Evidence map›Paper›PMID 30703084›Full record

SynthesisPloS one2019

Identifying Parkinson's disease and parkinsonism cases using routinely collected healthcare data: A systematic review.

Zoe Harding, Tim Wilkinson, Anna Stevenson, Sophie Horrocks, Amanda Ly, Christian Schnier, David P Breen, Kristiina Rannikmäe, Cathie L M Sudlow

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Prevalence and Incidence of Parkinson's Disease in Latin America: A Meta-Analysis.Movement disorders : official journal of the Movement Disorder Society · 2024
    Pooled it
  3. Extreme heat and hospitalization with Parkinson's disease among older adults.Journal of exposure science & environmental epidemiology · 2026
    Article
  4. Article
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  6. Declining incidence of Parkinson's disease in Israel (2002-2021).Journal of neural transmission (Vienna, Austria : 1996) · 2026
    Article
  7. Article
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  11. Validation of Parkinson's Disease Ascertainment in the Veterans Administration Electronic Medical Record.Movement disorders : official journal of the Movement Disorder Society · 2025
    Article
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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

9 authors.

Zoe HardingCollege of Medicine & Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom.
Tim WilkinsonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0001-8952-0982
Anna StevensonInstitute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-0435-3562
Sophie HorrocksCollege of Medicine & Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom.
Amanda LyCentre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom.
Christian SchnierCentre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom.
David P BreenCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Kristiina RannikmäeCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Cathie L M SudlowCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.

Funding

Medical Research Council MR/L023784/1Medical Research Council MR/L023784/2Medical Research Council MR/P001823/1Medical Research Council MR/S004130/1
6 · The paper itself

Abstract

backgroundPopulation-based, prospective studies can provide important insights into Parkinson's disease (PD) and other parkinsonian disorders. Participant follow-up in such studies is often achieved through linkage to routinely collected healthcare datasets. We systematically reviewed the published literature on the accuracy of these datasets for this purpose.

methodsWe searched four electronic databases for published studies that compared PD and parkinsonism cases identified using routinely collected data to a reference standard. We extracted study characteristics and two accuracy measures: positive predictive value (PPV) and/or sensitivity.

resultsWe identified 18 articles, resulting in 27 measures of PPV and 14 of sensitivity. For PD, PPV ranged from 56-90% in hospital datasets, 53-87% in prescription datasets, 81-90% in primary care datasets and was 67% in mortality datasets. Combining diagnostic and medication codes increased PPV. For parkinsonism, PPV ranged from 36-88% in hospital datasets, 40-74% in prescription datasets, and was 94% in mortality datasets. Sensitivity ranged from 15-73% in single datasets for PD and 43-63% in single datasets for parkinsonism.

conclusionsIn many settings, routinely collected datasets generate good PPVs and reasonable sensitivities for identifying PD and parkinsonism cases. However, given the wide range of identified accuracy estimates, we recommend cohorts conduct their own context-specific validation studies if existing evidence is lacking. Further research is warranted to investigate primary care and medication datasets, and to develop algorithms that balance a high PPV with acceptable sensitivity.

Indexed as

AlgorithmsDatabases, FactualElectronic Health RecordsPrimary Health CareFemaleHumansMaleParkinson DiseaseProspective Studies

Identifiers

PMID30703084
PMCPMC6354966

What OpenQuestion holds

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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.