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dc.contributor.author | Rockenschaub, Patrick | es_ES |
dc.contributor.author | Nguyen, Vincent | es_ES |
dc.contributor.author | Aldridge, Robert W. | es_ES |
dc.contributor.author | Acosta, Dionisio | es_ES |
dc.contributor.author | Garcia-Gomez, Juan M | es_ES |
dc.contributor.author | Sáez Silvestre, Carlos | es_ES |
dc.date.accessioned | 2021-05-20T03:34:45Z | |
dc.date.available | 2021-05-20T03:34:45Z | |
dc.date.issued | 2020-02 | es_ES |
dc.identifier.uri | http://hdl.handle.net/10251/166542 | |
dc.description.abstract | [EN] Objectives To demonstrate how data-driven variability methods can be used to identify changes in disease recording in two English electronic health records databases between 2001 and 2015. Design Repeated cross-sectional analysis that applied data-driven temporal variability methods to assess month-by-month changes in routinely collected medical data. A measure of difference between months was calculated based on joint distributions of age, gender, socioeconomic status and recorded cardiovascular diseases. Distances between months were used to identify temporal trends in data recording. Setting 400 English primary care practices from the Clinical Practice Research Datalink (CPRD GOLD) and 451 hospital providers from the Hospital Episode Statistics (HES). Main outcomes The proportion of patients (CPRD GOLD) and hospital admissions (HES) with a recorded cardiovascular disease (CPRD GOLD: coronary heart disease, heart failure, peripheral arterial disease, stroke; HES: International Classification of Disease codes I20-I69/G45). Results Both databases showed gradual changes in cardiovascular disease recording between 2001 and 2008. The recorded prevalence of included cardiovascular diseases in CPRD GOLD increased by 47%-62%, which partially reversed after 2008. For hospital records in HES, there was a relative decrease in angina pectoris (-34.4%) and unspecified stroke (-42.3%) over the same time period, with a concomitant increase in chronic coronary heart disease (+14.3%). Multiple abrupt changes in the use of myocardial infarction codes in hospital were found in March/April 2010, 2012 and 2014, possibly linked to updates of clinical coding guidelines. Conclusions Identified temporal variability could be related to potentially non-medical causes such as updated coding guidelines. These artificial changes may introduce temporal correlation among diagnoses inferred from routine data, violating the assumptions of frequently used statistical methods. Temporal variability measures provide an objective and robust technique to identify, and subsequently account for, those changes in electronic health records studies without any prior knowledge of the data collection process. | es_ES |
dc.description.sponsorship | VN is funded by a Public Health England PhD Studentship. RWA is supported by a Wellcome Trust Clinical Research Career Development Fellowship (206602/Z/17/Z). JMGG and CS contributions to this work were partially supported by the MTS4up Spanish project (National Plan for Scientific and Technical Research and Innovation 2013-2016, No. DPI2016-80054-R), the CrowdHealth H2020-SC1-2016-CNECT project (No. 727560) (JMGG) and the Inadvance H2020-SC1-BHC-2018-2020 project (No. 825750). PR and DA did not receive any direct funding for this project. Access to the Clinical Practice Research Datalink was supported by the UK Economic and Social Research Council (ES/P008321/1). Access to aggregated Hospital Episode Statistics was provided by Public Health England. This work was further supported by Health Data Research UK, which is funded by the UK Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Department of Health and Social Care (England), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Health and Social Care Research and Development Division (Welsh Government), Public Health Agency (Northern Ireland), British Heart Foundation and the Wellcome Trust. | es_ES |
dc.language | Inglés | es_ES |
dc.publisher | BMJ | es_ES |
dc.relation | AEI/DPI2016-80054-R | es_ES |
dc.relation.ispartof | BMJ Open | es_ES |
dc.rights | Reconocimiento (by) | es_ES |
dc.subject.classification | FISICA APLICADA | es_ES |
dc.title | Data-driven discovery of changes in clinical code usage over time: a case-study on changes in cardiovascular disease recording in two English electronic health records databases (2001-2015) | es_ES |
dc.type | Artículo | es_ES |
