An electronic health record-enabled obesity database
Identifieur interne : 000270 ( Main/Exploration ); précédent : 000269; suivant : 000271An electronic health record-enabled obesity database
Auteurs : G Craig Wood [États-Unis] ; Xin Chu [États-Unis] ; Christina Manney [États-Unis] ; William Strodel [États-Unis] ; Anthony Petrick [États-Unis] ; Jon Gabrielsen [États-Unis] ; Jamie Seiler [États-Unis] ; David Carey [États-Unis] ; George Argyropoulos [États-Unis] ; Peter Benotti [États-Unis] ; Christopher D. Still [États-Unis] ; Glenn S. Gerhard [États-Unis]Source :
- BMC Medical Informatics and Decision Making [ 1472-6947 ] ; 2012.
Abstract
The effectiveness of weight loss therapies is commonly measured using body mass index and other obesity-related variables. Although these data are often stored in electronic health records (EHRs) and potentially very accessible, few studies on obesity and weight loss have used data derived from EHRs. We developed processes for obtaining data from the EHR in order to construct a database on patients undergoing Roux-en-Y gastric bypass (RYGB) surgery.
Clinical data obtained as part of standard of care in a bariatric surgery program at an integrated health delivery system were extracted from the EHR and deposited into a data warehouse. Data files were extracted, cleaned, and stored in research datasets. To illustrate the utility of the data, Kaplan-Meier analysis was used to estimate length of post-operative follow-up.
Demographic, laboratory, medication, co-morbidity, and survey data were obtained from 2028 patients who had undergone RYGB at the same institution since 2004. Pre-and post-operative diagnostic and prescribing information were available on all patients, while survey laboratory data were available on a majority of patients. The number of patients with post-operative laboratory test results varied by test. Based on Kaplan-Meier estimates, over 74% of patients had post-operative weight data available at 4 years.
A variety of EHR-derived data related to obesity can be efficiently obtained and used to study important outcomes following RYGB.
Url:
DOI: 10.1186/1472-6947-12-45
PubMed: 22640398
PubMed Central: 3508953
Affiliations:
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Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Center for Health Research, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Health Research, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Chu, Xin" sort="Chu, Xin" uniqKey="Chu X" first="Xin" last="Chu">Xin Chu</name><affiliation wicri:level="1"><nlm:aff id="I1">Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Weis Center for Research, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Weis Center for Research, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Manney, Christina" sort="Manney, Christina" uniqKey="Manney C" first="Christina" last="Manney">Christina Manney</name><affiliation wicri:level="1"><nlm:aff id="I1">Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Strodel, William" sort="Strodel, William" uniqKey="Strodel W" first="William" last="Strodel">William Strodel</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Surgery, Geisinger Medical Center, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Geisinger Medical Center, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Petrick, Anthony" sort="Petrick, Anthony" uniqKey="Petrick A" first="Anthony" last="Petrick">Anthony Petrick</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Surgery, Geisinger Medical Center, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Geisinger Medical Center, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Gabrielsen, Jon" sort="Gabrielsen, Jon" uniqKey="Gabrielsen J" first="Jon" last="Gabrielsen">Jon Gabrielsen</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Surgery, Geisinger Medical Center, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Geisinger Medical Center, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Seiler, Jamie" sort="Seiler, Jamie" uniqKey="Seiler J" first="Jamie" last="Seiler">Jamie Seiler</name><affiliation wicri:level="1"><nlm:aff id="I1">Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Carey, David" sort="Carey, David" uniqKey="Carey