Evidence map›Paper›PMID 33932483›Full record

ArticleJournal of clinical epidemiology2021

Probabilistic linkage without personal information successfully linked national clinical datasets.

Helen A Blake, Linda D Sharples, Katie Harron, Jan H van der Meulen, Kate Walker

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of clinical epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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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

5 authors at 3 institutions in 2 countries.

Helen A BlakeDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK; Clinical Effectiveness Unit, Royal College of Surgeons of England, London WC2A 3PE, UK.
Linda D SharplesDepartment of Medical Statistics, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Katie HarronUCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH.
Jan H van der MeulenDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK; Clinical Effectiveness Unit, Royal College of Surgeons of England, London WC2A 3PE, UK.
Kate WalkerDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK; Clinical Effectiveness Unit, Royal College of Surgeons of England, London WC2A 3PE, UK.
Royal College of Surgeons of England · GBInstitute of Child Health · GRUniversity of London · GB

Funding

Department of Health 17/05/45Medical Research CouncilWellcome Trust 212953/Z/18/Z
6 · The paper itself

Abstract

backgroundProbabilistic linkage can link patients from different clinical databases without the need for personal information. If accurate linkage can be achieved, it would accelerate the use of linked datasets to address important clinical and public health questions.

objectiveWe developed a step-by-step process for probabilistic linkage of national clinical and administrative datasets without personal information, and validated it against deterministic linkage using patient identifiers. STUDY DESIGN AND

settingWe used electronic health records from the National Bowel Cancer Audit and Hospital Episode Statistics databases for 10,566 bowel cancer patients undergoing emergency surgery in the English National Health Service.

resultsProbabilistic linkage linked 81.4% of National Bowel Cancer Audit records to Hospital Episode Statistics, vs. 82.8% using deterministic linkage. No systematic differences were seen between patients that were and were not linked, and regression models for mortality and length of hospital stay according to patient and tumour characteristics were not sensitive to the linkage approach.

conclusionProbabilistic linkage was successful in linking national clinical and administrative datasets for patients undergoing a major surgical procedure. It allows analysts outside highly secure data environments to undertake linkage while minimizing costs and delays, protecting data security, and maintaining linkage quality.

Indexed as

Data ManagementDatasets as TopicElectronic Health RecordsHumansIntestinal NeoplasmsMedical Record LinkageModels, StatisticalReproducibility of ResultsState MedicineUnited KingdomElectronic health recordsNational clinical datasetsPatient identifiersPersonal informationProbabilistic linkageRecord linkage

Identifiers

PMID33932483
PMCPMC8443839
OpenAlexW3157595327

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.