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The effect of number of healthcare visits on study sample selection in electronic health record data
INTRODUCTION: Few studies have addressed how to select a study sample when using electronic health record (EHR) data. OBJECTIVE: To examine how changing criterion for number of visits in EHR data required for inclusion in a study sample would impact one basic epidemiologic measure: estimates of dise...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Swansea University
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7448749/ https://www.ncbi.nlm.nih.gov/pubmed/32864475 http://dx.doi.org/10.23889/ijpds.v5i1.1156 |
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author | Rasmussen-Torvik, LJ Furmanchuk, A Stoddard, AJ Osinski, AI Meurer, JR Smith, N Chrischilles, E Black, BS Kho, A |
author_facet | Rasmussen-Torvik, LJ Furmanchuk, A Stoddard, AJ Osinski, AI Meurer, JR Smith, N Chrischilles, E Black, BS Kho, A |
author_sort | Rasmussen-Torvik, LJ |
collection | PubMed |
description | INTRODUCTION: Few studies have addressed how to select a study sample when using electronic health record (EHR) data. OBJECTIVE: To examine how changing criterion for number of visits in EHR data required for inclusion in a study sample would impact one basic epidemiologic measure: estimates of disease period prevalence. METHODS: Year 2016 EHR data from three Midwestern health systems (Northwestern Medicine in Illinois, University of Iowa Health Care, and Froedtert & the Medical College of Wisconsin, all regional tertiary health care systems including hospitals and clinics) was used to examine how alternate definitions of the study sample, based on number of healthcare visits in one year, affected measures of disease period prevalence. In 2016, each of these health systems saw between 160,000 and 420,000 unique patients. Curated collections of ICD-9, ICD-10, and SNOMED codes (from CMS-approved electronic clinical quality measures) were used to define three diseases: acute myocardial infarction, asthma, and diabetic nephropathy). RESULTS: Across all health systems, increasing the minimum required number of visits to be included in the study sample monotonically increased crude period prevalence estimates. The rate at which prevalence estimates increased with number of visits varied across sites and across diseases. CONCLUSION: In addition to providing thorough descriptions of case definitions, when using EHR data authors must carefully describe how a study sample is identified and report data for a range of sample definitions, including minimum number of visits, so that others can assess the sensitivity of reported results to sample definition in EHR data. KEY WORDS: Electronic Health Records, Sampling Studies, Prevalence, Methods |
format | Online Article Text |
id | pubmed-7448749 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Swansea University |
record_format | MEDLINE/PubMed |
spelling | pubmed-74487492020-09-14 The effect of number of healthcare visits on study sample selection in electronic health record data Rasmussen-Torvik, LJ Furmanchuk, A Stoddard, AJ Osinski, AI Meurer, JR Smith, N Chrischilles, E Black, BS Kho, A Int J Popul Data Sci Population Data Science INTRODUCTION: Few studies have addressed how to select a study sample when using electronic health record (EHR) data. OBJECTIVE: To examine how changing criterion for number of visits in EHR data required for inclusion in a study sample would impact one basic epidemiologic measure: estimates of disease period prevalence. METHODS: Year 2016 EHR data from three Midwestern health systems (Northwestern Medicine in Illinois, University of Iowa Health Care, and Froedtert & the Medical College of Wisconsin, all regional tertiary health care systems including hospitals and clinics) was used to examine how alternate definitions of the study sample, based on number of healthcare visits in one year, affected measures of disease period prevalence. In 2016, each of these health systems saw between 160,000 and 420,000 unique patients. Curated collections of ICD-9, ICD-10, and SNOMED codes (from CMS-approved electronic clinical quality measures) were used to define three diseases: acute myocardial infarction, asthma, and diabetic nephropathy). RESULTS: Across all health systems, increasing the minimum required number of visits to be included in the study sample monotonically increased crude period prevalence estimates. The rate at which prevalence estimates increased with number of visits varied across sites and across diseases. CONCLUSION: In addition to providing thorough descriptions of case definitions, when using EHR data authors must carefully describe how a study sample is identified and report data for a range of sample definitions, including minimum number of visits, so that others can assess the sensitivity of reported results to sample definition in EHR data. KEY WORDS: Electronic Health Records, Sampling Studies, Prevalence, Methods Swansea University 2020-04-02 /pmc/articles/PMC7448749/ /pubmed/32864475 http://dx.doi.org/10.23889/ijpds.v5i1.1156 Text en https://creativecommons.org/licenses/by/4.0/This work is licenced under a Creative Commons Attribution 4.0 International License. |
spellingShingle | Population Data Science Rasmussen-Torvik, LJ Furmanchuk, A Stoddard, AJ Osinski, AI Meurer, JR Smith, N Chrischilles, E Black, BS Kho, A The effect of number of healthcare visits on study sample selection in electronic health record data |
title | The effect of number of healthcare visits on study sample selection in electronic health record data |
title_full | The effect of number of healthcare visits on study sample selection in electronic health record data |
title_fullStr | The effect of number of healthcare visits on study sample selection in electronic health record data |
title_full_unstemmed | The effect of number of healthcare visits on study sample selection in electronic health record data |
title_short | The effect of number of healthcare visits on study sample selection in electronic health record data |
title_sort | effect of number of healthcare visits on study sample selection in electronic health record data |
topic | Population Data Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7448749/ https://www.ncbi.nlm.nih.gov/pubmed/32864475 http://dx.doi.org/10.23889/ijpds.v5i1.1156 |
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