Protocol for improving equity in quantitative big data cleaning: lessons from longitudinal analysis of electronic health records from underrepresented and marginalized communities.

backgroundLarge biomedical datasets, including electronic health records (EHRs), are a significant source of epidemiologic data. To prepare an EHR for analysis, there are several data-cleaning approaches; here, we focus on data filtering. Common data-filtering methods employ rules that rely on data from socially constructed dominant populations but are inappropriate for marginalized populations, leading to the loss of valuable data and neglect of underrepresented communities. We propose a novel method based on a phenomenological framework that is more equitable and inclusive, leading to culturally responsive research and discoveries.

methodsEHRs from the Yukon-Kuskokwim Health Corporation (YKHC) containing 1 262 035 records from 12 402 unique individuals from 2002 to 2012 were cleaned by using the proposed phenomenological (individual) and common (cohort) data-filtering approach. Within the phenomenological framework, we (i) excluded values that were undeniably biologically impossible for any population, (ii) excludes values that fell outside three standard deviations from the mean value for each individual person, and (iii) used two forms of imputation methods for stable quantitative and qualitative values at the individual level when data were missing.

resultsCompared with common data-filtering practices, the phenomenological approach retained more observations, participants, and a range of outcomes, allowing a truer representation of the priority population. In sensitivity analyses comparing the results of the raw data, the common approach implemented, and the phenomenological approach applied, we found that the phenomenological approach did not compromise the integrity of the results.

conclusionThe phenomenological approach to filtering big data presents an opportunity to better advocate for marginalized communities even when using large datasets that require automated rules for data filtering. Our method may empower researchers who are partnering with communities to embrace large datasets without compromising their commitment to community benefit and respect.