dc.identifier.doi | 10.1136/bmjopen-2019-034396 | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/H2020/727560/EU/Collective wisdom driving public health policies/ | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/UKRI//ES%2FP008321%2F1/GB/Preserving Antibiotics through Safe Stewardship: PASS/ | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/H2020/825750/EU/Patient-centred pathways of early palliative care, supportive ecosystems and appraisal standard/ | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/WT/Population and Public Health/206602/Public health data science to investigate and improve migrant health./ | |
dc.relation.projectID | info:eu-repo/grantAgreement/MINECO//DPI2016-80054-R/ES/BIOMARCADORES DINAMICOS BASADOS EN FIRMAS TISULARES MULTIPARAMETRICAS PARA EL SEGUIMIENTO Y EVALUACION DE LA RESPUESTA A TRATAMIENTO DE PACIENTES CON GLIOBLASTOMA Y CANCER DE/ | es_ES |
dc.rights.accessRights | Abierto | es_ES |
dc.contributor.affiliation | Universitat Politècnica de València. Departamento de Física Aplicada - Departament de Física Aplicada | es_ES |
dc.description.bibliographicCitation | Rockenschaub, P.; Nguyen, V.; Aldridge, RW.; Acosta, D.; Garcia-Gomez, JM.; Sáez Silvestre, C. (2020). Data-driven discovery of changes in clinical code usage over time: a case-study on changes in cardiovascular disease recording in two English electronic health records databases (2001-2015). BMJ Open. 10(2):1-9. https://doi.org/10.1136/bmjopen-2019-034396 | es_ES |
dc.description.accrualMethod | S | es_ES |
dc.relation.publisherversion | https://doi.org/10.1136/bmjopen-2019-034396 | es_ES |
dc.description.upvformatpinicio | 1 | es_ES |
dc.description.upvformatpfin | 9 | es_ES |
dc.type.version | info:eu-repo/semantics/publishedVersion | es_ES |
dc.description.volume | 10 | es_ES |
dc.description.issue | 2 | es_ES |
dc.identifier.eissn | 2044-6055 | es_ES |
dc.identifier.pmid | 32060159 | es_ES |
dc.identifier.pmcid | PMC7045100 | es_ES |
dc.relation.pasarela | S\435463 | es_ES |
dc.contributor.funder | Wellcome Trust | es_ES |
dc.contributor.funder | UK Research and Innovation | es_ES |
dc.contributor.funder | Welsh Government | es_ES |
dc.contributor.funder | European Commission | es_ES |
dc.contributor.funder | Scottish Government | es_ES |
dc.contributor.funder | British Heart Foundation | es_ES |
dc.contributor.funder | Medical Research Council, Reino Unido | es_ES |
dc.contributor.funder | Economic and Social Research Council, Reino Unido | es_ES |
dc.contributor.funder | Engineering and Physical Sciences Research Council, Reino Unido | es_ES |
dc.contributor.funder | Ministerio de Economía y Competitividad | es_ES |
dc.description.references | Hripcsak, G., & Albers, D. J. (2013). Next-generation phenotyping of electronic health records. Journal of the American Medical Informatics Association, 20(1), 117-121. doi:10.1136/amiajnl-2012-001145 | es_ES |
dc.description.references | Burton, P. R., Murtagh, M. J., Boyd, A., Williams, J. B., Dove, E. S., Wallace, S. E., … Knoppers, B. M. (2015). Data Safe Havens in health research and healthcare. Bioinformatics, 31(20), 3241-3248. doi:10.1093/bioinformatics/btv279 | es_ES |
dc.description.references | Cruz-Correia R , Rodrigues P , Freitas A . Chapter: 4, Data quality and integration issues in electronic health records. In: Information discovery on electronic health records. CRC Press, 2009: 55–95. | es_ES |
dc.description.references | Massoudi, B. L., Goodman, K. W., Gotham, I. J., Holmes, J. H., Lang, L., Miner, K., … Fu, P. C. (2012). An informatics agenda for public health: summarized recommendations from the 2011 AMIA PHI Conference. Journal of the American Medical Informatics Association, 19(5), 688-695. doi:10.1136/amiajnl-2011-000507 | es_ES |
dc.description.references | Schlegel, D. R., & Ficheur, G. (2017). Secondary Use of Patient Data: Review of the Literature Published in 2016. Yearbook of Medical Informatics, 26(01), 68-71. doi:10.15265/iy-2017-032 | es_ES |
dc.description.references | Weiskopf, N. G., & Weng, C. (2013). Methods and dimensions of electronic health record data quality assessment: enabling reuse for clinical research. Journal of the American Medical Informatics Association, 20(1), 144-151. doi:10.1136/amiajnl-2011-000681 | es_ES |
dc.description.references | Herrett, E., Thomas, S. L., Schoonen, W. M., Smeeth, L., & Hall, A. J. (2010). Validation and validity of diagnoses in the General Practice Research Database: a systematic review. British Journal of Clinical Pharmacology, 69(1), 4-14. doi:10.1111/j.1365-2125.2009.03537.x | es_ES |
