Evidence map›Paper›PMID 28925416›Full record

ArticleApplied clinical informatics2017

Extracting autism spectrum disorder data from the electronic health record.

Ruth A Bush, Cynthia D Connelly, Alexa Pérez, Halsey Barlow, George J Chiang

Abstract read
In one paragraph

Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. A practical approach to identifying autistic adults within the electronic health record.Autism research : official journal of the International Society for Autism Research · 2023
    Article
  7. Article
  8. Article
  9. Using phecode analysis to characterize co-occurring medical conditions in autism spectrum disorder.Autism : the international journal of research and practice · 2021
    Article
  10. Article
  11. Article
  12. Review
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.

Ruth A BushRuth A. Bush PhD, MPH, Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, USA, Email: Rbush@sandiego.edu.
Cynthia D Connelly
Alexa Pérez
Halsey Barlow
George J Chiang

Funding

Adolescent Disease Autonomy using Patient Portal Technology (ADAPPT)R00HS022404 · AHRQ · UNIVERSITY OF SAN DIEGO · PI BUSH, RUTH A · 2015 to 2017
$747k
Adapting Electronic Medical Record to Measure Medical Outcomes in ASD PopulationsK99HS022404 · AHRQ · RADY CHILDREN'S HOSPITAL - SAN DIEGO · PI BUSH, RUTH A · 2013 to 2014
$282k
AHRQ HHS K99 HS022404AHRQ HHS R00 HS022404
6 · The paper itself

Abstract

backgroundLittle is known about the health care utilization patterns of individuals with pediatric autism spectrum disorder (ASD).

objectivesElectronic health record (EHR) data provide an opportunity to study medical utilization and track outcomes among children with ASD.  Methods: Using a pediatric, tertiary, academic hospital's Epic EHR, search queries were built to identify individuals aged 2-18 with International Classification of Diseases, Ninth Revision (ICD-9) codes, 299.00, 299.10, and 299.80 in their records. Codes were entered in the EHR using four different workflows: (1) during an ambulatory visit, (2) abstracted by Health Information Management (HIM) for an encounter, (3) recorded on the patient problem list, or (4) added as a chief complaint during an Emergency Department visit. Once individuals were identified, demographics, scheduling, procedures, and prescribed medications were extracted for all patient-related encounters for the period October 2010 through September 2012.

resultsThere were 100,000 encounters for more than 4,800 unique individuals. Individuals were most frequently identified with an HIM abstracted code (82.6%) and least likely to be identified by a chief complaint (45.8%). Categorical frequency for reported race (2 = 816.5, p < 0.001); payor type (2 = 354.1, p < 0.001); encounter type (2 = 1497.0, p < 0.001); and department (2 = 3722.8, p < 0.001) differed by search query. Challenges encountered included, locating available discrete data elements and missing data.

conclusionsThis study identifies challenges inherent in designing inclusive algorithms for identifying individuals with ASD and demonstrates the utility of employing multiple extractions to improve the completeness and quality of EHR data when conducting research.

Indexed as

Autism Spectrum DisorderData MiningElectronic Health RecordsAdolescentChildChild, PreschoolFemaleHumansMaleAutism spectrum disordercomparative effectiveness researchelectronic health recordpediatrics

Identifiers

PMID28925416
PMCPMC6220703

What OpenQuestion holds

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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.