Evidence map›Paper›PMID 28112025›Full record

ArticleJournal of attention disorders2019

Validation of the Use of Electronic Health Records for Classification of ADHD Status.

Siobhan M Gruschow, Benjamin E Yerys, Thomas J Power, Dennis R Durbin, Allison E Curry

Abstract read
In one paragraph

Article in Journal of attention disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Neuropsychiatric events associated with montelukast in patients with asthma: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  3. Pooled it
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  18. Real-World Crash Circumstances Among Newly Licensed Adolescent Drivers With and Without Attention-Deficit/Hyperactivity Disorder.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
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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

5 authors.

Siobhan M Gruschow1 The Children's Hospital of Philadelphia, PA, USA.
Benjamin E Yerys1 The Children's Hospital of Philadelphia, PA, USA.
Thomas J Power1 The Children's Hospital of Philadelphia, PA, USA.
Dennis R Durbin1 The Children's Hospital of Philadelphia, PA, USA.
Allison E Curry1 The Children's Hospital of Philadelphia, PA, USA.

Funding

The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI YUDKOFF, MARC · 2016 to 2020
$6.3M
Longitudinal study of adverse driving outcomes among adolescents with ADHDR01HD079398 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI CURRY, ALLISON ELIZABETH, KLAUER, SHEILA · 2014 to 2025
$4.8M
NICHD NIH HHS R01 HD079398NICHD NIH HHS U54 HD086984
6 · The paper itself

Abstract

objectiveTo validate an electronic health record (EHR)-based algorithm to classify ADHD status of pediatric patients.

methodAs part of an applied study, we identified all primary care patients of The Children's Hospital of Philadelphia [CHOP] health care network who were born 1987-1995 and residents of New Jersey. Patients were classified with ADHD if their EHR indicated an International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis code of "314.x" at a clinical visit or on a list of known conditions. We manually reviewed EHRs for ADHD patients ( n = 2,030) and a random weighted sample of non-ADHD patients ( n = 807 of 13,579) to confirm the presence or absence of ADHD.

resultsDepending on assumptions for inconclusive cases, sensitivity ranged from 0.96 to 0.97 (95% confidence interval [CI] = [0.95, 0.97]), specificity from 0.98 to 0.99 [0.97, 0.99], and positive predictive value from 0.83 to 0.98 [0.81, 0.99].

conclusionEHR-based diagnostic codes can accurately classify ADHD status among pediatric patients and can be used by large-scale epidemiologic and clinical studies with high sensitivity and specificity.

Indexed as

accuracyadolescentsattention deficit disordermedical recordssensitivity

Identifiers

PMID28112025
PMCPMC5843549

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Registered trials

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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.