Evidence map›Paper›PMID 32935015›Full record

ArticleInternational journal of population data science2018

The Canadian Chronic Disease Surveillance System: A model for collaborative surveillance.

Lisa M Lix, James Ayles, Sharon Bartholomew, Charmaine A Cooke, Joellyn Ellison, Valerie Emond, Naomi C Hamm, Heather Hannah, Sonia Jean, Shannon LeBlanc and 13 more

Open access · goldAbstract read
In one paragraph

Article in International journal of population data science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

40 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Adjusting fracture probability according to duration of diabetes: the Manitoba BMD Registry.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
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  12. Review
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  18. Estimating the completeness of physician billing claims for diabetes case ascertainment: a multiprovince investigation.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023
    Article
  19. Surveillance of Child and Youth Mental Disorders and Associated Service Use in Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
    Article
  20. 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

23 authors at 12 institutions in 2 countries.

Lisa M LixUniversity of Manitoba, Winnipeg, MB CANADA.
James AylesNew Brunswick Department of Health, Fredericton, NB CANADA.
Sharon BartholomewPublic Health Agency of Canada, Ottawa, ON CANADA.
Charmaine A CookeInvestment and Decision Support, Nova Scotia Department of Health and Wellness, Halifax, NS CANADA.
Joellyn EllisonPublic Health Agency of Canada, Ottawa, ON CANADA.
Valerie EmondInstitut national de santé publique du Québec, Québec, QC CANADA.
Naomi C HammUniversity of Manitoba, Winnipeg, MB CANADA.
Heather HannahDepartment of Health & Social Services, Government of the Northwest Territories, Yellowknife, NT CANADA.
Sonia JeanInstitut national de santé publique du Québec, Québec, QC CANADA.
Shannon LeBlancDepartment of Health & Social Services, Government of the Northwest Territories, Yellowknife, NT CANADA.
Siobhan O'DonnellPublic Health Agency of Canada, Ottawa, ON CANADA.
J Michael PatersonInstitute for Clinical Evaluative Sciences (ICES), Toronto, ON CANADA.
Catherine PelletierPublic Health Agency of Canada, Ottawa, ON CANADA.
Karen A M PhillipsChief Public Health Office, Prince Edward Island Department of Health and Wellness, Charlottetown, PE CANADA.
Rolf PuchtingerMinistry of Health, Government of Saskatchewan, Regina, SK CANADA.
Kim ReimerOffice of the Provincial Health Officer, BC Ministry of Health, Victoria, BC CANADA.
Cynthia RobitaillePublic Health Agency of Canada, Ottawa, ON CANADA.
Mark SmithManitoba Centre for Health Policy, Winnipeg, MB CANADA.
Lawrence W SvensonAnalytics and Performance Reporting, Alberta Health.
Karen TuUniversity of Toronto, Toronto, ON CANADA.
Linda D VanTilVeterans Affairs Canada, Charlottetown, PE CANADA.
Sean WaitsDepartment of Health, Government of Nunavut, Iqaluit, NU CANADA.
Louise PelletierPublic Health Agency of Canada, Ottawa, ON CANADA.
Public Health Agency of Canada · CAUniversity of Manitoba · CAGovernment of Northwest Territories · CAInstitut National de Santé Publique du Québec · CAMinistry of Health · CA3M (United States) · USGovernment of New Brunswick · CAGovernment of Nunavut · CAInstitute for Clinical Evaluative Sciences · CANova Scotia Department of Health and Wellness · CAUniversity of Alberta · CAVeterans Affairs Canada · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic diseases have a major impact on populations and healthcare systems worldwide. Administrative health data are an ideal resource for chronic disease surveillance because they are population-based and routinely collected. For multi-jurisdictional surveillance, a distributed model is advantageous because it does not require individual-level data to be shared across jurisdictional boundaries. Our objective is to describe the process, structure, benefits, and challenges of a distributed model for chronic disease surveillance across all Canadian provinces and territories (P/Ts) using linked administrative data. The Public Health Agency of Canada (PHAC) established the Canadian Chronic Disease Surveillance System (CCDSS) in 2009 to facilitate standardized, national estimates of chronic disease prevalence, incidence, and outcomes. The CCDSS primarily relies on linked health insurance registration files, physician billing claims, and hospital discharge abstracts. Standardized case definitions and common analytic protocols are applied to the data for each P/T; aggregate data are shared with PHAC and summarized for reports and open access data initiatives. Advantages of this distributed model include: it uses the rich data resources available in all P/Ts; it supports chronic disease surveillance capacity building in all P/Ts; and changes in surveillance methodology can be easily developed by PHAC and implemented by the P/Ts. However, there are challenges: heterogeneity in administrative databases across jurisdictions and changes in data quality over time threaten the production of standardized disease estimates; a limited set of databases are common to all P/Ts, which hinders potential CCDSS expansion; and there is a need to balance comprehensive reporting with P/T disclosure requirements to protect privacy. The CCDSS distributed model for chronic disease surveillance has been successfully implemented and sustained by PHAC and its P/T partners. Many lessons have been learned about national surveillance involving jurisdictions that are heterogeneous with respect to healthcare databases, expertise and analytical capacity, population characteristics, and priorities.

Identifiers

PMID32935015
PMCPMC7299467
OpenAlexW2895747123

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.