Evidence map›Paper›PMID 28645207›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

Development and validation of an electronic medical record (EMR)-based computed phenotype of HIV-1 infection.

Devon W Paul, Nigel B Neely, Meredith Clement, Isaretta Riley, Mashael Al-Hegelan, Matthew Phelan, Monica Kraft, David M Murdoch, Joseph Lucas, John Bartlett and 2 more

Open access · bronzeAbstract readValidation Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

24 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
  3. A general framework for developing computable clinical phenotype algorithms.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  4. Article
  5. Automated HIV Case Identification from the MIMIC-IV Database.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
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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

12 authors at 3 institutions in 1 country.

Devon W PaulDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC, USA.
Nigel B NeelyDuke Clinical Research Institute, Durham, NC, USA.
Meredith ClementDuke Clinical Research Institute, Durham, NC, USA.
Isaretta RileyDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC, USA.
Mashael Al-HegelanDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC, USA.
Matthew PhelanDuke Clinical Research Institute, Durham, NC, USA.
Monica KraftDepartment of Internal Medicine, University of Arizona, Tucson, AZ, USA.
David M MurdochDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC, USA.
Joseph LucasDuke Clinical Research Institute, Durham, NC, USA.
John BartlettDivision of Infectious Diseases, Duke University, Durham, NC, USA.
Mehri McKellarDivision of Infectious Diseases, Duke University, Durham, NC, USA.
Loretta G QueDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham, NC, USA.
Duke University · USClinical Research Institute · USUniversity of Arizona · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
HIV and Asthma in the Post- ART EraR56HL126537 · NHLBI · DUKE UNIVERSITY · PI BARTLETT, JOHN A, KRAFT, MONICA · 2014 to 2014
$729k
NHLBI NIH HHS R56 HL126537NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

Background: Electronic medical record (EMR) computed algorithms allow investigators to screen thousands of patient records to identify specific disease cases. No computed algorithms have been developed to detect all cases of human immunodeficiency virus (HIV) infection using administrative, laboratory, and clinical documentation data outside of the Veterans Health Administration. We developed novel EMR-based algorithms for HIV detection and validated them in a cohort of subjects in the Duke University Health System (DUHS). Methods: We created 2 novel algorithms to identify HIV-infected subjects. Algorithm 1 used laboratory studies and medications to identify HIV-infected subjects, whereas Algorithm 2 used International Classification of Diseases, Ninth Revision (ICD-9) codes, medications, and laboratory testing. We applied the algorithms to a well-characterized cohort of patients and validated both against the gold standard of physician chart review. We determined sensitivity, specificity, and prevalence of HIV between 2007 and 2011 in patients seen at DUHS. Results: A total of 172 271 patients were detected with complete data; 1063 patients met algorithm criteria for HIV infection. In all, 970 individuals were identified by both algorithms, 78 by Algorithm 1 alone, and 15 by Algorithm 2 alone. The sensitivity and specificity of each algorithm were 78% and 99%, respectively, for Algorithm 1 and 77% and 100% for Algorithm 2. The estimated prevalence of HIV infection at DUHS between 2007 and 2011 was 0.6%. Conclusions: EMR-based phenotypes of HIV infection are capable of detecting cases of HIV-infected adults with good sensitivity and specificity. These algorithms have the potential to be adapted to other EMR systems, allowing for the creation of cohorts of patients across EMR systems.

Indexed as

AlgorithmsElectronic Health RecordsHIV-1AdultHIV InfectionsHumansPhenotypeSensitivity and Specificitydiagnostic algorithmelectronic medical recordHIV

Identifiers

PMID28645207
PMCPMC6381767
OpenAlexW2640294447

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.