Evidence map›Paper›PMID 35155999›Full record

ArticleJAMIA open2022

Generating real-world data from health records: design of a patient-centric study in multiple sclerosis using a commercial health records platform.

Gillian Hanson, Tanuja Chitnis, Mitzi J Williams, Ryan William Gan, Laura Julian, Kieran Mace, Jenny Chia, David Wormser, Michael Martinec, Troy Astorino and 4 more

Abstract read
In one paragraph

Article in JAMIA open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

Gillian HansonPicnicHealth, San Francisco, California, USA.
Tanuja ChitnisHarvard Medical School, Harvard University, Boston, Massachusetts, USA.
Mitzi J WilliamsJoi Life Wellness Group MS Neurology Center, Smyrna, Georgia, USA.
Ryan William GanGenentech Inc., San Francisco, California, USA.
Laura JulianGenentech Inc., San Francisco, California, USA.
Kieran MacePicnicHealth, San Francisco, California, USA.
Jenny ChiaGenentech Inc., San Francisco, California, USA.
David WormserF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Michael MartinecF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Troy AstorinoPicnicHealth, San Francisco, California, USA.
Noga LevinerPicnicHealth, San Francisco, California, USA.
Pye MaungPicnicHealth, San Francisco, California, USA.
Asif JanF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Katherine BelendiukGenentech Inc., San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe FlywheelMS study will explore the use of a real-world health record data set generated by PicnicHealth, a patient-centric health records platform, to improve understanding of disease course and patterns of care for patients with multiple sclerosis (MS). MATERIALS AND

methodsThe FlywheelMS study aims to enroll 5000 adults with MS in the United States to create a large, deidentified, longitudinal data set for clinical research. PicnicHealth obtains health records, including paper charts, electronic health records, and radiology imaging files from any healthcare site. Using a large-scale health record processing pipeline, PicnicHealth abstracts standard and condition-specific data elements from structured (eg, laboratory test results) and unstructured (eg, narrative) text and maps these to standardized medical vocabularies. Researchers can use the resulting data set to answer empirical questions and study participants can access and share their harmonized health records using PicnicHealth's web application.

resultsAs of November 24, 2020, more than 4176 participants from 49 of 50 US states have enrolled in the FlywheelMS study. A median of 200 pages of records have been collected from 14 different doctors over 8 years per participant. Abstraction precision, established through inter-abstractor agreement, is as high as 97.8% when identifying and mapping data elements to a standard ontology.

conclusionUsing a commercial health records platform, the FlywheelMS study is generating a real-world, multimodal data set that could provide valuable insights about patients with MS. This approach to data collection and abstraction is disease-agnostic and could be used to address other clinical research questions in the future.

Indexed as

data abstractionhealth recordsmachine learningmultiple sclerosisreal-world data

Identifiers

PMID35155999
PMCPMC8827034

What OpenQuestion holds

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LicenceCC BY-NC
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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.