Cited by 1,443Medical Coding and Health InformationHistorical and modern epidemiology studiesElectronic Health Records Systems

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History of the Rochester Epidemiology Project

Melton, L. Joseph·1996·Mayo Clinic Proceedings

DOI 10.4065/71.3.266

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Abstract

The Rochester Epidemiology Project is a unique medical records-linkage system that encompasses the care delivered to residents of Rochester and Olmsted County, Minnesota. It is the creation of Dr. Leonard T. Kurland, who envisioned the population-based data resource that would result from combining the clinical documentation developed by the Mayo Clinic with that obtained by other community providers, most notably the Olmsted Medical Group and its affiliated Olmsted Community Hospital. Kurland built on the Mayo unit medical record system that was designed by Dr. Henry S. Plummer in 1907 and on the medical and surgical indexing systems introduced by Dr. Joseph Berkson in 1935. By affording access to details of the medical care given to local residents, the Rochester Epidemiology Project is able to provide accurate incidence data for almost any serious condition and to support population-based analytic studies of disease causes and outcomes. Thus, epidemiologic studies of a wide array of disorders have been possible and have culminated in almost 900 publications since the system was organized in 1966. Olmsted County is one of the few places in the world where the occurrence and natural history of diseases can be accurately described and analyzed in a defined population for a half century or more.

