Evidence map›Paper›PMID 35144575›Full record

ArticleBMC public health2022

Public health surveillance in the U.S. Department of Veterans Affairs: evaluation of the Praedico surveillance system.

Cynthia Lucero-Obusan, Gina Oda, Anoshiravan Mostaghimi, Patricia Schirmer, Mark Holodniy

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. US public health surveillance, reimagined.Learning health systems · 2024
    Article
  4. Article
  5. Article
  6. 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

5 authors.

Cynthia Lucero-ObusanU.S. Department of Veterans Affairs, Veterans Health Administration, Patient Care Services, Public Health Program Office, Washington, DC, Palo Alto, CA, USA. cynthia.lucero@va.gov.
Gina OdaU.S. Department of Veterans Affairs, Veterans Health Administration, Patient Care Services, Public Health Program Office, Washington, DC, Palo Alto, CA, USA.
Anoshiravan MostaghimiU.S. Department of Veterans Affairs, Veterans Health Administration, Patient Care Services, Public Health Program Office, Washington, DC, Palo Alto, CA, USA.
Patricia SchirmerU.S. Department of Veterans Affairs, Veterans Health Administration, Patient Care Services, Public Health Program Office, Washington, DC, Palo Alto, CA, USA.
Mark HolodniyU.S. Department of Veterans Affairs, Veterans Health Administration, Patient Care Services, Public Health Program Office, Washington, DC, Palo Alto, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly threat detection and situational awareness are vital to achieving a comprehensive and accurate view of health-related events for federal, state, and local health agencies. Key to this are public health and syndromic surveillance systems that can analyze large data sets to discover patterns, trends, and correlations of public health significance. In 2020, Department of Veterans Affairs (VA) evaluated its public health surveillance system and identified areas for improvement.

methodsUsing the Centers for Disease Control and Prevention (CDC) Guidelines for Evaluating Public Health Surveillance Systems, we assessed the ability of the Praedico Surveillance System to perform public health surveillance for a variety of health issues and evaluated its performance compared to an enterprise data solution (VA Corporate Data Warehouse), legacy surveillance system (VA ESSENCE) and a national, collaborative syndromic surveillance platform (CDC NSSP BioSense).

resultsReview of system attributes found that the system was simple, flexible, and stable. Representativeness, timeliness, sensitivity, and Predictive Value Positive were acceptable but could be further improved. Data quality issues and acceptability present challenges that potentially affect the overall usefulness of the system.

conclusionsPraedico is a customizable surveillance and data analytics platform built on big data technologies. Functionality is straightforward, with rapid query generation and runtimes. Data can be graphed, mapped, analyzed, and shared with key decision makers and stakeholders. Evaluation findings suggest that future development and system enhancements should focus on addressing Praedico data quality issues and improving user acceptability. Because Praedico is designed to handle big data queries and work with data from a variety of sources, it could be enlisted as a tool for interdepartmental and interagency collaboration and public health data sharing. We suggest that future system evaluations include measurements of value and effectiveness along with additional organizations and functional assessments.

Indexed as

Public Health SurveillanceVeteransCenters for Disease Control and Prevention, U.S.HumansPopulation SurveillancePublic Health InformaticsSentinel SurveillanceUnited StatesBig dataElectronic health recordsHealth informaticsPublic healthSurveillanceSyndromic surveillanceSystem evaluationVeterans

Identifiers

PMID35144575
PMCPMC8830960

What OpenQuestion holds

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LicenceCC BY
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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.