Identification of validated case definitions for chronic disease using electronic medical records: a systematic review protocol

Introduction Late presentation to HIV/AIDS care which is attended by problems like, poor treatment outcomes, early development of opportunistic infections, increased healthcare costs, and mortality is a major problem in Ethiopia. Although evidences are available on the prevalence and associated factors of late presentation to HIV/AIDS care, discrepancies among findings are appreciated. Thus, the country has faced difficulties of having a single estimated data. Objective This study aimed to estimate the pooled prevalence of late presentation of HIV positive adults to HIV/AIDS care and its predictors in Ethiopia. Method We searched all available articles through Google Scholar, PubMed, Web of Sciences, and EMBASE databases. Additionally, we accessed articles from the Ethiopian institutional online research repositories and reference lists of included studies. We included cohort, case- control, and cross-sectional studies in our review. Besides, we utilized the weighted inverse variance random-effects model. The total percentage of variation among studies due to heterogeneity was determined by I 2 statistic. Searching was limited to studies conducted in Ethiopia and published in the English language. Publication bias was checked by Egger’s regression test. Results A total of 8 studies with 7, 568 participants were included. The pooled prevalence of late presentation to HIV/AIDS care was 52.89% (95%CI: 35.37, 70.40). The odds of late presentation to HIV/AIDS care of frequent alcohol users [3.67(95% CI = 1.52–5.83)], high fear of stigma [3.90 (95% CI = 1.51–6.28)], chronic illness [3.34(95% CI = 1.52–5.16)], and the presence of symptoms at the time of HIV diagnosis [3.06 (95% CL = 1.18–4.94)] were higher compared to participants who did not experience the preceding. Conclusion The prevalence of late presentation of HIV positive adults to HIV/AIDS care was high in Ethiopia. Frequent alcohol use, high fear of stigma, chronic illness, and the presence of symptoms at the time of HIV diagnosis were associated with high odds of late presentation to HIV/AIDS care. Trial registration Registered in PROSPERO databases with the registration number of CRD42018081840 . Electronic supplementary material The online version of this article (10.1186/s12879-019-4156-3) contains supplementary material, which is available to authorized users.

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“…In this study, chronic illness was defined as disease that needs three or more months of treatment with specified lists of diseases [20].…”

Section: Methodsmentioning

confidence: 99%

Late presentation of HIV positive adults and its predictors to HIV/AIDS care in Ethiopia: a systematic review and meta-analysis

2019

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“…Electronic medical records (EMRs) are becoming more commonly used to analyse primary care morbidity data [ 8–10 ]. A systematic review aimed at addressing some of the challenges of using this method to analyse big data identified all case definitions for a set of chronic conditions that have been tested and validated in primary care EMR and EMR-linked data [ 11 ]. The rich information contained in EMRs in primary care offers considerable potential for research purposes.…”

Section: Introductionmentioning

confidence: 99%

Identified mental disorders in older adults in primary care: A cross-sectional database study

McCombe

Fogarty

Swan

et al. 2018

European Journal of General Practice

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Introduction: Identifying and managing mental disorders among older adults is an important challenge for primary care in Europe. Electronic medical records (EMRs) offer considerable potential in this regard, although there is a paucity of data on their use for this purpose. Objectives: To examine the prevalence/treatment of identified mental disorders among older adults (over 55 years) by using data derived from EMRs in general practice. Methods: We utilized data from a cross-sectional study of mental disorders in primary care, which identified patients with mental disorders based on diagnostic coding and prescribed medicines. We collected anonymized data from 35 practices nationally from June 2014 to March 2015, and secondary analysis of this dataset examined the prevalence of mental disorders in adults aged over 55 years. Results: 74,261 patients aged over 55 years were identified, of whom 14,143 had a mental health disorder (prevalence rate of 19.1%). There was considerable variation between practices (range: 3.7–38.9%), with a median prevalence of 23.1%. Prevalence increased with age, from 14.8% at 55–59 years to 28.9% at 80–84 years. Most common disorders were depression (17.1%), panic/anxiety (11.3%), cognitive (5.6%), alcohol (3.8%) and substance use (3.8%). Conclusions: Examining mental disorders among older adults using data derived from EMRs is feasible. Mental disorders are common among older adults attending primary care and this study demonstrates the utility of electronic medical records in epidemiological studies of large populations in primary care.

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Section: Discussionmentioning

confidence: 99%

“…To broaden the utility of eMR data, case definitions must be specified and expanded to identify and characterize chronic conditions (Souri et al., ) such as HAND. Case definitions can also develop disease surveillance and health knowledge (Souri et al., ) and encourage a more efficient use of the eMR for PLWH. Collaborative data recorded by health professionals involved in a patient's care can provide rapid feedback to the patient's health team and specific information for the future development of case definitions relating to HAND.…”

Section: Discussionmentioning

confidence: 99%

Potential impacts of poor communication on early diagnosis of HIV‐associated neurocognitive disorder

Cummins

Waters

Aggar

et al. 2018

Journal of Advanced Nursing

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Poor documentation can lead to incomplete information, which can delay early intervention for those at risk of HIV-associated neurocognitive disorder. Collection and recording of patient data needs to be consistent, as complete documentation is essential for integrating care, provision of clinical support and, importantly, for identifying those at risk of developing HIV-associated neurocognitive disorder.

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Identification of validated case definitions for chronic disease using electronic medical records: a systematic review protocol

Cited by 9 publications

References 10 publications

Late presentation of HIV positive adults and its predictors to HIV/AIDS care in Ethiopia: a systematic review and meta-analysis

Late presentation of HIV positive adults and its predictors to HIV/AIDS care in Ethiopia: a systematic review and meta-analysis

Identified mental disorders in older adults in primary care: A cross-sectional database study

Potential impacts of poor communication on early diagnosis of HIV‐associated neurocognitive disorder

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