Are major lower extremity amputations well recorded in primary care electronic health records?: Insights from primary care electronic health records in England.
Anna MeffenRobert D SayersClare L GilliesKamlesh Khunti F MedSciLaura J GrayPublished in: Primary health care research & development (2022)
In total 23 262 patients had at least one MLEA record, 8716 (37.5%) had an MLEA record in HES only, 5393 (23.2%) in CPRD only and 9153 (39.4%) in both. Out of a total of 75 221 events, 13 071 (62.4%) were recorded in HES only and 44 151 (81.3%) in CPRD only. 7874 (37.6%) of HES events were recorded in CPRD and 10 125 (18.6%) of CPRD events were recorded in HES when using the maximum date matching window of 28 days plus the time between admission and procedure. The main reasons for differences in case ascertainment included, re-recordings and miscoding in CPRD.Compared to HES, MLEAs are poorly recorded in CPRD predominantly due to re-recordings of events and miscoding procedures. CPRD data cannot solely be relied upon to ascertain cases of MLEA; however, HES linkage to CPRD may be useful to obtain medical history of diagnoses, medication and diagnostic tests.
Keyphrases
- electronic health record
- primary care
- clinical decision support
- adverse drug
- end stage renal disease
- chronic kidney disease
- newly diagnosed
- gene expression
- general practice
- dna methylation
- prognostic factors
- human immunodeficiency virus
- peritoneal dialysis
- african american
- artificial intelligence
- patient reported outcomes