Evidence map›Paper›PMID 26184057›Full record

ArticleJournal of biomedical informatics2015

A structured approach to recording AIDS-defining illnesses in Kenya: A SNOMED CT based solution.

Tom Oluoch, Nicolette de Keizer, Patrick Langat, Irene Alaska, Kenneth Ochieng, Nicky Okeyo, Daniel Kwaro, Ronald Cornet

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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, 11 citations in OpenAlex.

  1. Article
  2. The use of SNOMED CT, 2013-2020: a literature review.Journal of the American Medical Informatics Association : JAMIA · 2021
    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

8 authors at 4 institutions in 4 countries.

Tom OluochU.S. Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Nairobi, Kenya. Electronic address: toluoch@cdc.gov.
Nicolette de KeizerDepartment of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Patrick LangatKenya Medical Research Institute - CDC Collaborative Program, Kisumu, Kenya.
Irene AlaskaKenya Medical Research Institute - CDC Collaborative Program, Kisumu, Kenya.
Kenneth OchiengKenya Medical Research Institute - CDC Collaborative Program, Kisumu, Kenya.
Nicky OkeyoKenya Medical Research Institute - CDC Collaborative Program, Kisumu, Kenya.
Daniel KwaroKenya Medical Research Institute - CDC Collaborative Program, Kisumu, Kenya.
Ronald CornetDepartment of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Department of Biomedical Engineering, Linköping University, Linköping, Sweden.
Kenya Medical Research Institute · KEAmsterdam UMC Location University of Amsterdam · NLCenters for Disease Control and Prevention · UGLinköping University · SE

Funding

CGH CDC HHS GH000048-04CGH CDC HHS U01 GH000048PEPFAR
6 · The paper itself

Abstract

introductionSeveral studies conducted in sub-Saharan Africa (SSA) have shown that routine clinical data in HIV clinics often have errors. Lack of structured and coded documentation of diagnosis of AIDS defining illnesses (ADIs) can compromise data quality and decisions made on clinical care.

methodsWe used a structured framework to derive a reference set of concepts and terms used to describe ADIs. The four sources used were: (i) CDC/Accenture list of opportunistic infections, (ii) SNOMED Clinical Terms (SNOMED CT), (iii) Focus Group Discussion (FGD) among clinicians and nurses attending to patients at a referral provincial hospital in western Kenya, and (iv) chart abstraction from the Maternal Child Health (MCH) and HIV clinics at the same hospital. Using the January 2014 release of SNOMED CT, concepts were retrieved that matched terms abstracted from approach iii & iv, and the content coverage assessed. Post-coordination matching was applied when needed.

resultsThe final reference set had 1054 unique ADI concepts which were described by 1860 unique terms. Content coverage of SNOMED CT was high (99.9% with pre-coordinated concepts; 100% with post-coordination). The resulting reference set for ADIs was implemented as the interface terminology on OpenMRS data entry forms.

conclusionDifferent sources demonstrate complementarity in the collection of concepts and terms for an interface terminology. SNOMED CT provides a high coverage in the domain of ADIs. Further work is needed to evaluate the effect of the interface terminology on data quality and quality of care.

Indexed as

Medical Records, Problem-OrientedAcquired Immunodeficiency SyndromeAnti-Retroviral AgentsData CollectionDeveloping CountriesFocus GroupsHIV InfectionsHumansInformation ManagementInformation Storage and RetrievalKenyaMedical Records Systems, ComputerizedQuality of Health CareReference ValuesReproducibility of ResultsSoftwareAnti-Retroviral AgentsAIDSAIDS-related opportunistic infectionsDeveloping countriesQuality of healthcareSNOMED CT

Identifiers

PMID26184057
PMCPMC4987091
OpenAlexW1881854790

What OpenQuestion holds

Textmetadata
LicenceTDM
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.