pregnancy and childbirth2015

Validating the British Columbia Perinatal Data Registry: a chart re-abstraction study.

Gillian Frosst, Jennifer Hutcheon, K S Joseph, Brooke Kinniburgh, Cathe Johnson, Lily Lee

Abstract readValidation Study
In one paragraph

Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Temporal trends in risk of acute kidney injury among patients with preeclampsia in Canada: a retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Article
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  6. BORN to be validated: Assessing agreement between Ontario's birth registry and CIHI-DAD.Health information management : journal of the Health Information Management Association of Australia · 2026
    Article
  7. Article
  8. Article
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  14. Article
  15. Administrative Databases: Friend or Foe in Paediatric Cardiomyopathy.CJC pediatric and congenital heart disease · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Pitfalls of analyzing perinatal outcomes by health care provider.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  20. Author response to "Pitfalls of analyzing perinatal outcomes by health care provider".CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    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.

Gillian FrosstPerinatal Services BC, West Tower, 3rd Floor, 555 West 12th Avenue, Vancouver, British Columbia, Canada, V5Z 3X7. Gillian.Frosst@interiorhealth.ca.
Jennifer HutcheonPerinatal Services BC, West Tower, 3rd Floor, 555 West 12th Avenue, Vancouver, British Columbia, Canada, V5Z 3X7. jhutcheon@cfri.ca.
K S JosephDepartment of Obstetrics and Gynaecology, University of British Columbia, Shaughnessy Building C420, BC Children's and Women's Hospital, 4500 Oak Street, Vancouver, British Columbia, Canada, V6H 3N1. Ksjoseph@cfri.ca.
Brooke KinniburghPerinatal Services BC, West Tower, 3rd Floor, 555 West 12th Avenue, Vancouver, British Columbia, Canada, V5Z 3X7. Bkinniburgh@phsa.ca.
Cathe JohnsonPerinatal Services BC, West Tower, 3rd Floor, 555 West 12th Avenue, Vancouver, British Columbia, Canada, V5Z 3X7. cjohnson@phsa.ca.
Lily LeePerinatal Services BC, West Tower, 3rd Floor, 555 West 12th Avenue, Vancouver, British Columbia, Canada, V5Z 3X7. lily.lee@phsa.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe British Columbia Perinatal Data Registry (BCPDR) contains individual-level obstetrical and neonatal medical chart data for virtually all births occurring in British Columbia, Canada. The objective of this study was to assess the validity of information in the BCPDR by performing a provincial chart re-abstraction study.

methodsA two-stage stratified clustered sampling design was employed. Obstetrical facilities were stratified based on geographic location and obstetrical volume. Charts of mothers and newborns with a length of stay of five or more days or transfer to another facility following the delivery were oversampled. A total of 85 maternal and 32 newborn variables were assessed for completeness (percent completion) and validity (sensitivity and specificity for categorical variables, intra-class correlation coefficient [ICC] for continuous variables).

results1,084 maternal and 1,142 newborn charts were abstracted. Mandatory variables such as primary indication for induction and primary indication for cesarean delivery were 100 % complete. Some variables such as pre-pregnancy weight were relatively more complete in the re-abstraction as compared with the BCPDR (83.0 % vs 76.8 %; p < 0.001). The validity of key surveillance variables was high (e.g., HIV screening completed [sensitivity 98.0 %, 95 % confidence interval (CI) 97.0-98.8 %; specificity 72.3 %, 95 % CI 60.8-81.9 %], induction of labour [sensitivity 93.9 %, 95 % CI 90.2-96.5 %; specificity 98.7 %, 95 % CI 97.7-99.3 %], primary elective cesarean delivery [sensitivity 96.0 %, 95 % CI 83.8-99.7 %; specificity 99.8 %, 95 % CI 99.4-100.0 %], gestational age from newborn examination [ICC 0.99, 95 % CI 0.99-0.99]). Examples of variables with lower validity included total admissions prior to delivery episode, maternal smoking status, and timing of breastfeeding initiation.

conclusionMany important clinical and population health variables in the BCPDR had excellent validity. Some key variables warrant strengthening through improved definitions, system changes, and abstractor training.

Indexed as

AdultBritish ColumbiaCluster AnalysisDelivery, ObstetricFemaleHumansInfant HealthInfant, NewbornMaternal HealthMedical RecordsPerinatal CarePregnancyRegistriesReproducibility of ResultsSensitivity and Specificity

Identifiers

PMID26013663
PMCPMC4445296

What OpenQuestion holds

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LicenceCC BY
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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.