Evidence map›Paper›PMID 38965433›Full record

ReviewNature medicine2024

Harnessing EHR data for health research.

Alice S Tang, Sarah R Woldemariam, Silvia Miramontes, Beau Norgeot, Tomiko T Oskotsky, Marina Sirota

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

53 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Distinct Patterns of Mobility Recovery After Stroke Using Routine Clinical Data.medRxiv : the preprint server for health sciences · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. The Centralized Pain Score: A Method to Identify Nociplastic Pain in Electronic Health Records.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
    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

6 authors.

Alice S TangBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0003-4745-0714
Sarah R WoldemariamBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA, USA.
Silvia MiramontesBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA, USA.
Beau NorgeotQualified Health, Palo Alto, CA, USA.ORCID 0000-0003-2629-701X
Tomiko T OskotskyBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0001-7393-5120
Marina SirotaBakar Computational Health Sciences Institute, University of California, San Francisco, San Francisco, CA, USA. marina.sirota@ucsf.edu.ORCID 0000-0002-7246-6083

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007618 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ANDERSON, MARK S · 1985 to 2020
$29.6M
RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
UCSF Stanford Endometriosis Center for Discovery, Innovation, Training and Community EngagementP01HD106414 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI OPOKU-ANANE, JESSICA · 2021 to 2025
$7.1M
An Integrative Multi-Omics Approach to Elucidate Sex-Specific Differences in Alzheimers DiseaseR01AG060393 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SIROTA, MARINA · 2018 to 2022
$4.1M
Evaluating social and clinical risk factors for the progression from Mild CognitiveImpairment to Alzheimer’s Disease and Related Dementias using Real World ClinicalDataF31AG085938 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIZARRAGA, SILVIA MIRAMONTES · 2024 to 2025
$92k
NIAMS NIH HHS P30 AR070155NIA NIH HHS F31 AG085938U.S. Department of Health & Human Services | National Institutes of Health (NIH) T32GM007618U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) P01HD106414U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R01AG060393
6 · The paper itself

Abstract

With the increasing availability of rich, longitudinal, real-world clinical data recorded in electronic health records (EHRs) for millions of patients, there is a growing interest in leveraging these records to improve the understanding of human health and disease and translate these insights into clinical applications. However, there is also a need to consider the limitations of these data due to various biases and to understand the impact of missing information. Recognizing and addressing these limitations can inform the design and interpretation of EHR-based informatics studies that avoid confusing or incorrect conclusions, particularly when applied to population or precision medicine. Here we discuss key considerations in the design, implementation and interpretation of EHR-based informatics studies, drawing from examples in the literature across hypothesis generation, hypothesis testing and machine learning applications. We outline the growing opportunities for EHR-based informatics studies, including association studies and predictive modeling, enabled by evolving AI capabilities-while addressing limitations and potential pitfalls to avoid.

Indexed as

Electronic Health RecordsBiomedical ResearchHumansMachine LearningMedical InformaticsPrecision Medicine

Identifiers

What OpenQuestion holds

Textmetadata
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.