Equity and bias in electronic health records data.
Publication
, Journal Article
Boyd, AD; Gonzalez-Guarda, R; Lawrence, K; Patil, CL; Ezenwa, MO; O'Brien, EC; Paek, H; Braciszewski, JM; Adeyemi, O; Cuthel, AM; Darby, JE ...
Published in: Contemp Clin Trials
July 2023
Embedded pragmatic clinical trials (ePCTs) are conducted during routine clinical care and have the potential to increase knowledge about the effectiveness of interventions under real world conditions. However, many pragmatic trials rely on data from the electronic health record (EHR) data, which are subject to bias from incomplete data, poor data quality, lack of representation from people who are medically underserved, and implicit bias in EHR design. This commentary examines how the use of EHR data might exacerbate bias and potentially increase health inequities. We offer recommendations for how to increase generalizability of ePCT results and begin to mitigate bias to promote health equity.
Duke Scholars
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Published In
Contemp Clin Trials
DOI
EISSN
1559-2030
Publication Date
July 2023
Volume
130
Start / End Page
107238
Location
United States
Related Subject Headings
- Public Health
- Humans
- Health Promotion
- Health Equity
- General Clinical Medicine
- Electronic Health Records
- Data Accuracy
- Bias
- 42 Health sciences
- 32 Biomedical and clinical sciences
Citation
APA
Chicago
ICMJE
MLA
NLM
Boyd, A. D., Gonzalez-Guarda, R., Lawrence, K., Patil, C. L., Ezenwa, M. O., O’Brien, E. C., … Schlaeger, J. M. (2023). Equity and bias in electronic health records data. Contemp Clin Trials, 130, 107238. https://doi.org/10.1016/j.cct.2023.107238
Boyd, Andrew D., Rosa Gonzalez-Guarda, Katharine Lawrence, Crystal L. Patil, Miriam O. Ezenwa, Emily C. O’Brien, Hyung Paek, et al. “Equity and bias in electronic health records data.” Contemp Clin Trials 130 (July 2023): 107238. https://doi.org/10.1016/j.cct.2023.107238.
Boyd AD, Gonzalez-Guarda R, Lawrence K, Patil CL, Ezenwa MO, O’Brien EC, et al. Equity and bias in electronic health records data. Contemp Clin Trials. 2023 Jul;130:107238.
Boyd, Andrew D., et al. “Equity and bias in electronic health records data.” Contemp Clin Trials, vol. 130, July 2023, p. 107238. Pubmed, doi:10.1016/j.cct.2023.107238.
Boyd AD, Gonzalez-Guarda R, Lawrence K, Patil CL, Ezenwa MO, O’Brien EC, Paek H, Braciszewski JM, Adeyemi O, Cuthel AM, Darby JE, Zigler CK, Ho PM, Faurot KR, Staman K, Leigh JW, Dailey DL, Cheville A, Del Fiol G, Knisely MR, Marsolo K, Richesson RL, Schlaeger JM. Equity and bias in electronic health records data. Contemp Clin Trials. 2023 Jul;130:107238.
Published In
Contemp Clin Trials
DOI
EISSN
1559-2030
Publication Date
July 2023
Volume
130
Start / End Page
107238
Location
United States
Related Subject Headings
- Public Health
- Humans
- Health Promotion
- Health Equity
- General Clinical Medicine
- Electronic Health Records
- Data Accuracy
- Bias
- 42 Health sciences
- 32 Biomedical and clinical sciences