Evidence map›Paper›PMID 33207385›Full record

Observational studyApplied clinical informatics2020

Augmenting the Clinical Data Sources for Enigmatic Diseases: A Cross-Sectional Study of Self-Tracking Data and Clinical Documentation in Endometriosis.

Ipek Ensari, Adrienne Pichon, Sharon Lipsky-Gorman, Suzanne Bakken, Noémie Elhadad

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Daily Consistency Over Timing: Routine Formation and Population-Specific Opportunities in mHealth User Adherence.Extended abstracts on Human factors in computing systems. CHI Conference · 2026
    Article
  3. Review
  4. Article
  5. Informing the Design of Individualized Self-Management Regimens from the Human, Data, and Machine Learning Perspectives.ACM transactions on computer-human interaction : a publication of the Association for Computing Machinery · 2025
    Article
  6. Article
  7. Article
  8. Day-to-day associations of intersectional minority stressors with sleep health in sexual and gender minority people of color.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Article
  9. Article
  10. Review
  11. Review
  12. Observational
  13. Article
  14. Review
  15. 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 at 2 institutions in 1 country.

Ipek EnsariData Science Institute, Columbia University, New York, New York, United States.
Adrienne PichonDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York, United States.
Sharon Lipsky-GormanDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York, United States.
Suzanne BakkenDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York, United States.
Noémie ElhadadDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, New York, United States.
Columbia University Irving Medical Center · USColumbia University · US

Funding

Training in Biomedical Informatics at Columbia UniversityT15LM007079 · NLM · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI NOEMIE ELHADAD, GEORGE M HRIPCSAK · 1992 to 2026
$28.9M
PhendoPHL:A Data-Science Enabled Personal Health Library to Manage EndometriosisR01LM013043 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ELHADAD, NOEMIE · 2019 to 2022
$1.4M
NLM NIH HHS R01 LM013043NLM NIH HHS T15 LM007079
6 · The paper itself

Abstract

backgroundSelf-tracking through mobile health technology can augment the electronic health record (EHR) as an additional data source by providing direct patient input. This can be particularly useful in the context of enigmatic diseases and further promote patient engagement.

objectivesThis study aimed to investigate the additional information that can be gained through direct patient input on poorly understood diseases, beyond what is already documented in the EHR.

methodsThis was an observational study including two samples with a clinically confirmed endometriosis diagnosis. We analyzed data from 6,925 women with endometriosis using a research app for tracking endometriosis to assess prevalence of self-reported pain problems, between- and within-person variability in pain over time, endometriosis-affected tasks of daily function, and self-management strategies. We analyzed data from 4,389 patients identified through a large metropolitan hospital EHR to compare pain problems with the self-tracking app and to identify unique data elements that can be contributed via patient self-tracking.

resultsPelvic pain was the most prevalent problem in the self-tracking sample (57.3%), followed by gastrointestinal-related (55.9%) and lower back (49.2%) pain. Unique problems that were captured by self-tracking included pain in ovaries (43.7%) and uterus (37.2%). Pain experience was highly variable both across and within participants over time. Within-person variation accounted for 58% of the total variance in pain scores, and was large in magnitude, based on the ratio of within- to between-person variability (0.92) and the intraclass correlation (0.42). Work was the most affected daily function task (49%), and there was significant within- and between-person variability in self-management effectiveness. Prevalence rates in the EHR were significantly lower, with abdominal pain being the most prevalent (36.5%).

conclusionFor enigmatic diseases, patient self-tracking as an additional data source complementary to EHR can enable learning from the patient to more accurately and comprehensively evaluate patient health history and status.

Indexed as

EndometriosisCross-Sectional StudiesDocumentationFemaleHumansInformation Storage and RetrievalPelvic Pain

Identifiers

PMID33207385
PMCPMC7673957
OpenAlexW3106192294

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.