Patient Event Sequencing Study Results IV: PAQS Query 3


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PEDSnet

Abstract

The results of a Patient Event Sequencing check using the Single Site, Exploratory, Cross-Sectional parameters. This check investigates the distribution of time between an Hba1c result > 5.8% (index event) and an antidiabetic drug prescription (outcome event).

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Provenance

This data quality check was run on a data extracted from the PAQS Query 3 Project. These results were not used for the query, but rather run on the query data after analysis was conducted as part of an SSQDA demonstration project.

Description

NOTE This is a single site analysis, but results for all sites are included in the output attached to this record for ease of review & reuse. General observations are recorded below, and details about specific institutions can be discovered in the raw output.

  • These events occur together quite frequently, as expected, with only 15-20% of the cohort not having one of or both of the events.
  • We would expect an associated lab result to indicate the need for treatment with an anti-diabetic agent, but there are a surprising number of instances where the antidiabetic agent occurs before the first recorded Hba1c > 5.8%. Part of this may be explained by clinicians using their judgment to prescribe medication even in more borderline cases, or it is possible that a related Hba1c level was recorded elsewhere before the patient was transferred to specialty care.
  • Regardless of the order of events, the two events occur very close together, most often within a year of each other but they can also occur together often within 3 months.

Response to Findings

Study team did not conduct further investigation or data intervention in response to these results because this was a demonstration project.

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Related Data Quality Results

Patient Event Sequencing Study Results III: PAQS Query 3
Created:2025-05-30Affiliation:PEDSnet Data Coordinating Center
The results of a Patient Event Sequencing check using the Single Site, Exploratory, Cross-Sectional parameters. This check investigates the distribution of time between a T2DM diagnosis (index event) and a CKD diagnosis (outcome event).
Patient Event Sequencing Study Results I: PAQS Query 3
Created:2025-05-30Affiliation:PEDSnet Data Coordinating Center
The results of a Patient Event Sequencing check using the Multi-Site, Exploratory, Cross-Sectional parameters. This check investigates the distribution of time between a T2DM diagnosis (index event) and a CKD diagnosis (outcome event).
Patient Event Sequencing Study Results II: PAQS Query 3
Created:2025-05-30Affiliation:PEDSnet Data Coordinating Center
The results of a Patient Event Sequencing check using the Multi-Site, Exploratory, Cross-Sectional parameters. This check investigates the distribution of time between an Hba1c result > 5.8% (index event) and an antidiabetic drug prescription (outcome event).

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Related Data Quality Check

Patient Event Sequencing: Single Site, Exploratory, Cross-Sectional Analysis
Created:2024-12-17Affiliation:PEDSnet Data Coordinating Center
The Patient Event Sequencing module computes the days between two user-specified events and summarizes the distribution within the cohort. It assesses the plausibility of the sequence of two user-provided clinical events as they appear in a patient's record. This allows the user to ensure that the two events, like a cancer diagnosis and chemotherapy, occur in a sensible order and within an expected length of time.

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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, May). Patient Event Sequencing Study Results IV: PAQS Query 3. [D Q Result]. PEDSpace Knowledge Bank. https://doi.org/10.24373/pdsp-683