Evidence map›Paper›PMID 29425633›Full record

ArticleInternational journal of medical informatics2018

Electronic medical records as a replacement for prospective research data collection in postoperative pain and opioid response studies.

Todd Lingren, Senthilkumar Sadhasivam, Xue Zhang, Keith Marsolo

Abstract read
In one paragraph

Article in International journal of medical informatics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Digital Health Data Quality Issues: Systematic Review.Journal of medical Internet research · 2023
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Providers' Perceptions of the Effectiveness of Electronic Health Records in Identifying Opioid Misuse.Journal of healthcare management / American College of Healthcare Executives
    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

4 authors.

Todd LingrenDivision of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
Senthilkumar SadhasivamDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
Xue ZhangDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, USA.
Keith MarsoloDivision of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, USA. Electronic address: keith.marsolo@cchmc.org.

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
Better Outcomes for Children: Promoting Excellence in Healthcare Genomics to Inform PolicyU01HG008666 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI HARLEY, JOHN BARKER · 2015 to 2019
$4.2M
Better Outcomes for Children: GWAS & PheWAS in eMERGEII.U01HG006828 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI HARLEY, JOHN BARKER, HOLM, INGRID ADELE · 2012 to 2014
$4.0M
NCATS NIH HHS UL1 TR000077NHGRI NIH HHS U01 HG006828NHGRI NIH HHS U01 HG008666
6 · The paper itself

Abstract

BACKGROUND AND

aimMany clinical research studies claim to collect data that are also captured in the electronic medical record (EMR). We evaluate the potential for EMR data to replace prospective research data collection.

methodsUsing a dataset of 358 surgical patients enrolled in a prospective study, we examined the completeness and agreement of EMR and study entries for several variables, including the patient's stay in the post-operative care unit (PACU), surgical pain relief and pain medication side effects.

resultsFor all variables with a completeness percentage, values were greater than 96%. For the adverse event variables, we found slight to substantial agreement (Cohen's kappa), ranging from 0.19 (nausea) to 0.48 (respiratory depression) to 0.73 (emesis).

conclusionThe potential to use EMR data as a replacement for prospective research data collection shows promise, but for now, should be evaluated on a variable-by-variable basis.

Indexed as

Analgesics, OpioidData CollectionElectronic Health RecordsHumansPostoperative PainProspective StudiesAnalgesics, OpioidData qualityDimensional measurement accuracyElectronic medical recordsOpioid analgesicsPostoperative painRespiratory depression

Identifiers

PMID29425633
PMCPMC5808990

What OpenQuestion holds

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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.