Evidence map›Paper›PMID 30305917›Full record

ReviewDigital health

Diabetes and the direct secondary use of electronic health records: Using routinely collected and stored data to drive research and understanding.

Tim Robbins, Sarah N Lim Choi Keung, Sailesh Sankar, Harpal Randeva, Theodoros N Arvanitis

Abstract readReview
In one paragraph

Review in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

5 authors.

Tim RobbinsInstitute of Digital Healthcare, WMG, University of Warwick, Coventry, UK.ORCID https://orcid.org/0000-0002-5230-8205
Sarah N Lim Choi KeungInstitute of Digital Healthcare, WMG, University of Warwick, Coventry, UK.
Sailesh SankarUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Harpal RandevaUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Theodoros N ArvanitisInstitute of Digital Healthcare, WMG, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionElectronic health records provide an unparalleled opportunity for the use of patient data that is routinely collected and stored, in order to drive research and develop an epidemiological understanding of disease. Diabetes, in particular, stands to benefit, being a data-rich, chronic-disease state. This article aims to provide an understanding of the extent to which the healthcare sector is using routinely collected and stored data to inform research and epidemiological understanding of diabetes mellitus.

methodsNarrative literature review of articles, published in both the medical- and engineering-based informatics literature.

resultsThere has been a significant increase in the number of papers published, which utilise electronic health records as a direct data source for diabetes research. These articles consider a diverse range of research questions. Internationally, the secondary use of electronic health records, as a research tool, is most prominent in the USA. The barriers most commonly described in research studies include missing values and misclassification, alongside challenges of establishing the generalisability of results. DISCUSSION: Electronic health record research is an important and expanding area of healthcare research. Much of the research output remains in the form of conference abstracts and proceedings, rather than journal articles. There is enormous opportunity within the United Kingdom to develop these research methodologies, due to national patient identifiers. Such a healthcare context may enable UK researchers to overcome many of the barriers encountered elsewhere and thus to truly unlock the potential of electronic health records.

Indexed as

diabetes mellituselectronic health recordselectronic medical recordselectronic patient recordsinformatics

Identifiers

PMID30305917
PMCPMC6176528

What OpenQuestion holds

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LicenceCC BY-NC
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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.