Evidence map›Paper›PMID 33177037›Full record

ArticleJournal of medical Internet research2020

Proposal and Assessment of a De-Identification Strategy to Enhance Anonymity of the Observational Medical Outcomes Partnership Common Data Model (OMOP-CDM) in a Public Cloud-Computing Environment: Anonymization of Medical Data Using Privacy Models.

Seungho Jeon, Jeongeun Seo, Sukyoung Kim, Jeongmoon Lee, Jong-Ho Kim, Jang Wook Sohn, Jongsub Moon, Hyung Joon Joo

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Observational
  7. Article
  8. Big Data in Nephrology.Nature reviews. Nephrology · 2021
    Review
  9. 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.

Seungho JeonDivision of Information Security, Graduate School of Information Security, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-7116-6062
Jeongeun SeoDivision of Information Security, Graduate School of Information Security, Korea University, Seoul, Republic of Korea.ORCID 0000-0001-5761-4829
Sukyoung KimDivision of Information Security, Graduate School of Information Security, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-8350-4305
Jeongmoon LeeKorea University Research Institute for Medical Bigdata Science, Korea University, Seoul, Republic of Korea.ORCID 0000-0003-4020-4561
Jong-Ho KimDepartment of Cardiology, Cardiovascular Center, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-1309-0821
Jang Wook SohnDivision of Infectious Diseases, Department of Internal Medicine, College of Medicine, Korea University, Seoul, Republic of Korea.ORCID 0000-0003-4792-0456
Jongsub Moon *Division of Information Security, Graduate School of Information Security, Korea University, Seoul, Republic of Korea.ORCID 0000-0002-6457-4316
Hyung Joon Joo *Department of Internal Medicine, Korea University College of Medicine, Korea University, Seoul, Republic of Korea.ORCID 0000-0003-1846-8464

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDe-identifying personal information is critical when using personal health data for secondary research. The Observational Medical Outcomes Partnership Common Data Model (CDM), defined by the nonprofit organization Observational Health Data Sciences and Informatics, has been gaining attention for its use in the analysis of patient-level clinical data obtained from various medical institutions. When analyzing such data in a public environment such as a cloud-computing system, an appropriate de-identification strategy is required to protect patient privacy.

objectiveThis study proposes and evaluates a de-identification strategy that is comprised of several rules along with privacy models such as k-anonymity, l-diversity, and t-closeness. The proposed strategy was evaluated using the actual CDM database.

methodsThe CDM database used in this study was constructed by the Anam Hospital of Korea University. Analysis and evaluation were performed using the ARX anonymizing framework in combination with the k-anonymity, l-diversity, and t-closeness privacy models.

resultsThe CDM database, which was constructed according to the rules established by Observational Health Data Sciences and Informatics, exhibited a low risk of re-identification: The highest re-identifiable record rate (11.3%) in the dataset was exhibited by the DRUG_EXPOSURE table, with a re-identification success rate of 0.03%. However, because all tables include at least one "highest risk" value of 100%, suitable anonymizing techniques are required; moreover, the CDM database preserves the "source values" (raw data), a combination of which could increase the risk of re-identification. Therefore, this study proposes an enhanced strategy to de-identify the source values to significantly reduce not only the highest risk in the k-anonymity, l-diversity, and t-closeness privacy models but also the overall possibility of re-identification.

conclusionsOur proposed de-identification strategy effectively enhanced the privacy of the CDM database, thereby encouraging clinical research involving multiple centers.

Indexed as

Cloud ComputingConfidentialityData AnonymizationDatabases, FactualHumansMedical Informaticsanonymizationcommon data modelde-identificationObservational Health Data Sciences and Informaticsprivacy

Identifiers

PMID33177037
PMCPMC7728527

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LicenceCC BY
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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.