dc.description.references | Sáez, C., Zurriaga, O., Pérez-Panadés, J., Melchor, I., Robles, M., & García-Gómez, J. M. (2016). Applying probabilistic temporal and multisite data quality control methods to a public health mortality registry in Spain: a systematic approach to quality control of repositories. Journal of the American Medical Informatics Association, 23(6), 1085-1095. doi:10.1093/jamia/ocw010 | es_ES |
dc.description.references | Tate AR , Dungey S , Glew S , et al . Quality of recording of diabetes in the UK: how does the GP's method of coding clinical data affect incidence estimates? cross-sectional study using the CPRD database. BMJ Open 2017;7:e012905.doi:10.1136/bmjopen-2016-012905 | es_ES |
dc.description.references | Calvert M , Shankar A , McManus RJ , et al . Effect of the quality and outcomes framework on diabetes care in the United Kingdom: retrospective cohort study. BMJ 2009;338:b1870.doi:10.1136/bmj.b1870 | es_ES |
dc.description.references | Sáez, C., Robles, M., & García-Gómez, J. M. (2016). Stability metrics for multi-source biomedical data based on simplicial projections from probability distribution distances. Statistical Methods in Medical Research, 26(1), 312-336. doi:10.1177/0962280214545122 | es_ES |
dc.description.references | Herrett, E., Gallagher, A. M., Bhaskaran, K., Forbes, H., Mathur, R., van Staa, T., & Smeeth, L. (2015). Data Resource Profile: Clinical Practice Research Datalink (CPRD). International Journal of Epidemiology, 44(3), 827-836. doi:10.1093/ije/dyv098 | es_ES |
dc.description.references | Herbert, A., Wijlaars, L., Zylbersztejn, A., Cromwell, D., & Hardelid, P. (2017). Data Resource Profile: Hospital Episode Statistics Admitted Patient Care (HES APC). International Journal of Epidemiology, 46(4), 1093-1093i. doi:10.1093/ije/dyx015 | es_ES |
dc.description.references | Chisholm J . The read clinical classification. BMJ 1990;300:1092.doi:10.1136/bmj.300.6732.1092 | es_ES |
dc.description.references | Denaxas, S., Gonzalez-Izquierdo, A., Direk, K., Fitzpatrick, N. K., Fatemifar, G., Banerjee, A., … Hemingway, H. (2019). UK phenomics platform for developing and validating electronic health record phenotypes: CALIBER. Journal of the American Medical Informatics Association, 26(12), 1545-1559. doi:10.1093/jamia/ocz105 | es_ES |
dc.description.references | Department for Communities and Local Government . The English Index of Multiple Deprivation (IMD) 2015 - Guidance. Available: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/464430/English_Index_of_Multiple_Deprivation_2015_-_Guidance.pdf [Accessed 8 Dec 2019]. | es_ES |
dc.description.references | Sáez, C., Rodrigues, P. P., Gama, J., Robles, M., & García-Gómez, J. M. (2014). Probabilistic change detection and visualization methods for the assessment of temporal stability in biomedical data quality. Data Mining and Knowledge Discovery, 29(4), 950-975. doi:10.1007/s10618-014-0378-6 | es_ES |
dc.description.references | Borg, I., & Groenen, P. (2003). Modern Multidimensional Scaling: Theory and Applications. Journal of Educational Measurement, 40(3), 277-280. doi:10.1111/j.1745-3984.2003.tb01108.x | es_ES |
dc.description.references | Sáez, C., & García-Gómez, J. M. (2018). Kinematics of Big Biomedical Data to characterize temporal variability and seasonality of data repositories: Functional Data Analysis of data temporal evolution over non-parametric statistical manifolds. International Journal of Medical Informatics, 119, 109-124. doi:10.1016/j.ijmedinf.2018.09.015 | es_ES |
dc.description.references | Conrad, N., Judge, A., Tran, J., Mohseni, H., Hedgecott, D., Crespillo, A. P., … Rahimi, K. (2018). Temporal trends and patterns in heart failure incidence: a population-based study of 4 million individuals. The Lancet, 391(10120), 572-580. doi:10.1016/s0140-6736(17)32520-5 | es_ES |
dc.description.references | Herrett E , Shah AD , Boggon R , et al . Completeness and diagnostic validity of recording acute myocardial infarction events in primary care, hospital care, disease registry, and national mortality records: cohort study. BMJ 2013;346:f2350.doi:10.1136/bmj.f2350 | es_ES |
dc.description.references | Pujades-Rodriguez M , Timmis A , Stogiannis D , et al . Socioeconomic deprivation and the incidence of 12 cardiovascular diseases in 1.9 million women and men: implications for risk prediction and prevention. PLoS One 2014;9:e104671.doi:10.1371/journal.pone.0104671 | es_ES |
