Evidence map›Paper›PMID 29936151›Full record

ArticleContraception2018

Use of an electronic health record data sharing system for identifying current contraceptive use within the WWAMI region Practice and Research Network.

Emily M Godfrey, Imara I West, John Holmes, Gina A Keppel, Laura-Mae Baldwin

Abstract read
In one paragraph

Article in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

5 authors.

Emily M GodfreyDepartment of Family Medicine, University of Washington, Box 354982, Seattle, WA 98105, USA; Department of Obstetrics and Gynecology, University of Washington, Box 356460, Seattle, WA 98195, USA. Electronic address: godfreye@uw.edu.
Imara I WestDepartment of Family Medicine, University of Washington, Box 354982, Seattle, WA 98105, USA.
John HolmesDepartments of Pharmacy Practice and Family Medicine, Idaho State University, 465 Memorial Drive, Pocatello, ID 83201, USA.
Gina A KeppelDepartment of Family Medicine, University of Washington, Box 354982, Seattle, WA 98105, USA; Institute of Translational Health Sciences, Box 357184, Seattle, WA 98195, USA.
Laura-Mae BaldwinDepartment of Family Medicine, University of Washington, Box 354982, Seattle, WA 98105, USA; Institute of Translational Health Sciences, Box 357184, Seattle, WA 98195, USA.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

objectiveTo evaluate the ability of electronic health record (EHR) data extracted into a data-sharing system to accurately identify contraceptive use. STUDY

designWe compared rates of contraceptive use from electronic extraction of EHR data via a data-sharing system and manual abstraction of the EHR among 142 female patients ages 15-49 years from a family medicine clinic within a primary care practice-based research network (PBRN). Cohen's kappa coefficient measured agreement between electronic extraction and manual abstraction.

resultsManual abstraction identified 62% of women as contraceptive users, whereas electronic extraction identified only 27%. Long acting reversible (LARC) methods had 96% agreement (Cohen's kappa 0.78; confidence interval, 0.57-0.99) between electronic extraction and manual abstraction. EHR data extracted via a data-sharing system was unable to identify barrier or over-the-counter contraceptives.

conclusionsElectronic extraction found substantially lower overall rates of contraceptive method use, but produced more comparable LARC method use rates when compared to manual abstraction among women in this study's primary care clinic. IMPLICATIONS: Quality metrics related to contraceptive use that rely on EHR data in this study's data-sharing system likely under-estimated true contraceptive use.

Indexed as

Electronic Health RecordsAdolescentAdultContraception, BarrierContraception BehaviorData MiningFamily PracticeFemaleHumansInformation DisseminationLong-Acting Reversible ContraceptionMiddle AgedYoung Adultabstractioncontraceptiondata-sharing systemelectronic health recordextractionguidelines

Identifiers

PMID29936151
PMCPMC6913191

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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.