Evidence map›Paper›PMID 28340241›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Pragmatic (trial) informatics: a perspective from the NIH Health Care Systems Research Collaboratory.

Rachel L Richesson, Beverly B Green, Reesa Laws, Jon Puro, Michael G Kahn, Alan Bauck, Michelle Smerek, Erik G Van Eaton, Meredith Zozus, W Ed Hammond and 2 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

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

  1. Review
  2. Article
  3. Article
  4. Clinical Research Informatics: a Decade-in-Review.Yearbook of medical informatics · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Catalyzing dementia care through the learning health system and consumer health information technology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. User stories as lightweight requirements for agile clinical decision support development.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  18. Article
  19. Article
  20. 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

12 authors.

Rachel L RichessonDivision of Clinical Systems and Analytics, Duke University School of Nursing, Durham, NC, USA.
Beverly B GreenKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Reesa LawsKaiser Permanente Center for Health Research, Portland, OR, USA.
Jon PuroOCHIN Inc, Portland, OR, USA.
Michael G KahnDepartment of Pediatrics, University of Colorado, Denver, CO, USA.
Alan BauckKaiser Permanente Center for Health Research, Portland, OR, USA.
Michelle SmerekClinical Research Informatics, Duke Clinical Research Institute, Durham, NC, USA.
Erik G Van EatonDepartment of Surgery, University of Washington, Seattle, WA, USA.
Meredith ZozusUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA.
W Ed HammondDuke Center for Health Informatics, Durham, NC, USA.
Kari A StephensDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Greg E SimonKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.

Funding

Health Care Systems Research Collaboratory SupplementU54AT007748 · NCCIH · DUKE UNIVERSITY · PI CURTIS, LESLEY H, HERNANDEZ, ADRIAN · 2012 to 2017
$15.1M
Strategies and Opportunities to Stop Colon Cancer in Priority PopulationsUH3CA188640 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORONADO, GLORIA D · 2014 to 2017
$6.1M
DECREASING BIOBURDEN TO REDUCE HEALTHCARE-ASSOCIATED INFECTIONS AND READMISSIONSUH2AT007769 · NCCIH · UNIVERSITY OF CALIFORNIA-IRVINE · PI HUANG, SUSAN S. · 2012 to 2013
$1.0M
Strategies and Opportunities to Stop Colon Cancer in Priority PopulationsUH2AT007782 · NCCIH · KAISER FOUNDATION RESEARCH INSTITUTE · PI CORONADO, GLORIA D, DEVOE, JENNIFER E · 2012 to 2013
$859k
Pragmatic Trials in Maintenance HemodialysisUH2AT007797 · NCCIH · UNIVERSITY OF PENNSYLVANIA · PI DEMBER, LAURA M · 2012 to 2012
$851k
A Pragmatic Trial of Lumbar Image Reporting with Epidemiology (LIRE)UH2AT007766 · NCCIH · UNIVERSITY OF WASHINGTON · PI JARVIK, JEFFREY G · 2012 to 2012
$838k
Collaborative Care for Chronic Pain in Primary CareUH2AT007788 · NCCIH · KAISER FOUNDATION RESEARCH INSTITUTE · PI DEBAR, LYNN L. · 2012 to 2012
$818k
Nighttime Dosing of Anti-Hypertensive Medications: A Pragmatic Clinical TrialUH2AT007784 · NCCIH · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2012 to 2012
$770k
Pragmatic trial of population-based programs to prevent suicide attemptUH2AT007755 · NCCIH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI SIMON, GREGORY E. · 2012 to 2012
$760k
NCCIH NIH HHS U54 AT007748NCCIH NIH HHS UH2 AT007755NCCIH NIH HHS UH2 AT007766NCCIH NIH HHS UH2 AT007769NCCIH NIH HHS UH2 AT007782NCCIH NIH HHS UH2 AT007784NCCIH NIH HHS UH2 AT007788NCCIH NIH HHS UH2 AT007797NCI NIH HHS UH3 CA188640
6 · The paper itself

Abstract

Pragmatic clinical trials (PCTs) are research investigations embedded in health care settings designed to increase the efficiency of research and its relevance to clinical practice. The Health Care Systems Research Collaboratory, initiated by the National Institutes of Health Common Fund in 2010, is a pioneering cooperative aimed at identifying and overcoming operational challenges to pragmatic research. Drawing from our experience, we present 4 broad categories of informatics-related challenges: (1) using clinical data for research, (2) integrating data from heterogeneous systems, (3) using electronic health records to support intervention delivery or health system change, and (4) assessing and improving data capture to define study populations and outcomes. These challenges impact the validity, reliability, and integrity of PCTs. Achieving the full potential of PCTs and a learning health system will require meaningful partnerships between health system leadership and operations, and federally driven standards and policies to ensure that future electronic health record systems have the flexibility to support research.

Indexed as

Electronic Health RecordsMedical InformaticsNational Institutes of Health (U.S.)Pragmatic Clinical Trials as TopicHumansResearch DesignUnited Statesclinical informaticsdemonstration projectelectronic health recordsNational Institutes of Healthpragmatic clinical trial

Identifiers

PMID28340241
PMCPMC6916747

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.