Evidence map›Paper›PMID 37002987›Full record

ArticleInternational journal of medical informatics2023

Assessing the effect of electronic health information exchange on the completeness and validity of data for measuring viral load testing turnaround time in Nigeria.

Chinedu Aniekwe, Kendra Cuffe, Israel Audu, Nannim Nalda, Bright Ibezim, Michael Nnakwe, ThankGod Anazodo, Mubarak Dada, Erin Rottinghaus Romano, McPaul Okoye and 2 more

Open access · greenAbstract read
In one paragraph

Article in International journal of medical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Health Information Exchange: Contributions from 2023.Yearbook of medical informatics · 2024
    Pooled it
  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

12 authors at 5 institutions in 3 countries.

Chinedu AniekweUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Abuja, Nigeria. Electronic address: pvp1@cdc.gov.
Kendra CuffeUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Atlanta, USA.
Israel AuduUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Abuja, Nigeria.
Nannim NaldaUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Abuja, Nigeria.
Bright IbezimInstitute of Human Virology, Abuja, Nigeria.
Michael NnakweAPIN Public Health Initiative in Nigeria, Abuja, Nigeria.
ThankGod AnazodoClinton Health Access Initiative, Abuja, Nigeria.
Mubarak DadaAPIN Public Health Initiative in Nigeria, Abuja, Nigeria.
Erin Rottinghaus RomanoUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Atlanta, USA.
McPaul OkoyeUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Abuja, Nigeria.
Monte MartinUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Atlanta, USA.
Ritu ShrivastavaUS Centers for Disease Control and Prevention, Division of Global HIV & TB, Atlanta, USA.
Centers for Disease Control and Prevention · USAIDS Prevention Initiative in Nigeria · NGNigeria Centre for Disease Control · NGCenters for Disease Control and Prevention · UGInstitute of Human Virology · NG

Funding

CGH CDC HHS U01 GH002346Intramural CDC HHS CC999999PEPFAR
6 · The paper itself

Abstract

introductionImplementation of health information exchange has been shown to result in several benefits which includes the improvement in the completeness and timeliness of data for public health program monitoring and surveillance.

objectiveThe objective of this study was to assess the effect of implementing an electronic health information exchange (HIE) on the quality of data available to measure HIV viral load testing turnaround time (TAT) in Nigeria.

methodsWe measured viral load data validity and completeness before the implementation of electronic health information exchange, and 6 months after implementation. Records of specimens collected at 30 healthcare facilities and tested in 3 Polymerase Chain Reaction (PCR) labs were analyzed. We define data completeness as the percentage of non-missing values and measured this value by specimens and by data elements in the dataset for calculating TAT. To examine data validity, we classified TAT segments with negative values and date fields that were not in International Organization for Standardization(ISO) standard date format as invalid. Validity was measured by specimens and by each TAT segment. Pearson's chi square was used to assess for improvements in validity and completeness post implementation of HIE.

results15,226 records of specimens were analyzed at baseline and 18,022 records of specimens analyzed at endline. Data completeness for all specimens recorded increased significantly from 47% before HIE implementation to 67% six months after implementation (p < 0.01). Data validity also increased from 90% before implementation to 91% after implementation (p < 0.01)

conclusionOur study demonstrated evidence of significant improvement in the quality of data available to measure viral load turnaround time with the implementation of HIE.

Indexed as

Health Information ExchangeElectronic Health RecordsHealth FacilitiesHumansNigeriaViral LoadData qualityHealth information exchangeHealth information systemsViral load

Identifiers

PMID37002987
PMCPMC11187829
OpenAlexW4360999376

What OpenQuestion holds

Textmetadata
LicenceTDM
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.