Evidence map›Paper›PMID 34714665›Full record

ArticleJCO clinical cancer informatics2021

Leveraging Clinical Informatics Tools to Extract Cumulative Anthracycline Exposure, Measure Cardiovascular Outcomes, and Assess Guideline Adherence for Children With Cancer.

David H Noyd, Amy Berkman, Claire Howell, Steve Power, Susan G Kreissman, Andrew P Landstrom, Michel Khouri, Kevin C Oeffinger, Warren A Kibbe

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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.

David H NoydDepartment of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK.ORCID 0000-0002-3465-5000
Amy BerkmanDepartment of Pediatrics, Duke University Medical Center, Durham, NC.ORCID 0000-0003-0650-3664
Claire HowellDuke Cancer Institute, Durham, NC.
Steve PowerDuke Cancer Institute, Durham, NC.
Susan G KreissmanDepartment of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK.
Andrew P LandstromDivision of Cardiology and Department of Cell Biology, Department of Pediatrics, Duke University Medical Center, Durham, NC.ORCID 0000-0002-1878-9631
Michel KhouriDepartment of Medicine, Duke University Medical Center, Durham, NC.
Kevin C OeffingerDuke Cancer Institute, Durham, NC.ORCID 0000-0003-0806-7894
Warren A KibbeDuke Cancer Institute, Durham, NC.ORCID 0000-0001-5622-7659

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Institutional Career Development CoreKL2TR002385 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI YUAN-SHAN ZHU · 2017 to 2026
$13.3M
TRANSFUSION MEDICINE AND RELATED AREAST32HL007057 · NHLBI · DUKE UNIVERSITY · PI Gowthami M Arepally · 1985 to 2026
$10.6M
Implementing Universal Lynch Syndrome Screening across Multiple Healthcare Systems: Identifying Strategies to Facilitate and Maintain Programs in Different Organizational ContextsR01CA211723 · NCI · GEISINGER CLINIC · PI RAHM, ALANNA K · 2017 to 2021
$3.7M
Gene Dependent Cancer Risk and Optimal Cancer Prevention Strategies in Lynch SyndromeK07CA216326 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI SHARAF, RAVI · 2018 to 2021
$675k
NCATS NIH HHS KL2 TR002385NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NCI NIH HHS K07 CA216326NCI NIH HHS R01 CA211723NHLBI NIH HHS T32 HL007057
6 · The paper itself

Abstract

purposeCardiovascular disease is a significant cause of late morbidity and mortality in survivors of childhood cancer. Clinical informatics tools could enhance provider adherence to echocardiogram guidelines for early detection of late-onset cardiomyopathy.

methodsCancer registry data were linked to electronic health record data. Structured query language facilitated the construction of anthracycline-exposed cohorts at a single institution. Primary outcomes included the data quality from automatic anthracycline extraction, sensitivity of International Classification of Disease coding for heart failure, and adherence to echocardiogram guideline recommendations.

resultsThe final analytic cohort included 385 pediatric oncology patients diagnosed between July 1, 2013, and December 31, 2018, among whom 194 were classified as no anthracycline exposure, 143 had low anthracycline exposure (< 250 mg/m

conclusionExtraction of treatment exposures from the electronic health record through clinical informatics and integration with cancer registry data represents a feasible approach to assess cardiovascular disease outcomes and adherence to guideline recommendations for survivors.

Indexed as

Cardiovascular DiseasesHeart FailureMedical InformaticsNeoplasmsAnthracyclinesChildGuideline AdherenceHumansAnthracyclines

Identifiers

PMID34714665
PMCPMC9848538

What OpenQuestion holds

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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.