ArticleJournal of public health management and practice : JPHMP
Improving the Performance of a Syndromic Surveillance Definition for Sexual Violence.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextTimely and representative data for sexual violence surveillance in the United States are lacking.
objectiveTo address this gap, we aimed to improve the identification of sexual violence in syndromic surveillance emergency department (ED) visit data through evaluation of the' latest Centers for Disease Control and Prevention (CDC) sexual violence surveillance definition (CDC V3) using North Carolina (NC) syndromic surveillance data and development of an enhanced definition (V4).
designWe created a gold standard dataset of visits representing incident sexual violence, history of sexual violence, or no sexual violence through manual review, developed an enhanced V4 definition based on this review, and then compared the performance of the CDC V3 and V4 definitions against the gold standard.
settingNorth Carolina.
participantsEmergency department visits in NC, 1/1/2016-6/3/2024.
main outcome measuresWe compared the precision measures (Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value, and F1) of the CDC V3 and new V4 definitions for sexual violence. We applied both definitions to NC ED visit data for 2019-2023 to compare demographics and crude rates.
resultsThe CDC V3 sexual violence definition proved highly specific. The V4 definition identified a 6% increase in incident sexual violence ED visits compared to the CDC V3 definition, with additional chief complaint search terms and the selective incorporation of triage notes. Trends in patient sex, age group, race, and ethnicity were similar across both definitions. The F1 score showed improvement for the V4 definition compared to the CDC V3 definition, suggesting that it better optimizes the need to comprehensively identify ED visits for sexual violence while minimizing false positives.
conclusionsSyndromic surveillance ED visit data provide timely, population-based data on this complex topic. Building upon the CDC V3 definition and incorporating triage notes where available allowed us to develop a more sensitive and accurate surveillance definition for incident sexual violence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.