Evidence map›Paper›PMID 30225406›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2017

Automated Diabetes Case Identification Using Electronic Health Record Data at a Tertiary Care Facility.

Sudhi G Upadhyaya, Dennis H Murphree, Che G Ngufor, Alison M Knight, Daniel J Cronk, Robert R Cima, Timothy B Curry, Jyotishman Pathak, Rickey E Carter, Daryl J Kor

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
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  6. Automated sample annotation for diabetes mellitus in healthcare integrated biobanking.Computational and structural biotechnology journal · 2024
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  10. Automated Type 2 Diabetes Case and Control Identification from the MIMIC-IV Database.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023
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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

10 authors.

Sudhi G UpadhyayaDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Dennis H MurphreeDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Che G NguforDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Alison M KnightDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Daniel J CronkDepartment of Information Technology, Mayo Clinic, Rochester, MN.
Robert R CimaDivision of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN.
Timothy B CurryDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
Jyotishman PathakDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Rickey E CarterDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN.
Daryl J KorDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.

Funding

National Infrastructure for Standardized and Portable EHR Phenotyping AlgorithmsR01GM105688 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI LUO, YUAN, PATHAK, JYOTISHMAN · 2013 to 2020
$5.7M
NIGMS NIH HHS R01 GM105688
6 · The paper itself

Abstract

objectiveTo develop and validate a phenotyping algorithm for the identification of patients with type 1 and type 2 diabetes mellitus (DM) preoperatively using routinely available clinical data from electronic health records. PATIENTS AND

methodsWe used first-order logic rules (if-then-else rules) to imply the presence or absence of DM types 1 and 2. The "if" clause of each rule is a conjunction of logical

resultsA total of 4208 surgical patients (mean age, 52 years; males, 48%) were analyzed to develop the phenotyping algorithm. Expert review identified 685 patients (16.28% of the full cohort) as having DM. Our proposed method identified 684 patients (16.25%) as having DM. The algorithm performed well-99.70% sensitivity, 99.97% specificity-and compared favorably with previous approaches.

conclusionAmong patients undergoing surgery, determination of DM can be made with high accuracy using simple, computationally efficient rules. Knowledge of patients' DM status before surgery may alter physicians' care plan and reduce postsurgical complications. Nevertheless, future efforts are necessary to determine the effect of first-order logic rules on clinical processes and patient outcomes.

Indexed as

CCW, Chronic Condition Data WarehouseDDC, Durham Diabetes CoalitionDM, diabetes mellitusEHR, electronic health recordeMERGE, Electronic Medical Records and GenomicsHbA1c, hemoglobin A1cHbA1c of NYC, Hemoglobin A1c of New York CityICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical ModificationMICS, Mayo Integrated Clinical SystemsNLP, natural language processingSUPREME-DM, Surveillance, Prevention, and Management of Diabetes MellitusT1DM, type 1 diabetes mellitusT2DM, type 2 diabetes mellitus

Identifiers

PMID30225406
PMCPMC6135013

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LicenceCC BY-NC-ND
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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.