Evidence map›Paper›PMID 39832294›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

Incorporating area-level social drivers of health in predictive algorithms using electronic health record data.

Agata Foryciarz, Nicole Gladish, David H Rehkopf, Sherri Rose

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. A Microsimulation-Based Approach for Mitigating Societal Bias in Chronic Kidney Disease Data.Medical decision making : an international journal of the Society for Medical Decision Making · 2026
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  6. A microsimulation-based framework for mitigating societal bias in primary care data.medRxiv : the preprint server for health sciences · 2025
    Article
  7. Article
  8. Beyond the individual.Journal of the American Medical Informatics Association : JAMIA · 2025
    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

4 authors.

Agata ForyciarzDepartment of Computer Science, Stanford University, Stanford, CA 94305, United States.ORCID 0000-0002-8968-5805
Nicole GladishDepartment of Epidemiology and Population Health, Stanford School of Medicine, Stanford, CA 94304, United States.ORCID 0000-0001-6039-7001
David H RehkopfDepartment of Epidemiology and Population Health, Stanford School of Medicine, Stanford, CA 94304, United States.ORCID 0000-0002-7597-6513
Sherri RoseDepartment of Health Policy, Stanford School of Medicine, Stanford, CA 94305, United States.ORCID 0000-0002-9076-8472

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Novel Algorithmic Tools for Improving Health Outcomes in Primary CareR01LM013989 · NLM · STANFORD UNIVERSITY · PI ROSE, SHERRI · 2022 to 2025
$1.3M
National Center for Advancing Translational Science Clinical and Translational Science UL1TR003142NCATS NIH HHS UL1 TR003142NIH HHSNIH HHS R01LM013989NLM NIH HHS R01 LM013989Robert Wood Johnson Foundation 79319
6 · The paper itself

Abstract

objectivesThe inclusion of social drivers of health (SDOH) into predictive algorithms of health outcomes has potential for improving algorithm interpretation, performance, generalizability, and transportability. However, there are limitations in the availability, understanding, and quality of SDOH variables, as well as a lack of guidance on how to incorporate them into algorithms when appropriate to do so. As such, few published algorithms include SDOH, and there is substantial methodological variability among those that do. We argue that practitioners should consider the use of social indices and factors-a class of area-level measurements-given their accessibility, transparency, and quality.

resultsWe illustrate the process of using such indices in predictive algorithms, which includes the selection of appropriate indices for the outcome, measurement time, and geographic level, in a demonstrative example with the Kidney Failure Risk Equation. DISCUSSION: Identifying settings where incorporating SDOH may be beneficial and incorporating them rigorously can help validate algorithms and assess generalizability.

Indexed as

AlgorithmsElectronic Health RecordsSocial Determinants of HealthHumansPrediction Algorithmskidney failurepredictive modelingsocial drivers of healthsocial indices

Identifiers

PMID39832294
PMCPMC11833466

What OpenQuestion holds

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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.