Evidence map›Paper›PMID 40988051›Full record

ArticlePharmacoepidemiology and drug safety2025

Quantification of Information Gained by Linking Claims Data to an Electronic Health Record Cohort of Patients With Metastatic Breast Cancer.

Jonah Geddes, Julie Katz, Alex Asiimwe, M Alan Brookhart, Charlotte Carroll, Lev Eldemir, Vera Mucaj, Kevin Nolan, Ioanna Ntalla, Carrie M Nielson

Abstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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4 · The record

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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

10 authors.

Jonah GeddesSimulStat Incorporated, Solona Beach, California, USA.
Julie KatzGilead Sciences, Foster City, California, USA.
Alex AsiimweGilead Sciences, Foster City, California, USA.
M Alan BrookhartDepartment of Population Health Sciences, Duke University, Durham, North Carolina, USA.
Charlotte CarrollGilead Sciences, Foster City, California, USA.
Lev EldemirDatavant, San Francisco, California, USA.
Vera MucajDatavant, San Francisco, California, USA.
Kevin NolanGilead Sciences, Dublin, Ireland.
Ioanna NtallaGilead Sciences Europe Ltd., Uxbridge, UK.
Carrie M NielsonGilead Sciences, Foster City, California, USA.ORCID https://orcid.org/0000-0002-2619-7839

Funding

Gilead Sciences
6 · The paper itself

Abstract

purposeLinking claims data to electronic health record (EHR) data can improve completeness, often at a cost of decreased sample size. Quantifying information gained and differences in patient characteristics between EHR and EHR-claims linked cohorts may inform study design.

methodsUsing ConcertAI Patient360 EHR linked to multiple closed insurance claims sources, we compared an EHR cohort of patients with incident metastatic breast cancer (mBC) to an EHR-claims subcohort (requiring ≥ 90 days claims coverage). We analyzed diagnosis coverage, patient time during lookback and follow-up, baseline characteristics, and rates of 14 adverse events (AEs). Analyses were age stratified due to insurance coverage changes at age 65.

resultsFor the EHR cohort (N = 6289), 1438 (23%) were in the EHR-claims subcohort. A greater proportion were aged ≥ 65 years in the EHR cohort (30%) than in the EHR-claims subcohort (17%). EHR-claims patients had longer observation periods and more unique diagnoses across both age groups. For most AEs, incidences were higher in both age groups in the EHR-claims subcohort than in the EHR cohort.

conclusionsEHR-claims provided more diagnoses and observation time, at the cost of a reduction in sample size and underrepresentation of patients ≥ 65 years. Differing age proportions support age-stratified or standardized analyses for EHR-claims data. Results aid interpretation of differences between EHR and EHR-claims results due to shifts in age, completeness of diagnosis history, and duration of observation.

Indexed as

Breast NeoplasmsElectronic Health RecordsInsurance Claim ReviewMedical Record LinkageAdultAgedAged, 80 and overAge FactorsCohort StudiesDatabases, FactualFemaleHumansMiddle AgedNeoplasm Metastasisdata linkageelectronic health recordsinsurance claims datareal‐world data

Identifiers

PMID40988051
PMCPMC12457698

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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.