Evidence map›Paper›PMID 29929853›Full record

ReviewJournal of pediatric urology2018

"Minimally invasive research?" Use of the electronic health record to facilitate research in pediatric urology.

Vijaya M Vemulakonda, Ruth A Bush, Michael G Kahn

Abstract readReview
In one paragraph

Review in Journal of pediatric urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Vijaya M VemulakondaDepartment of Pediatric Urology, Children's Hospital Colorado, Aurora, CO, USA; Division of Urology, Department of Surgery, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Vijaya.Vemulakonda@childrenscolorado.org.
Ruth A BushClinical Informatics, Rady Children's Hospital San Diego, San Diego, CA, USA; University of San Diego Beyster Institute for Nursing Research, San Diego, CA, USA.
Michael G KahnDepartment of Pediatrics, Colorado Clinical and Translational Sciences Institute and Colorado Center for Personalized Medicine, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, USA; Research Informatics, Children's Hospital Colorado, Aurora, CO, USA.

Funding

Adolescent Disease Autonomy using Patient Portal Technology (ADAPPT)R00HS022404 · AHRQ · UNIVERSITY OF SAN DIEGO · PI BUSH, RUTH A · 2015 to 2017
$747k
Understanding Practice Variations in Treatment of Infants with Suspected UPJ ObstructionK08HS024597 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI VEMULAKONDA, VIJAYA M. · 2016 to 2020
$744k
AHRQ HHS K08 HS024597AHRQ HHS R00 HS022404
6 · The paper itself

Abstract

backgroundThe electronic health record (EHR) was designed as a clinical and administrative tool to improve clinical patient care. Electronic healthcare systems have been successfully adopted across the world through use of government mandates and incentives.

methodsUsing electronic health record, health information system, electronic medical record, health information systems, research, outcomes, pediatric, surgery, and urology as initial search terms, the literature focusing on clinical documentation data capture and the EHR as a potential resource for research related to clinical outcomes, quality improvement, and comparative effectiveness was reviewed. Relevant articles were supplemented by secondary review of article references as well as seminal articles in the field as identified by the senior author.

findingsUS federal funding agencies, including the Agency for Healthcare Research and Quality, the Patient-Centered Outcomes Research Institute, the National Institutes of Health, and the Food and Drug Administration have recognized the EHR's role supporting research. The main approached to using EHR data include enhanced lists, direct data extraction, structured data entry, and unstructured data entry. The EHR's potential to facilitate research, overcoming cost and time burdens associated with traditional data collection, has not resulted in widespread use of EHR-based research tools.

conclusionThere are strengths and weaknesses for all existing methodologies of using EHR data to support research. Collaboration is needed to identify the method that best suits the institution for incorporation of research-oriented data collection into routine pediatric urologic clinical practice.

Indexed as

Electronic Health RecordsPediatricsUrologyBiomedical ResearchChildHumansComparative effectivenessElectronic health recordHealth information technologySurgical outcomes

Identifiers

PMID29929853
PMCPMC6286872

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.