| Literature DB >> 28146330 |
Tamara P Miller1,2,3, Yimei Li1,4, Kelly D Getz1,2, Jesse Dudley3, Evanette Burrows3, Jeffrey Pennington3, Azada Ibrahimova5, Brian T Fisher2,4,6,7, Rochelle Bagatell1,7, Alix E Seif1,7, Robert Grundmeier3,7, Richard Aplenc1,2,4,7.
Abstract
Despite the importance of adverse event (AE) reporting, AEs are under-reported on clinical trials. We hypothesized that electronic medical record (EMR) data can ascertain laboratory-based AEs more accurately than those ascertained manually. EMR data on 12 AEs for patients enrolled on two Children's Oncology Group (COG) trials at one institution were extracted, processed and graded. When compared to gold standard chart data, COG AE report sensitivity and positive predictive values (PPV) were 0-21·1% and 20-100%, respectively. EMR sensitivity and PPV were >98·2% for all AEs. These results demonstrate that EMR-based AE ascertainment and grading substantially improves laboratory AE reporting accuracy.Entities:
Keywords: accuracy; adverse events; electronic medical record; epidemiology; paediatrics
Mesh:
Year: 2017 PMID: 28146330 PMCID: PMC5384859 DOI: 10.1111/bjh.14538
Source DB: PubMed Journal: Br J Haematol ISSN: 0007-1048 Impact factor: 6.998