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Clinical Events & Specialties Study Results III: PRESERVE


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PEDSnet

Abstract

The results of a Clinical Events & Specialties check using the Multi-Site, Anomaly Detection, Cross-Sectional parameters. This check evaluates anomalous specialty utilization in visits at each institution associated with serum creatinine labs or antihypertensive prescriptions.

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Provenance

This data quality check was run on a database extracted from the The Preserving Kidney Function in Children With CKD (PRESERVE) Study. These results were not used for the study, but rather run on the study data after analysis was conducted as part of an SSQDA demonstration project.

Description

  • For visits with serum creatinine labs, several pediatric sites have anomalously high utilization in general pediatric specialties, which aligns with expectations due to institutional specialization and population differences.
  • For visits with antihypertensive prescriptions, Stanford & UMichigan have anomalously low utilization in nephrology specialties, but anomalously high utilization in general peds and other/unknown, respectively. This points to a potential lack in specificity in specialty mappings at these institutions, or, in Stanford’s case, indicates that it is more common for generalists to care for this population than specialists.

Response to Findings

Study team did not conduct further investigation or data intervention in response to these results because this was a demonstration project intended to highlight the functionality of the SQUBA tool.

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Related Data Quality Results

Clinical Events & Specialties Study Results I: PRESERVE
Created:2025-04-08
The results of a Clinical Events & Specialties check using the Single Site, Exploratory, Cross-Sectional parameters. This check evaluates, across the entire combined cohort, the distribution of specialty utilization in visits associated with serum creatinine labs or antihypertensive prescriptions.
Clinical Events & Specialties Study Results II: PRESERVE
Created:2025-04-08
The results of a Clinical Events & Specialties check using the Multi-Site, Exploratory, Cross-Sectional parameters. This check evaluates the distribution of specialty utilization in visits at each institution associated with serum creatinine labs or antihypertensive prescriptions.
Clinical Events & Specialties Study Results IV: PRESERVE
Created:2025-04-08
The results of a Clinical Events & Specialties check using the Multi-Site, Anomaly Detection, Longitudinal parameters. This check evaluates anomalous specialty utilization over time in visits associated with serum creatinine labs or antihypertensive prescriptions.

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Institutions

Related Data Quality Check

Clinical Events and Specialty Agreement: Multi-Site, Anomaly Detection, Cross-Sectional Analysis
Created:2024-06-05Check Category:Concordance
This check computes types of clinical events that occur across clinician or facility specialties and across time. It provides a high level summary of the quality of clinical specialty data in a study sample to examine multiple sites. The intention of the check is to evaluate the concordance of specific events (e.g., diagnosis of type I diabetes) and specialist providers or care sites (e.g., endocrinologist or endocrinology clinic) at the visit level.

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Related Publications

Creative Commons license

Except where otherwised noted, this item's license is described as a CC-BY Attribution 4.0 License.

Cite this Data Quality Result

Wieand, K. (2025, April). Clinical Events & Specialties Study Results III: PRESERVE. [D Q Result]. PEDSpace Knowledge Bank. https://doi.org/10.24373/pdsp-652