Evidence map›Paper›PMID 32864475›Full record

ArticleInternational journal of population data science2020

The effect of number of healthcare visits on study sample selection in electronic health record data.

Laura J Rasmussen-Torvik, Al'ona Furmanchuk, Alexander J Stoddard, Kristen I Osinski, John R Meurer, Nicholas Smith, Elizabeth Chrischilles, Bernard S Black, Abel Kho

Abstract read
In one paragraph

Article in International journal of population data science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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.

Laura J Rasmussen-TorvikDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611.
Al'ona FurmanchukCenter for Health Information Partnerships, Northwestern University Feinberg School of Medicine, Chicago, IL 60611.
Alexander J StoddardClinical and Translational Science Institute/Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, WI, 53226.
Kristen I OsinskiClinical and Translational Science Institute/Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, WI, 53226.
John R MeurerClinical and Translational Science Institute/Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, WI, 53226.
Nicholas SmithDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, 52242.
Elizabeth ChrischillesDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, 52242.
Bernard S BlackPritzker School of Law and Kellogg School of Management, Northwestern University, Chicago, IL 60611.
Abel KhoCenter for Health Information Partnerships, Northwestern University Feinberg School of Medicine, Chicago, IL 60611.

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Effect of ACA Medicaid Expansion on Diabetes: Diagnosis, Treatment, Patient Compliance, and Health OutcomesU18DP006120 · DP · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BLACK, BERNARD S, KHO, ABEL N. · 2015 to 2019
$2.2M
ACL HHS U18DP006120NCATS NIH HHS UL1 TR001436NCATS NIH HHS UL1 TR002537NCCDPHP CDC HHS U18 DP006120
6 · The paper itself

Abstract

introductionFew studies have addressed how to select a study sample when using electronic health record (EHR) data.

objectiveTo examine how changing criterion for number of visits in EHR data required for inclusion in a study sample would impact one basic epidemiologic measure: estimates of disease period prevalence.

methodsYear 2016 EHR data from three Midwestern health systems (Northwestern Medicine in Illinois, University of Iowa Health Care, and Froedtert & the Medical College of Wisconsin, all regional tertiary health care systems including hospitals and clinics) was used to examine how alternate definitions of the study sample, based on number of healthcare visits in one year, affected measures of disease period prevalence. In 2016, each of these health systems saw between 160,000 and 420,000 unique patients. Curated collections of ICD-9, ICD-10, and SNOMED codes (from CMS-approved electronic clinical quality measures) were used to define three diseases: acute myocardial infarction, asthma, and diabetic nephropathy).

resultsAcross all health systems, increasing the minimum required number of visits to be included in the study sample monotonically increased crude period prevalence estimates. The rate at which prevalence estimates increased with number of visits varied across sites and across diseases.

conclusionsIn addition to providing thorough descriptions of case definitions, when using EHR data authors must carefully describe how a study sample is identified and report data for a range of sample definitions, including minimum number of visits, so that others can assess the sensitivity of reported results to sample definition in EHR data.

Indexed as

Electronic Health RecordsMethodsPrevalenceSampling Studies

Identifiers

PMID32864475
PMCPMC7448749

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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.