Evidence map›Paper›PMID 35387655›Full record

ArticleBMC medical informatics and decision making2022

The use of electronic health records to inform cancer surveillance efforts: a scoping review and test of indicators for public health surveillance of cancer prevention and control.

Sarah Conderino, Stefanie Bendik, Thomas B Richards, Claudia Pulgarin, Pui Ying Chan, Julie Townsend, Sungwoo Lim, Timothy R Roberts, Lorna E Thorpe

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMC medical informatics and decision making, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 8% of its field
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  14. Data Challenges in Identifying Patients Due for Colorectal Cancer Screening in Rural Clinics.Journal of the American Board of Family Medicine : JABFM · 2023
    Article
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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 at 3 institutions in 1 country.

Sarah ConderinoDepartment of Population Health, New York University Grossman School of Medicine, 180 Madison Ave, New York, NY, 10016, USA. sarah.conderino@nyulangone.org.
Stefanie BendikDepartment of Population Health, New York University Grossman School of Medicine, 180 Madison Ave, New York, NY, 10016, USA.
Thomas B RichardsDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, 30333, USA.
Claudia PulgarinDepartment of Population Health, New York University Grossman School of Medicine, 180 Madison Ave, New York, NY, 10016, USA.
Pui Ying ChanDivision of Epidemiology, New York City Department of Health and Mental Hygiene, Long Island City, NY, 11101, USA.
Julie TownsendDivision of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, 30333, USA.
Sungwoo LimDivision of Epidemiology, New York City Department of Health and Mental Hygiene, Long Island City, NY, 11101, USA.
Timothy R RobertsHealth Sciences Library, New York University Grossman School of Medicine, New York, NY, 10016, USA.
Lorna E ThorpeDepartment of Population Health, New York University Grossman School of Medicine, 180 Madison Ave, New York, NY, 10016, USA.
New York University · USCenters for Disease Control and Prevention · USNew York City Department of Health and Mental Hygiene · US

Funding

NYU-CUNY Prevention Research CenterU48DP006396 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HUANG, TERRY T-K, THORPE, LORNA · 2018 to 2023
$9.1M
NCCDPHP CDC HHS U48 DP006396
6 · The paper itself

Abstract

introductionState cancer prevention and control programs rely on public health surveillance data to set objectives to improve cancer prevention and control, plan interventions, and evaluate state-level progress towards achieving those objectives. The goal of this project was to evaluate the validity of using electronic health records (EHRs) based on common data model variables to generate indicators for surveillance of cancer prevention and control for these public health programs.

methodsFollowing the methodological guidance from the PRISMA Extension for Scoping Reviews, we conducted a literature scoping review to assess how EHRs are used to inform cancer surveillance. We then developed 26 indicators along the continuum of the cascade of care, including cancer risk factors, immunizations to prevent cancer, cancer screenings, quality of initial care after abnormal screening results, and cancer burden. Indicators were calculated within a sample of patients from the New York City (NYC) INSIGHT Clinical Research Network using common data model EHR data and were weighted to the NYC population using post-stratification. We used prevalence ratios to compare these estimates to estimates from the raw EHR of NYU Langone Health to assess quality of information within INSIGHT, and we compared estimates to results from existing surveillance sources to assess validity.

resultsOf the 401 identified articles, 15% had a study purpose related to surveillance. Our indicator comparisons found that INSIGHT EHR-based measures for risk factor indicators were similar to estimates from external sources. In contrast, cancer screening and vaccination indicators were substantially underestimated as compared to estimates from external sources. Cancer screenings and vaccinations were often recorded in sections of the EHR that were not captured by the common data model. INSIGHT estimates for many quality-of-care indicators were higher than those calculated using a raw EHR.

conclusionCommon data model EHR data can provide rich information for certain indicators related to the cascade of care but may have substantial biases for others that limit their use in informing surveillance efforts for cancer prevention and control programs.

Indexed as

Electronic Health RecordsNeoplasmsHumansPrevalencePublic Health SurveillanceRisk FactorsCommon data modelEarly detection of cancerElectronic health recordsPatient-Centered Clinical Research NetworkPublic health informaticsPublic health surveillance

Identifiers

PMID35387655
PMCPMC8985310
OpenAlexW4223584058

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.