Identifying Receipt of Colorectal Cancer Screening

确定结直肠癌筛查的收据

• 批准号: 7212022
• 负责人: NEERAJA BOYAPATI PETERSON
• 金额: $ 12.26万
• 依托单位: VANDERBILT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-01-12 至 2008-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7212022
• 关键词: Academic Medical Centers; Accounting; Adherence; Cancer Etiology; Cancer Intervention; Cessation of life; Characteristics; Clinic; Clinical; Colorectal Cancer; Complex; Computerized Medical Record; Data; Data Collection; Early Diagnosis; Educational Curriculum; Electronics; Family history of; Gold; Guidelines; Health system; Individual; Inflammatory Bowel Diseases; Intervention; Knowledge; Maps; Measures; Monitor; Morbidity - disease rate; Natural Language Processing; Patients; Physicians; Polyps; Primary Health Care; Process; Rate; Recommendation; Recording of previous events; Records; Risk Factors; Screening Result; Screening procedure; Sensitivity and Specificity; Site; Specificity; Standards of Weights and Measures; Symptoms; System; Testing; United States; Universities; Word Processing; Work; adenoma; billing data; cancer risk; colorectal cancer screening; concept; follow-up; improved; innovation; medical schools; mortality; novel; tool; trend

DESCRIPTION (provided by applicant): Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. Regular screening for CRC leads to early detection and a substantial reduction in CRC-related morbidity and mortality. Despite this evidence, adherence to CRC screening recommendations remains poor. Given the benefits of screening for CRC, interventions need to be developed that will ultimately increase its utilization. These interventions must be targeted towards individuals who have never been screened or are not current with their screening, and must take into account risk factors [e.g., family history, inflammatory bowel disease, history of previous adenomas]. A significant barrier to applying CRC screening interventions is the ability to accurately and quickly identify patients in need of screening. In our proposed project, we will create and evaluate an innovative electronic data collection system to enhance our understanding of the delivery and utilization of CRC screening. We will use as a test site the primary care clinics affiliated with Vanderbilt University Medical Center, but the approach developed will be general enough to work wherever adequate electronic records are available. This data collection system will build upon our prior work using the Knowledge Map Concept Identifier (KMCI), which was originally developed to extract biomedical concepts represented in the medical school curriculum at Vanderbilt University School of Medicine. We will build a tool using KMCI as its core to detect receipt of CRC screening and to provide its context (e.g., individual risk factors, which CRC test was performed, when, and the results). Utilizing information from the electronic records and billing (claims) records, this system will allow for rapid and accurate identification of which patients have and have not received CRC screening tests, and for identification of those patients that require follow-up after their screening tests. We will determine the test characteristics of KMCI (sensitivity, specificity) for identifying receipt of CRC screening, and compare this to an automated review of billing records. We hypothesize that KMCI will perform better than an automated review of billing records in detecting receipt of CRC screening, and will provide richer, contextual information regarding the screening tests.

描述（由申请人提供）：结直肠癌（CRC）是美国癌症死亡的第二大原因。定期筛查结直肠癌可导致早期发现并大幅降低结直肠癌相关的发病率和死亡率。尽管有这些证据，CRC筛查建议的依从性仍然很差。鉴于筛查结直肠癌的好处，需要开发干预措施，最终提高其利用率。这些干预措施必须针对从未接受过筛查或目前没有接受筛查的个体，并且必须考虑到风险因素[例如，家族史、炎症性肠病、既往腺瘤史]。应用结直肠癌筛查干预的一个重要障碍是能否准确、快速地识别需要筛查的患者。在我们建议的项目中，我们将创建和评估一个创新的电子数据收集系统，以提高我们对CRC筛查的交付和利用的理解。我们将使用范德比尔特大学医学中心附属的初级保健诊所作为试验地点，但开发的方法将足够普遍，适用于任何有足够电子记录的地方。这个数据收集系统将建立在我们之前使用知识地图概念标识符（KMCI）的工作基础上，KMCI最初是为了提取范德比尔特大学医学院课程中表示的生物医学概念而开发的。我们将建立一个以KMCI为核心的工具，以检测CRC筛查的接收情况并提供其背景（例如，个人风险因素，进行了哪种CRC检测，何时进行，以及结果）。利用来自电子记录和账单（索赔）记录的信息，该系统将允许快速准确地识别哪些患者接受了CRC筛查检查，哪些患者没有接受CRC筛查检查，以及哪些患者在筛查检查后需要随访。我们将确定用于识别CRC筛查收据的KMCI的测试特征（敏感性，特异性），并将其与账单记录的自动审查进行比较。我们假设，在检测CRC筛查的接收情况方面，KMCI将比自动审查账单记录表现更好，并将提供有关筛查测试的更丰富的上下文信息。