The utility of EMR address histories for assessing neighborhood exposures |
| |
Institution: | 1. Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA;2. Department of General Surgery, Duke University Medical Center, Durham, NC, USA |
| |
Abstract: | PurposeElectronic medical records (EMRs) include residential address histories, which may alleviate exposure misclassification caused by exclusion of patient spatiotemporal location. EMR data are increasingly available but rarely leveraged as a measure of cumulative environmental exposure, in part due to limited understanding of the validity of EMR-derived address histories.MethodsWe compared EMR address histories to self-reported histories among 100 patients of a safety-net health care system completing a telephone survey. We assessed agreement and compared seven neighborhood-level environmental exposures as assessed using both data sources.ResultsWhile 17.1% of respondents did not live at the most recent EMR-derived address during the survey, nearly all (98%) lived there at some point. For respondents with more than one EMR-derived address (N = 64), 87.5% had once lived at the previous EMR address. Of these, 30.4% lived at 1 or more additional residences between the two most recent EMR address. For all measures, neighborhood-level environmental exposures did not differ when using EMR-derived versus self-report addresses.ConclusionsMore recent EMR-derived addresses are more accurate, and differences compared to self-reported addresses in neighborhood-level exposures are negligible. EMR-derived address histories are incomplete and likely suffer from collection bias; future research should further assess their validity and reliability. |
| |
Keywords: | Residential mobility Electronic medical record Neighborhoods Geographic information systems |
本文献已被 ScienceDirect 等数据库收录! |
|