Evidence map›Paper›PMID 34850917›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

EHR-based cohort assessment for multicenter RCTs: a fast and flexible model for identifying potential study sites.

Sarah J Nelson, Bethany Drury, Daniel Hood, Jeremy Harper, Tiffany Bernard, Chunhua Weng, Nan Kennedy, Bernie LaSalle, Ramkiran Gouripeddi, Consuelo H Wilkins and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Insights from the trial innovation network's initial consultation process.Journal of clinical and translational science · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Research data warehouse best practices: catalyzing national data sharing through informatics innovation.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  8. Selecting EHR-driven recruitment strategies: An evidence-based decision guide.Journal of clinical and translational science · 2022
    Article
  9. 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

11 authors.

Sarah J NelsonVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Bethany DruryVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Daniel HoodRegenstrief Institute, Indianapolis, Indiana, USA.
Jeremy HarperRegenstrief Institute, Indianapolis, Indiana, USA.
Tiffany BernardThe Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Chunhua WengDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Nan KennedyVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Bernie LaSalleUniversity of Utah, Salt Lake City, Utah, USA.
Ramkiran GouripeddiRegenstrief Institute, Indianapolis, Indiana, USA.ORCID 0000-0002-4345-9669
Consuelo H WilkinsVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Paul HarrisVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Funding

Improving Clinical trial Education, Recruitment, and Enrollment at CTSA Hubs (I-CERCH) - HEAL SupplementU24TR001579 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARRIS, PAUL A., WILKINS, CONSUELO HOPKINS · 2016 to 2022
$34.1M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
NCATS NIH HHS U24 TR001579NCATS NIH HHS U24TR001579NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

objectiveThe Recruitment Innovation Center (RIC), partnering with the Trial Innovation Network and institutions in the National Institutes of Health-sponsored Clinical and Translational Science Awards (CTSA) Program, aimed to develop a service line to retrieve study population estimates from electronic health record (EHR) systems for use in selecting enrollment sites for multicenter clinical trials. Our goal was to create and field-test a low burden, low tech, and high-yield method. MATERIALS AND

methodsIn building this service line, the RIC strove to complement, rather than replace, CTSA hubs' existing cohort assessment tools. For each new EHR cohort request, we work with the investigator to develop a computable phenotype algorithm that targets the desired population. CTSA hubs run the phenotype query and return results using a standardized survey. We provide a comprehensive report to the investigator to assist in study site selection.

resultsFrom 2017 to 2020, the RIC developed and socialized 36 phenotype-dependent cohort requests on behalf of investigators. The average response rate to these requests was 73%. DISCUSSION: Achieving enrollment goals in a multicenter clinical trial requires that researchers identify study sites that will provide sufficient enrollment. The fast and flexible method the RIC has developed, with CTSA feedback, allows hubs to query their EHR using a generalizable, vetted phenotype algorithm to produce reliable counts of potentially eligible study participants.

conclusionThe RIC's EHR cohort assessment process for evaluating sites for multicenter trials has been shown to be efficient and helpful. The model may be replicated for use by other programs.

Indexed as

National Institutes of Health (U.S.)Research PersonnelAlgorithmsCohort StudiesElectronic Health RecordsHumansResearch DesignUnited Statescohort assessmentelectronic health recordsmedical informaticsmulticenter studies as topicrandomized controlled trials as topic

Identifiers

PMID34850917
PMCPMC8922182

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.