ArticleAnnals of epidemiology2017
The utility of EMR address histories for assessing neighborhood exposures.
Article in Annals of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The quality of social determinants data in the electronic health record: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Geographical Distance, Socioeconomic Deprivation, and Educational Level Shape Access to Voluntary Termination of Pregnancy in a Southern Region of Italy.Healthcare (Basel, Switzerland) · 2025Article
- Geographic Socioeconomic Influences on Disease Activity in Rheumatoid Arthritis in an Academic and Safety Net Hospital System.ACR open rheumatology · 2025Article
- Strategies for ascertaining timing of address changes in administrative data.International journal of population data science · 2025Article
- Socio-Ecologic Influences on Weight Trajectories Among Children with Obesity Living in Rural and Urban Settings.Childhood obesity (Print) · 2024Article
- Residential history, the electronic health record, and clinical medicine: A descriptive study in a lung transplant cohort.Health & place · 2024Article
- Leveraging Electronic Health Records to Assess Residential Mobility Among Veterans in the Veterans Health Administration.Medical care · 2024Article
- The Texas Health Resources Clinical Scholars Program: Learning healthcare system workforce development through embedded translational research.Learning health systems · 2022Article
- Matching participant address with public records database in a US national longitudinal cohort study.SSM - population health · 2021Article
- Social Disadvantage, Healthcare Utilization, and Colorectal Cancer Screening: Leveraging Longitudinal Patient Address and Health Records Data.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018Article
- Mapping Neighborhood Health Geomarkers To Clinical Care Decisions To Promote Equity In Child Health.Health affairs (Project Hope) · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
purposeElectronic medical records (EMRs) include residential address histories, which may alleviate exposure misclassification caused by exclusion of patient spatiotemporal location. EMR data are increasingly available but rarely leveraged as a measure of cumulative environmental exposure, in part due to limited understanding of the validity of EMR-derived address histories.
methodsWe compared EMR address histories to self-reported histories among 100 patients of a safety-net health care system completing a telephone survey. We assessed agreement and compared seven neighborhood-level environmental exposures as assessed using both data sources.
resultsWhile 17.1% of respondents did not live at the most recent EMR-derived address during the survey, nearly all (98%) lived there at some point. For respondents with more than one EMR-derived address (N = 64), 87.5% had once lived at the previous EMR address. Of these, 30.4% lived at 1 or more additional residences between the two most recent EMR address. For all measures, neighborhood-level environmental exposures did not differ when using EMR-derived versus self-report addresses.
conclusionsMore recent EMR-derived addresses are more accurate, and differences compared to self-reported addresses in neighborhood-level exposures are negligible. EMR-derived address histories are incomplete and likely suffer from collection bias; future research should further assess their validity and reliability.
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