D" first="David" last="Carey">David Carey</name><affiliation wicri:level="1"><nlm:aff id="I3">Weis Center for Research, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Weis Center for Research, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Argyropoulos, George" sort="Argyropoulos, George" uniqKey="Argyropoulos G" first="George" last="Argyropoulos">George Argyropoulos</name><affiliation wicri:level="1"><nlm:aff id="I1">Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Weis Center for Research, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Weis Center for Research, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Benotti, Peter" sort="Benotti, Peter" uniqKey="Benotti P" first="Peter" last="Benotti">Peter Benotti</name><affiliation wicri:level="2"><nlm:aff id="I5">Department of Surgery, St. Francis Medical Center, Trenton, NJ, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, St. Francis Medical Center, Trenton, NJ</wicri:regionArea><placeName><region type="state">New Jersey</region></placeName></affiliation></author><author><name sortKey="Still, Christopher D" sort="Still, Christopher D" uniqKey="Still C" first="Christopher D" last="Still">Christopher D. Still</name><affiliation wicri:level="1"><nlm:aff id="I1">Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author><author><name sortKey="Gerhard, Glenn S" sort="Gerhard, Glenn S" uniqKey="Gerhard G" first="Glenn S" last="Gerhard">Glenn S. Gerhard</name><affiliation wicri:level="1"><nlm:aff id="I1">Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Geisinger Obesity Research Institute, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Weis Center for Research, Geisinger Clinic, Danville, PA, 17822, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Weis Center for Research, Geisinger Clinic, Danville, PA, 17822</wicri:regionArea><wicri:noRegion>17822</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Medical Informatics and Decision Making</title><idno type="eISSN">1472-6947</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The effectiveness of weight loss therapies is commonly measured using body mass index and other obesity-related variables. Although these data are often stored in electronic health records (EHRs) and potentially very accessible, few studies on obesity and weight loss have used data derived from EHRs. We developed processes for obtaining data from the EHR in order to construct a database on patients undergoing Roux-en-Y gastric bypass (RYGB) surgery.</p></sec><sec><title>Methods</title><p>Clinical data obtained as part of standard of care in a bariatric surgery program at an integrated health delivery system were extracted from the EHR and deposited into a data warehouse. Data files were extracted, cleaned, and stored in research datasets. To illustrate the utility of the data, Kaplan-Meier analysis was used to estimate length of post-operative follow-up.</p></sec><sec><title>Results</title><p>Demographic, laboratory, medication, co-morbidity, and survey data were obtained from 2028 patients who had undergone RYGB at the same institution since 2004. Pre-and post-operative diagnostic and prescribing information were available on all patients, while survey laboratory data were available on a majority of patients. The number of patients with post-operative laboratory test results varied by test. Based on Kaplan-Meier estimates, over 74% of patients had post-operative weight data available at 4 years.</p></sec><sec><title>Conclusion</title><p>A variety of EHR-derived data related to obesity can be efficiently obtained and used to study important outcomes following RYGB.