Evidence map›Paper›PMID 30972355›Full record

ArticleEGEMS (Washington, DC)2019

Assessing and Minimizing Re-identification Risk in Research Data Derived from Health Care Records.

Gregory E Simon, Susan M Shortreed, R Yates Coley, Robert B Penfold, Rebecca C Rossom, Beth E Waitzfelder, Katherine Sanchez, Frances L Lynch

Abstract read
In one paragraph

Article in EGEMS (Washington, DC), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Generative Artificial Intelligence for Health Technology Assessment: Opportunities, Challenges, and Policy Considerations: An ISPOR Working Group Report.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. [Re-identification potential of structured health data].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Review
  18. Article
  19. Article
  20. US Residents' Preferences for Sharing of Electronic Health Record and Genetic Information: A Discrete Choice Experiment.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
    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

8 authors.

Gregory E SimonKaiser Permanente Washington Health Research Institute, Seattle, WA, US.
Susan M ShortreedKaiser Permanente Washington Health Research Institute, Seattle, WA, US.
R Yates ColeyKaiser Permanente Washington Health Research Institute, Seattle, WA, US.
Robert B PenfoldKaiser Permanente Washington Health Research Institute, Seattle, WA, US.
Rebecca C RossomHealthPartners Institute, Minneapolis, MN, US.
Beth E WaitzfelderKaiser Permanente Hawaii Center for Health Research, Honolulu, HI, US.
Katherine SanchezBaylor Scott and White Research Institute, Dallas, TX, US.
Frances L LynchKaiser Permanente Northwest Center for Health Research, Portland, OR, US.

Funding

SSRI's and SuicidalityU19MH092201 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI SIMON, GREGORY E. · 2010 to 2018
$19.5M
NIMH NIH HHS U19 MH092201
6 · The paper itself

Abstract

backgroundSharing of research data derived from health system records supports the rigor and reproducibility of primary research and can accelerate research progress through secondary use. But public sharing of such data can create risk of re-identifying individuals, exposing sensitive health information.

methodWe describe a framework for assessing re-identification risk that includes: identifying data elements in a research dataset that overlap with external data sources, identifying small classes of records defined by unique combinations of those data elements, and considering the pattern of population overlap between the research dataset and an external source. We also describe alternative strategies for mitigating risk when the external data source can or cannot be directly examined.

resultsWe illustrate this framework using the example of a large database used to develop and validate models predicting suicidal behavior after an outpatient visit. We identify elements in the research dataset that might create risk and propose a specific risk mitigation strategy: deleting indicators for health system (a proxy for state of residence) and visit year. DISCUSSION: Researchers holding health system data must balance the public health value of data sharing against the duty to protect the privacy of health system members. Specific steps can provide a useful estimate of re-identification risk and point to effective risk mitigation strategies.

Indexed as

confidentialitydata sharingelectronic health recordsHIPAAprivacy

Identifiers

PMID30972355
PMCPMC6450246

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.