Evidence map›Paper›PMID 32665386›Full record

ArticleBMJ open2020

Validation study of bullous pemphigoid and pemphigus vulgaris recording in routinely collected electronic primary healthcare records in England.

Monica S M Persson, Karen E Harman, Yana Vinogradova, Sinead M Langan, Julia Hippisley-Cox, Kim S Thomas, Sonia Gran

Open access · goldAbstract readValidation Study
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. A Global View of Pemphigus: Geographical Variations.Clinical reviews in allergy & immunology · 2024
    Review
  3. Article
  4. Article
  5. Epidemiology of Pemphigus.JID innovations : skin science from molecules to population health · 2021
    Review
  6. 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

7 authors at 3 institutions in 1 country.

Monica S M PerssonCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK Monica.Persson1@nottingham.ac.uk.ORCID 0000-0002-8532-3006
Karen E HarmanCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
Yana VinogradovaPrimary Care, University of Nottingham, Nottingham, UK.
Sinead M LanganDepartment of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Julia Hippisley-CoxNuffield Department of Primary Care Sciences, University of Oxford, Oxford, UK.
Kim S ThomasCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.ORCID 0000-0001-7785-7465
Sonia GranCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK.
University of Nottingham · GBLondon School of Hygiene & Tropical Medicine · GBUniversity of Oxford · GB

Funding

Wellcome Trust 205039/Z/16/Z
6 · The paper itself

Abstract

objectivesThe validity of bullous pemphigoid and pemphigus vulgaris recording in routinely collected healthcare data in the UK is unknown. We assessed the positive predictive value (PPV) for bullous pemphigoid and pemphigus vulgaris primary care Read codes in the Clinical Practice Research Datalink (CPRD) using linked inpatient data (Hospital Episode Statistics (HES)) as the diagnostic benchmark.

settingAdult participants with bullous pemphigoid or pemphigus vulgaris registered with HES-linked general practices in England between January 1998 and December 2017. Code-based algorithms were used to identify patients from the CPRD and extract their benchmark blistering disease diagnosis from HES. PRIMARY OUTCOME MEASURE: The PPVs of Read codes for bullous pemphigoid and pemphigus vulgaris.

resultsOf 2468 incident cases of bullous pemphigoid and 431 of pemphigus vulgaris, 797 (32.3%) and 85 (19.7%) patients, respectively, had a hospitalisation record for a blistering disease. The PPV for bullous pemphigoid Read codes was 93.2% (95% CI 91.3% to 94.8%). Of the bullous pemphigoid cases, 3.0% had an HES diagnosis of pemphigus vulgaris and 3.8% of another blistering disease. The PPV for pemphigus vulgaris Read codes was 58.5% (95% CI 48.0% to 68.9%). Of the pemphigus vulgaris cases, 24.7% had an HES diagnosis of bullous pemphigoid and 16.5% of another blistering disease.

conclusionsThe CPRD can be used to study bullous pemphigoid, but recording of pemphigus vulgaris needs to improve in primary care.

Indexed as

Primary Health CareAgedAged, 80 and overAlgorithmsClinical CodingCohort StudiesDocumentationElectronic Health RecordsEnglandFemaleHumansMaleMedical Record LinkageMiddle AgedPemphigoid, BullousPemphigusdermatological epidemiologydermatologyepidemiology

Identifiers

PMID32665386
PMCPMC7365488
OpenAlexW3042777940

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.