Evidence map›Paper›PMID 30715327›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Incorporating a location-based socioeconomic index into a de-identified i2b2 clinical data warehouse.

Bret J Gardner, Jay G Pedersen, Mary E Campbell, James C McClay

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
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  12. Review
  13. bench4gis: Benchmarking Privacy-aware Geocoding with Open Big Data.Proceedings : ... IEEE International Conference on Big Data. IEEE International Conference on Big Data · 2019
    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

4 authors at 2 institutions in 1 country.

Bret J GardnerDepartment of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Jay G PedersenDepartment of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Mary E CampbellDepartment of Sociology, Texas A&M University, College Station, Texas, USA.
James C McClayDepartment of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
University of Nebraska Medical Center · USTexas A&M University · US

Funding

Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI GUDA, CHITTIBABU · 2016 to 2025
$42.8M
NIGMS NIH HHS U54 GM115458
6 · The paper itself

Abstract

objectiveClinical research data warehouses are largely populated from information extracted from electronic health records (EHRs). While these data provide information about a patient's medications, laboratory results, diagnoses, and history, her social, economic, and environmental determinants of health are also major contributing factors in readmission, morbidity, and mortality and are often absent or unstructured in the EHR. Details about a patient's socioeconomic status may be found in the U.S. census. To facilitate researching the impacts of socioeconomic status on health outcomes, clinical and socioeconomic data must be linked in a repository in a fashion that supports seamless interrogation of these diverse data elements. This study demonstrates a method for linking clinical and location-based data and querying these data in a de-identified data warehouse using Informatics for Integrating Biology and the Bedside. MATERIALS AND

methodsPatient data were extracted from the EHR at Nebraska Medicine. Socioeconomic variables originated from the 2011-2015 five-year block group estimates from the American Community Survey. Data querying was performed using Informatics for Integrating Biology and the Bedside. All location-based data were truncated to prevent identification of a location with a population <20 000 individuals.

resultsWe successfully linked location-based and clinical data in a de-identified data warehouse and demonstrated its utility with a sample use case. DISCUSSION: With location-based data available for querying, research investigating the impact of socioeconomic context on health outcomes is possible. Efforts to improve geocoding can readily be incorporated into this model.

conclusionThis study demonstrates a means for incorporating and querying census data in a de-identified clinical data warehouse.

Indexed as

Data WarehousingElectronic Health RecordsGeographic MappingSocial ClassSocial Determinants of HealthAdolescentAdultAgedAged, 80 and overCensusesChildChild, PreschoolData AnonymizationEmergency Service, HospitalFemaleGeographic Information SystemsAmerican Community Survey (ACS)censusi2b2social determinants of healthsocioeconomic status

Identifiers

PMID30715327
PMCPMC6402306
OpenAlexW2912062311

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.