Use of a Medical Records Linkage System to Enumerate a Dynamic Population Over Time: The Rochester Epidemiology Project
Jennifer L. St. Sauver,Brandon R. Grossardt,Barbara P. Yawn,L. Joseph Melton,Walter A. Rocca +4 more
TLDR
How the REP links medical records from multiple health care institutions to specific individuals and how residency is confirmed over time is described and evidence for the validity of theREP Census enumeration is provided.Abstract:
The Rochester Epidemiology Project (REP) is a unique research infrastructure in which the medical records of virtually all persons residing in Olmsted County, Minnesota, for over 40 years have been linked and archived. In the present article, the authors describe how the REP links medical records from multiple health care institutions to specific individuals and how residency is confirmed over time. Additionally, the authors provide evidence for the validity of the REP Census enumeration. Between 1966 and 2008, 1,145,856 medical records were linked to 486,564 individuals in the REP. The REP Census was found to be valid when compared with a list of residents obtained from random digit dialing, a list of residents of nursing homes and senior citizen complexes, a commercial list of residents, and a manual review of records. In addition, the REP Census counts were comparable to those of 4 decennial US censuses (e.g., it included 104.1% of 1970 and 102.7% of 2000 census counts). The duration for which each person was captured in the system varied greatly by age and calendar year; however, the duration was typically substantial. Comprehensive medical records linkage systems like the REP can be used to maintain a continuously updated census and to provide an optimal sampling framework for epidemiologic studies.read more
Citations
More filters
Journal ArticleDOI
Prevalence of Total Hip and Knee Replacement in the United States.
Hilal Maradit Kremers,Dirk R. Larson,Cynthia S. Crowson,Walter K. Kremers,Raynard Washington,Claudia A. Steiner,William A. Jiranek,Daniel J. Berry +7 more
TL;DR: Around 7 million Americans are living with a hip or knee replacement, and consequently, in most cases, are mobile, despite advanced arthritis, and these numbers underscore the substantial public health impact of total hip and knee arthroplasties.
Journal ArticleDOI
History of the Rochester Epidemiology Project: Half a Century of Medical Records Linkage in a US Population
Walter A. Rocca,Barbara P. Yawn,Barbara P. Yawn,Jennifer L. St. Sauver,Brandon R. Grossardt,L. Joseph Melton +5 more
TL;DR: The Rochester Epidemiology Project can serve as a model for the development of similar research infrastructures in the United States and worldwide and compare the REP with other medical information systems.
Journal ArticleDOI
Incidence of Anterior Cruciate Ligament Tears and Reconstruction A 21-Year Population-Based Study
Thomas L. Sanders,Hilal Maradit Kremers,Andrew J. Bryan,Dirk R. Larson,Diane L. Dahm,Bruce A. Levy,Michael J. Stuart,Aaron J. Krych +7 more
TL;DR: The significant increase in the rate of ACL reconstruction over time may reflect changing surgical indications or an increasing desire among patients to return to high levels of activity after ACL injury.
Journal ArticleDOI
The epidemiology of community-acquired Clostridium difficile infection: a population-based study
Sahil Khanna,Darrell S. Pardi,Scott Aronson,Scott Aronson,Patricia P. Kammer,Robert Orenstein,Jennifer L. St. Sauver,W. Scott Harmsen,Alan R. Zinsmeister +8 more
TL;DR: In this population-based cohort, a significant proportion of cases of CDI occurred in the community, and patients were younger and had less severe infection than those with hospital-acquired infection.
Journal ArticleDOI
Generalizability of Epidemiological Findings and Public Health Decisions: An Illustration From the Rochester Epidemiology Project
Jennifer L. St. Sauver,Brandon R. Grossardt,Cynthia L. Leibson,Barbara P. Yawn,Barbara P. Yawn,L. Joseph Melton,Walter A. Rocca +6 more
TL;DR: Analysis and comparisons from the Rochester Epidemiology Project and the US Census are provided as an example of analyses and comparisons that may guide the generalization of epidemiological findings from a single population to other populations or to the entire United States.
References
More filters
Journal ArticleDOI
A dictionary of epidemiology
TL;DR: The new edition of this classic text remains the definitive dictionary in epidemiology, and the dictionary goes beyond simple definitions, as it place each term firmly and clearly in its fuller epidemiologic context.
Journal ArticleDOI
Epidemiology: Beyond the Basics
TL;DR: Written for those who are familiar with the basic strategies of analytic epidemiology, Epidemiology: Beyond the Basics takes readers through a more rigorous discussion of key epidemiologic concepts and methods such as study design, measures of association, research assessment, and more.
Book
Epidemiology: Beyond the Basics
Moyses Szklo,F. Javier Nieto +1 more
TL;DR: Beyond the Basics as discussed by the authors is an intermediate level epidemiology text specifically designed to expand student knowledge without complex statistical formulations, which guides students who have a good understanding of basic epidemiologic principles through more rigorous discussions of concepts and methods.
Journal ArticleDOI
History of the Rochester Epidemiology Project
TL;DR: The Rochester Epidemiology Project is a unique medical records-linkage system that encompasses the care delivered to residents of Rochester and Olmsted County, Minnesota and is able to provide accurate incidence data for almost any serious condition and to support population-based analytic studies of disease causes and outcomes.
Book ChapterDOI
Council for International Organizations of Medical Sciences
TL;DR: The main aim of the conference, as expressed in its title, is to improve drug safety through the joint efforts of all those who are partners in this very complicated but crucial task of ensuring progress in medicine.