Chart reviews in emergency medicine research: Where are the methods?
Abstract
Study objective Medical chart reviews are often used in emergency medicine research. However, the reliability of data abstracted by chart reviews is seldom examined critically. The objective of this investigation was to determine the proportion of emergency medicine research articles that use data from chart reviews and the proportions that report methods of case selection, abstractor training, monitoring and blinding, and interrater agreement. Methods Research articles published in three emergency medicine journals from January 1989 through December 1993 were identified. The articles that used chart reviews were analyzed. Results Of 986 original research articles that were identified, 244 (25%; 95% confidence interval [CI], 22% to 28%) relied on chart reviews. Inclusion criteria were described in 98% (95% CI, 96% to 99%), and 73% (95% CI, 67% to 79%) defined the variables being analyzed. Other methods were seldom mentioned: abstractor training, 18% (95% CI, 13% to 23%); standardized abstraction forms, 11% (95% CI, 7% to 15%); periodic abstractor monitoring, 4% (95% CI, 2% to 7%); and abstractor blinding to study hypotheses, 3% (95% CI, 1% to 6%). Interrater reliability was mentioned in 5% (95% CI, 3% to 9%) and tested statistically in .4% (95% CI, 0% to 2%). A 15% random sample of articles was reassessed by a second investigator; interrater agreement was high for all eight criteria. Conclusion Chart review is a common method of data collection in emergency medicine research.…
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Retrospective chart review methods have utility in identifying issues for further study, particularly when chart review protocols are standardized.
“Despite limitations inherent in retrospective chart review methods, their utility in identifying issues for further study has been noted, particularly when chart review protocols are standardized (Gilbert, Lowenstein, Koziol-McLain, Barta, & Steiner, 1996).”
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- Authors
- Gilbert, E. H., Lowenstein, S. R., Koziol-McLain, J., Barta, D. C., & Steiner, J.
- Venue
- Annals of Emergency Medicine
- Publisher
- Elsevier BV
- Published
- 1996-03
- Volume
- 27
- Issue
- 3
- Pages
- 305-308
- ISSN
- 0196-0644
- Cited by
- 895
- References
- 1
- Language
- en
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