dc.description.references | Lee S , Shafe ACE , Cowie MR . Uk stroke incidence, mortality and cardiovascular risk management 1999-2008: time-trend analysis from the general practice research database. BMJ Open 2011;1:e000269.doi:10.1136/bmjopen-2011-000269 | es_ES |
dc.description.references | Bhatnagar, P., Wickramasinghe, K., Williams, J., Rayner, M., & Townsend, N. (2015). The epidemiology of cardiovascular disease in the UK 2014. Heart, 101(15), 1182-1189. doi:10.1136/heartjnl-2015-307516 | es_ES |
dc.description.references | Taylor, C. J., Ordóñez-Mena, J. M., Roalfe, A. K., Lay-Flurrie, S., Jones, N. R., Marshall, T., & Hobbs, F. D. R. (2019). Trends in survival after a diagnosis of heart failure in the United Kingdom 2000-2017: population based cohort study. BMJ, l223. doi:10.1136/bmj.l223 | es_ES |
dc.description.references | Gho JMIH , Schmidt AF , Pasea L , et al . An electronic health records cohort study on heart failure following myocardial infarction in England: incidence and predictors. BMJ Open 2018;8:e018331.doi:10.1136/bmjopen-2017-018331 | es_ES |
dc.description.references | Quint JK , Müllerova H , DiSantostefano RL , et al . Validation of chronic obstructive pulmonary disease recording in the clinical practice research Datalink (CPRD-GOLD). BMJ Open 2014;4:e005540.doi:10.1136/bmjopen-2014-005540 | es_ES |
dc.description.references | Bhaskaran K , Forbes HJ , Douglas I , et al . Representativeness and optimal use of body mass index (BMI) in the UK clinical practice research Datalink (CPRD). BMJ Open 2013;3:e003389.doi:10.1136/bmjopen-2013-003389 | es_ES |
dc.description.references | Booth, H. P., Prevost, A. T., & Gulliford, M. C. (2013). Validity of smoking prevalence estimates from primary care electronic health records compared with national population survey data for England, 2007 to 2011. Pharmacoepidemiology and Drug Safety, 22(12), 1357-1361. doi:10.1002/pds.3537 | es_ES |
dc.description.references | Booth H , Dedman D , Wolf A . CPRD aurum frequently asked questions (FAQs). CPRD 2019. | es_ES |
dc.description.references | Burns, E. M., Rigby, E., Mamidanna, R., Bottle, A., Aylin, P., Ziprin, P., & Faiz, O. D. (2011). Systematic review of discharge coding accuracy. Journal of Public Health, 34(1), 138-148. doi:10.1093/pubmed/fdr054 | es_ES |
dc.description.references | Marmot, M. G., Stansfeld, S., Patel, C., North, F., Head, J., White, I., … Smith, G. D. (1991). Health inequalities among British civil servants: the Whitehall II study. The Lancet, 337(8754), 1387-1393. doi:10.1016/0140-6736(91)93068-k | es_ES |
dc.description.references | Kivimäki, M., Batty, G. D., Singh-Manoux, A., Britton, A., Brunner, E. J., & Shipley, M. J. (2017). Validity of Cardiovascular Disease Event Ascertainment Using Linkage to UK Hospital Records. Epidemiology, 28(5), 735-739. doi:10.1097/ede.0000000000000688 | es_ES |
dc.description.references | Crosignani, P. G. (2003). Breast cancer and hormone-replacement therapy in the Million Women Study. Maturitas, 46(2), 91-92. doi:10.1016/j.maturitas.2003.09.002 | es_ES |
dc.description.references | Wright FL , Green J , Canoy D , et al . Vascular disease in women: comparison of diagnoses in hospital episode statistics and general practice records in England. BMC Med Res Methodol 2012;12:161.doi:10.1186/1471-2288-12-161 | es_ES |
dc.description.references | Herrett, E., Smeeth, L., Walker, L., & Weston, C. (2010). The Myocardial Ischaemia National Audit Project (MINAP). Heart, 96(16), 1264-1267. doi:10.1136/hrt.2009.192328 | es_ES |
dc.description.references | Silver LE , Heneghan C , Mehta Z , et al . Substantial underestimation of incidence of acute myocardial infarction by hospital discharge diagnostic coding data: a prospective population-based study. Heart 2009;95. | es_ES |
dc.description.references | Health and Social Care Information Centre . Coding clinic guidance. 5th edn, 2010. | es_ES |
dc.description.references | Health & Social Care Information Centre . National Clinical Coding Standards - ICD-10. 4th edn, 2013. https://hscic.kahootz.com/connect.ti/t_c_home/view?objectId=31445829 | es_ES |
dc.description.references | Wang, R. Y., & Strong, D. M. (1996). Beyond Accuracy: What Data Quality Means to Data Consumers. Journal of Management Information Systems, 12(4), 5-33. doi:10.1080/07421222.1996.11518099 | es_ES |