ArticleEGEMS (Washington, DC)2017
From Concepts and Codes to Healthcare Quality Measurement: Understanding Variations in Value Set Vocabularies for a Statin Therapy Clinical Quality Measure.
Article in EGEMS (Washington, DC), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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.
Who cites it
5 citing papers in PubMed.
- A multi-site randomized trial of a clinical decision support intervention to improve problem list completeness.Journal of the American Medical Informatics Association : JAMIA · 2023Trial
- Evaluation of Discrepancies Among National Library of Medicine (NLM) Value Set Authority Center (VSAC) ICD-10-CM Value Sets: Case Study for Diagnoses of Common Chronic Conditions, Implications, and Potential Solutions.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Establishing Trust in Pharmaceutical Data with an Independent Verification and Validation Methodology.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022Article
- Understanding the Impact of Variations in Measurement Period Reporting for Electronic Clinical Quality Measures.EGEMS (Washington, DC) · 2018Article
- Specifications of Clinical Quality Measures and Value Set Vocabularies Shift Over Time: A Study of Change through Implementation Differences.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo understand the impact of distinct concept to value set mapping on the measurement of quality of care.
backgroundClinical quality measures (CQMs) intend to measure the quality of healthcare services provided, and to help promote evidence-based therapies. Most CQMs consist of grouped codes from vocabularies - or 'value sets' - that represent the unique identifiers (i.e., object identifiers), concepts (i.e., value set names), and concept definitions (i.e., code groups) that define a measure's specifications. In the development of a statin therapy CQM, two unique value sets were created by independent measure developers for the same global concepts.
methodsWe first identified differences between the two value set specifications of the same CQM. We then implemented the various versions in a quality measure calculation registry to understand how the differences affected calculated prevalence of risk and measure performance.
resultsGlobal performance rates only differed by 0.8%, but there were up to 2.3 times as many patients included with key conditions, and differing performance rates of 7.5% for patients with 'myocardial infarction' and 3.5% for those with 'ischemic vascular disease'.
conclusionThe decisions CQM developers make about which concepts and code groups to include or exclude in value set vocabularies can lead to inaccuracies in the measurement of quality of care. One solution is that developers could provide rationale for these decisions. Endorsements are needed to encourage system vendors, payers, informaticians, and clinicians to collaborate in the creation of more integrated terminology sets.
Identifiers
What OpenQuestion holds
Registered trials
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.