Evidence map›Paper›PMID 31630109›Full record

ArticleBMJ open2019

Validity of acute cardiovascular outcome diagnoses in European electronic health records: a systematic review protocol.

Jennifer Anne Davidson, Amitava Banerjee, Rutendo Muzambi, Liam Smeeth, Charlotte Warren-Gash

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Jennifer Anne DavidsonFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, UK jennifer.davidson@lshtm.ac.uk.
Amitava BanerjeeFarr Institute of Health Informatics Research, University College London, London, UK.ORCID 0000-0001-8741-3411
Rutendo MuzambiFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-0732-131X
Liam SmeethFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Charlotte Warren-GashFaculty of Epidemiology & Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Funding

British Heart Foundation FS/18/71/33938Wellcome Trust 201440/Z/16/Z
6 · The paper itself

Abstract

introductionCardiovascular diseases (CVDs) are among the leading causes of death globally. Electronic health records (EHRs) provide a rich data source for research on CVD risk factors, treatments and outcomes. Researchers must be confident in the validity of diagnoses in EHRs, particularly when diagnosis definitions and use of EHRs change over time. Our systematic review provides an up-to-date appraisal of the validity of stroke, acute coronary syndrome (ACS) and heart failure (HF) diagnoses in European primary and secondary care EHRs. METHODS AND ANALYSIS: We will systematically review the published and grey literature to identify studies validating diagnoses of stroke, ACS and HF in European EHRs. MEDLINE, EMBASE, SCOPUS, Web of Science, Cochrane Library, OpenGrey and EThOS will be searched from the dates of inception to April 2019. A prespecified search strategy of subject headings and free-text terms in the title and abstract will be used. Two reviewers will independently screen titles and abstracts to identify eligible studies, followed by full-text review. We require studies to compare clinical codes with a suitable reference standard. Additionally, at least one validation measure (sensitivity, specificity, positive predictive value or negative predictive value) or raw data, for the calculation of a validation measure, is necessary. We will then extract data from the eligible studies using standardised tables and assess risk of bias in individual studies using the Quality Assessment of Diagnostic Accuracy Studies 2 tool. Data will be synthesised into a narrative format and heterogeneity assessed. Meta-analysis will be considered when a sufficient number of homogeneous studies are available. The overall quality of evidence will be assessed using the Grading of Recommendations, Assessment, Development and Evaluation tool. ETHICS AND DISSEMINATION: This is a systematic review, so it does not require ethical approval. Our results will be submitted for peer-review publication. PROSPERO REGISTRATION NUMBER: CRD42019123898.

Indexed as

Electronic Health RecordsSystematic Reviews as TopicAcute Coronary SyndromeEuropeHeart FailureHumansPredictive Value of TestsResearch DesignSensitivity and SpecificityStrokecardiovascular diseaseselectronic health recordssystematic reviewvalidation

Identifiers

PMID31630109
PMCPMC6803089

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.