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Flegal, K" uniqKey="Flegal K">K Flegal</name></author><author><name sortKey="Carroll, M" uniqKey="Carroll M">M Carroll</name></author><author><name sortKey="Ogden, C" uniqKey="Ogden C">C Ogden</name></author><author><name sortKey="Johnson, C" uniqKey="Johnson C">C Johnson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ogden, Cl" uniqKey="Ogden C">CL Ogden</name></author><author><name sortKey="Yanovski, Sz" uniqKey="Yanovski S">SZ Yanovski</name></author><author><name sortKey="Carroll, Md" uniqKey="Carroll M">MD Carroll</name></author><author><name sortKey="Flegal, Km" 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Walker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Noel, Ph" uniqKey="Noel P">PH Noel</name></author><author><name sortKey="Copeland, La" uniqKey="Copeland L">LA Copeland</name></author><author><name sortKey="Pugh, Mj" uniqKey="Pugh M">MJ Pugh</name></author><author><name sortKey="Kahwati, L" uniqKey="Kahwati L">L Kahwati</name></author><author><name sortKey="Tsevat, J" uniqKey="Tsevat J">J Tsevat</name></author><author><name sortKey="Nelson, K" uniqKey="Nelson K">K Nelson</name></author><author><name sortKey="Wang, Cp" uniqKey="Wang C">CP Wang</name></author><author><name sortKey="Bollinger, Mj" uniqKey="Bollinger M">MJ Bollinger</name></author><author><name sortKey="Hazuda, Hp" uniqKey="Hazuda H">HP Hazuda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uzuner, O" uniqKey="Uzuner O">O Uzuner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mishra, Nk" uniqKey="Mishra N">NK Mishra</name></author><author><name sortKey="Cummo, Dm" uniqKey="Cummo D">DM Cummo</name></author><author><name sortKey="Arnzen, Jj" uniqKey="Arnzen J">JJ Arnzen</name></author><author><name sortKey="Bonander, J" uniqKey="Bonander J">J Bonander</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uzuner, O" uniqKey="Uzuner O">O Uzuner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Noel, Ph" uniqKey="Noel P">PH Noel</name></author><author><name sortKey="Copeland, La" uniqKey="Copeland L">LA Copeland</name></author><author><name sortKey="Perrin, Ra" uniqKey="Perrin R">RA Perrin</name></author><author><name sortKey="Lancaster, Ae" uniqKey="Lancaster A">AE Lancaster</name></author><author><name sortKey="Pugh, Mj" uniqKey="Pugh M">MJ Pugh</name></author><author><name sortKey="Wang, Cp" uniqKey="Wang C">CP Wang</name></author><author><name sortKey="Bollinger, Mj" uniqKey="Bollinger M">MJ 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Rosenthal</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>New Jersey</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Wood, G Craig" sort="Wood, G Craig" uniqKey="Wood G" first="G Craig" last="Wood">G Craig Wood</name></noRegion><name sortKey="Argyropoulos, George" sort="Argyropoulos, George" uniqKey="Argyropoulos G" first="George" last="Argyropoulos">George Argyropoulos</name><name sortKey="Argyropoulos, George" sort="Argyropoulos, George" uniqKey="Argyropoulos G" first="George" last="Argyropoulos">George Argyropoulos</name><name sortKey="Benotti, Peter" sort="Benotti, Peter" uniqKey="Benotti P" first="Peter" last="Benotti">Peter Benotti</name><name sortKey="Carey, David" sort="Carey, David" uniqKey="Carey D" first="David" last="Carey">David Carey</name><name sortKey="Chu, Xin" sort="Chu, Xin" uniqKey="Chu X" first="Xin" last="Chu">Xin Chu</name><name sortKey="Chu, Xin" sort="Chu, Xin" uniqKey="Chu X" first="Xin" last="Chu">Xin Chu</name><name sortKey="Gabrielsen, Jon" sort="Gabrielsen, Jon" uniqKey="Gabrielsen J" first="Jon" last="Gabrielsen">Jon Gabrielsen</name><name sortKey="Gerhard, Glenn S" sort="Gerhard, Glenn S" uniqKey="Gerhard G" first="Glenn S" last="Gerhard">Glenn S. Gerhard</name><name sortKey="Gerhard, Glenn S" sort="Gerhard, Glenn S" uniqKey="Gerhard G" first="Glenn S" last="Gerhard">Glenn S. Gerhard</name><name sortKey="Manney, Christina" sort="Manney, Christina" uniqKey="Manney C" first="Christina" last="Manney">Christina Manney</name><name sortKey="Petrick, Anthony" sort="Petrick, Anthony" uniqKey="Petrick A" first="Anthony" last="Petrick">Anthony Petrick</name><name sortKey="Seiler, Jamie" sort="Seiler, Jamie" uniqKey="Seiler J" first="Jamie" last="Seiler">Jamie Seiler</name><name sortKey="Still, Christopher D" sort="Still, Christopher D" uniqKey="Still C" first="Christopher D" last="Still">Christopher D. Still</name><name sortKey="Strodel, William" sort="Strodel, William" uniqKey="Strodel W" first="William" last="Strodel">William Strodel</name><name sortKey="Wood, G Craig" sort="Wood, G Craig" uniqKey="Wood G" first="G Craig" last="Wood">G Craig Wood</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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