Evidence map›Paper›PMID 33531002›Full record

ArticleBMC medical informatics and decision making2021

Linkage of Australian national registry data using a statistical linkage key.

Tim G Coulson, Michael Bailey, Chris Reid, Gil Shardey, Jenni Williams-Spence, Sue Huckson, Shaila Chavan, David Pilcher

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2021. 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. Association between prior ICU admission for drug overdose and ICU readmission: A retrospective registry-based study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  2. Article
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  5. Intensive care admissions for adults with treated kidney failure in Australia: A national retrospective cohort study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025
    Article
  6. Article
  7. Article
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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

8 authors.

Tim G CoulsonDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia. timcoulson@doctors.org.uk.ORCID 0000-0001-6182-268X
Michael BaileyDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Chris ReidDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Gil ShardeyDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Jenni Williams-SpenceDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Sue HucksonThe Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation (CORE), 277 Camberwell Road, Camberwell, VIC, 3124, Australia.
Shaila ChavanThe Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation (CORE), 277 Camberwell Road, Camberwell, VIC, 3124, Australia.
David PilcherDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData from clinical registries may be linked to gain additional insights into disease processes, risk factors and outcomes. Identifying information varies from full names, addresses and unique identification codes to statistical linkage keys to no direct identifying information at all. A number of databases in Australia contain the statistical linkage key 581 (SLK-581). Our aim was to investigate the ability to link data using SLK-581 between two national databases, and to compare this linkage to that achieved with direct identifiers or other non-identifying variables.

methodsThe Australian and New Zealand Society of Cardiothoracic Surgeons database (ANZSCTS-CSD) contains fully identified data. The Australian and New Zealand Intensive Care Society database (ANZICS-APD) contains non-identified data together with SLK-581. Identifying data is removed at participating hospitals prior to central collation and storage. We used the local hospital ANZICS-APD data at a large single tertiary centre prior to deidentification and linked this to ANZSCTS-CSD data. We compared linkage using SLK-581 to linkage using non-identifying variables (dates of admission and discharge, age and sex) and linkage using a complete set of unique identifiers. We compared the rate of match, rate of mismatch and clinical characteristics between unmatched patients using the different methods.

resultsThere were 1283 patients eligible for matching in the ANZSCTS-CSD. 1242 were matched using unique identifiers. Using non-identifying variables 1151/1242 (92.6%) patients were matched. Using SLK-581, 1202/1242 (96.7%) patients were matched. The addition of non-identifying data to SLK-581 provided few additional patients (1211/1242, 97.5%). Patients who did not match were younger, had a higher mortality risk and more non-standard procedures vs matched patients. The differences between unmatched patients using different matching strategies were small.

conclusionAll strategies provided an acceptable linkage. SLK-581 improved the linkage compared to non-identifying variables, but was not as successful as direct identifiers. SLK-581 may be used to improve linkage between national registries where identifying information is not available or cannot be released.

Indexed as

HospitalizationMedical Record LinkageAustraliaDatabases, FactualHumansRegistriesLinkageRegistrySLK-581

Identifiers

PMID33531002
PMCPMC7856707

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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.