Evidence map›Paper›PMID 34195554›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2021

Standardizing Care of Neuro-oncology Patients Using a Customized Electronic Medical Record Toolkit.

Ryan T Merrell, Kelly Claire Simon, Nina Martinez, Rosa Maria Vazquez, Bryce Hadsell, Alexander Epshteyn, Gary Wilk, Roberta Frigerio, Demetrius M Maraganore

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Ryan T MerrellDepartment of Neurology, NorthShore University HealthSystem, Evanston, IL.
Kelly Claire SimonDepartment of Neurology, NorthShore University HealthSystem, Evanston, IL.
Nina MartinezDepartment of Neurology, NorthShore University HealthSystem, Evanston, IL.
Rosa Maria VazquezDepartment of Neurology, NorthShore University HealthSystem, Evanston, IL.
Bryce HadsellHealth Information Technology, NorthShore University HealthSystem, Skokie, IL.
Alexander EpshteynHealth Information Technology, NorthShore University HealthSystem, Skokie, IL.
Gary WilkHealth Information Technology, NorthShore University HealthSystem, Skokie, IL.
Roberta FrigerioDepartment of Neurology, NorthShore University HealthSystem, Evanston, IL.
Demetrius M MaraganoreDepartment of Neurology, NorthShore University HealthSystem, Evanston, IL.

Funding

AHRQ HHS R01 HS024057
6 · The paper itself

Abstract

objectiveTo develop and implement a customized toolkit within the electronic medical record (EMR) to standardize care of patients with brain tumors. PATIENTS AND

methodsWe built a customized structured clinical documentation support toolkit to capture standardized data at office visits. We detail the process by which this toolkit was conceptualized and developed. Toolkit development was a physician-led process to determine a work flow and necessary elements to support best practices as defined by the neuro-oncology clinical team.

resultsWe have developed in our EMR system a customized work flow for clinical encounters with neuro-oncology patients. In addition to providing a road map for clinical care by our neuro-oncology team, the toolkit is designed to maximize discrete data capture. Several hundred fields of discrete data are captured through the toolkit in the context of our routine office visits. We describe the characteristics of patients seen at our clinic, the adoption of the toolkit, current initiatives supported by the toolkit, and future applications.

conclusionThe EMR can be effectively structured to standardize office visits and improve discrete data capture. This toolkit can be leveraged to support quality improvement and practice-based research initiatives at the point of care in a neuro-oncology practice.

Indexed as

AED, antiepileptic drugCES-D, Center for Epidemiologic Studies Depression scaleEDW, Enterprise Data WarehouseEMR, electronic medical recordGAD-7, General Anxiety Disorder 7-item scaleMDASI-BT, MD Anderson Symptom Inventory-Brain TumorNorthShore, NorthShore University HealthSystemSCDS, structured documentation support toolkit

Identifiers

PMID34195554
PMCPMC8240171

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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.