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The Natural History of Recurrent Optic Neuritis
Pirko, I., Blauwet, L. K., Lesnick, T. G., & Weinshenker, B. G. (2004) · Archives of Neurology · doi:10.1001/archneur.61.9.1401 · Cited by 119
Clinically Confirmed Type 2 Diabetes Mellitus and Colorectal Cancer Risk: A Population-Based, Retrospective Cohort Study
Limburg, P. J., Vierkant, R. A., Fredericksen, Z. S., Leibson, C. L., Rizza, R. A., Gupta, A., Ahlquist, D. A., Melton, L. J., Sellers, T. A., & Cerhan, J. R. (2006) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2006.00725.x · Cited by 118
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Is Diabetes Mellitus an Independent Risk Factor for Venous Thromboembolism?
Heit, J. A., Leibson, C. L., Ashrani, A. A., Petterson, T. M., Bailey, K. R., & Melton, L. J. (2009) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.109.189290 · Cited by 118
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Reasons for the persistent incidence of venous thromboembolism
Heit, J. A., Ashrani, A. A., Crusan, D. J., McBane, R. D., Petterson, T. M., & Bailey, K. R. (2016) · Thrombosis and Haemostasis · doi:10.1160/th16-07-0509 · Cited by 118
Population-Based Analysis of the Relationship of Whole Bone Strength Indices and Fall-Related Loads to Age- and Sex-Specific Patterns of Hip and Wrist Fractures
Riggs, B. L., Melton, L. J., Robb, R. A., Camp, J. J., Atkinson, E. J., Oberg, A. L., Rouleau, P. A., McCollough, C. H., Khosla, S., & Bouxsein, M. (2006) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.051022 · Cited by 118
Self-citation
Incidence and characterization of diagnosed endometriosis in a geographically defined population
Leibson, C. L., Good, A. E., Hass, S., Ransom, J. E., Yawn, B. P., O’Fallon, W. M., & Melton, L. J. (2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2004.01.037 · Cited by 117
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Is vitamin D a determinant of muscle mass and strength?
Marantes, I., Achenbach, S. J., Atkinson, E. J., Khosla, S., Melton, L. J., & Amin, S. (2011) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.510 · Cited by 117
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Prescriptions for self-injectable epinephrine and follow-up referral in emergency department patients presenting with anaphylaxis
Campbell, R., Luke, A., Weaver, A., Sauver, J. S. S., Bergstralh, E., Li, J., Manivannan, V., & Decker, W. (2008) · Annals of Allergy, Asthma & Immunology · doi:10.1016/s1081-1206(10)60227-x · Cited by 106
The Risk of Glaucoma in Pseudoexfoliation Syndrome
Jeng, S. M., Karger, R. A., Hodge, D. O., Burke, J. P., Johnson, D. H., & Good, M. S. (2007) · Journal of Glaucoma · doi:10.1097/01.ijg.0000243470.13343.8b · Cited by 117
The Influence of Rheumatoid Arthritis Disease Characteristics on Heart Failure
Myasoedova, E., Crowson, C. S., Nicola, P., Kremers, H. M., Davis, J. M., Roger, V. L., Therneau, T. M., & Gabriel, S. E. (2011) · The Journal of Rheumatology · doi:10.3899/jrheum.100979 · Cited by 116
Comparison of Gait Parameters for Predicting Cognitive Decline: The Mayo Clinic Study of Aging
Savica, R., Wennberg, A. M. V., Hagen, C. E., Edwards, K. K., Roberts, R. O., Hollman, J. H., Knopman, D. S., Boeve, B. F., Machulda, M. M., Petersen, R. C., et al. (2016) · Journal of Alzheimer s Disease · doi:10.3233/jad-160697 · Cited by 116
Contributions of bone density and structure to fracture risk assessment in men and women
Melton, L. J., Beck, T., Amin, S., Khosla, S., Achenbach, S. J., Oberg, A. L., & Riggs, B. L. (2005) · Osteoporosis International · doi:10.1007/s00198-004-1820-1 · Cited by 116
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Predictors of antihypertensive response to a standard dose of hydrochlorothiazide for essential hypertension
Chapman, A. B., Schwartz, G. L., Boerwinkle, E., & Turner, S. T. (2002) · Kidney International · doi:10.1046/j.1523-1755.2002.00200.x · Cited by 115
Relative Contributions of Incidence and Survival to Increasing Prevalence of Adult-Onset Diabetes Mellitus: A Population-based Study
Leibson, C. L., O'Bnen, P. C., Atkinson, E. J., Palumbo, P. J., & Melton, L. J. (1997) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009187 · Cited by 116
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Thirty-Day Rehospitalizations After Acute Myocardial Infarction
Dunlay, S. M., Weston, S. A., Killian, J. M., Bell, M. R., Jaffe, A. S., & Roger, V. L. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-157-1-201207030-00004 · Cited by 119
A Randomized Comparative Effectiveness Trial of Novel Endoscopic Techniques and Approaches for Barrett’s Esophagus Screening in the Community
Sami, S. S., Dunagan, K. T., Johnson, M. L., Schleck, C. D., Shah, N. D., Zinsmeister, A. R., Wongkeesong, L., Wang, K. K., Katzka, D. A., Ragunath, K., et al. (2014) · The American Journal of Gastroenterology · doi:10.1038/ajg.2014.362 · Cited by 115
Noncardiac vascular disease in rheumatoid arthritis: Increase in venous thromboembolic events?
Bacani, A. K., Gabriel, S. E., Crowson, C. S., Heit, J. A., & Matteson, E. L. (2011) · Arthritis & Rheumatism · doi:10.1002/art.33322 · Cited by 115
Symptoms and Quality of Life in Community Women With Fecal Incontinence
Bharucha, A. E., Zinsmeister, A. R., Locke, G. R., Schleck, C. D., McKeon, K., & Melton, L. J. (2006) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2006.01.003 · Cited by 115
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Mortality trends in rheumatoid arthritis: the role of rheumatoid factor.
Sánchez-González, Á., İçen, M., Kremers, H. M., Crowson, C. S., Davis, J. M., Therneau, T. M., Roger, V. L., & Gabriel, S. E. (2008) · PubMed · Cited by 115
Hormonal and Biochemical Determinants of Trabecular Microstructure at the Ultradistal Radius in Women and Men
Khosla, S., Melton, L. J., Achenbach, S. J., Oberg, A. L., & Riggs, B. L. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2005-2065 · Cited by 115
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Health Care Utilization and Cost Burden of Herpes Zoster in a Community Population
Yawn, B. P., Itzler, R. F., Wollan, P. C., Pellissier, J. M., Sy, L. S., & Saddier, P. (2009) · Mayo Clinic Proceedings · doi:10.4065/84.9.787 · Cited by 114
Risk of Retinal Detachment after Cataract Extraction, 1980–2004
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Determinants of Bone Loss from the Femoral Neck in Women of Different Ages
Melton, L. J., Atkinson, E. J., O’Connor, M. K., O’Fallon, W. M., & Riggs, B. L. (2000) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.2000.15.1.24 · Cited by 114
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Chronic Care Model and Shared Care in Diabetes: Randomized Trial of an Electronic Decision Support System
Smith, S. A., Shah, N. D., Bryant, S. C., Christianson, T. J. H., Bjornsen, S. S., Giesler, P. D., Krause, K. H., Erwin, P. J., & Montori, V. M. (2008) · Mayo Clinic Proceedings · doi:10.4065/83.7.747 · Cited by 113
Impairments and comorbidities of polyneuropathy revealed by population-based analyses
Hoffman, E. M., Staff, N. P., Robb, J. M., Sauver, J. L. S., Dyck, P. J. B., & Klein, C. J. (2015) · Neurology · doi:10.1212/wnl.0000000000001492 · Cited by 111
Long-Term Trends in Glaucoma-Related Blindness in Olmsted County, Minnesota
Malihi, M., Filho, E. R. M., Hodge, D. O., & Sit, A. J. (2013) · Ophthalmology · doi:10.1016/j.ophtha.2013.09.003 · Cited by 113
Incidence, Secular Trends, and Outcomes of Prosthetic Joint Infection: A Population-Based Study, Olmsted County, Minnesota, 1969–2007
Tsaras, G., Osmon, D. R., Mabry, T. M., Lahr, B. D., Sauver, J. L. S., Yawn, B. P., Kurland, R. L., & Berbari, E. F. (2012) · Infection Control and Hospital Epidemiology · doi:10.1086/668421 · Cited by 112
Secular Trends in Renal Dysfunction and Outcomes in Hospitalized Heart Failure Patients
Owan, T., Hodge, D. O., Herges, R. M., Jacobsen, S. J., Roger, V. L., & Redfield, M. M. (2006) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2006.02.007 · Cited by 111
Measuring frailty in heart failure: A community perspective
McNallan, S. M., Chamberlain, A. M., Gerber, Y., Singh, M., Kane, R. L., Weston, S. A., Dunlay, S. M., Jiang, R., & Roger, V. L. (2013) · American Heart Journal · doi:10.1016/j.ahj.2013.07.008 · Cited by 108
Effect of a near-universal hospitalization-based prophylaxis regimen on annual number of venous thromboembolism events in the US
Heit, J. A., Crusan, D. J., Ashrani, A. A., Petterson, T. M., & Bailey, K. R. (2017) · Blood · doi:10.1182/blood-2016-12-758995 · Cited by 111
Concurrence of Inflammatory Bowel Disease and Multiple Sclerosis
Kimura, K. B., Hunter, S. F., Thollander, M. S., Loftus, E. V., Melton, L. J., O’Brien, P. C., Rodriguez, M., & Phillips, S. F. (2000) · Mayo Clinic Proceedings · doi:10.4065/75.8.802 · Cited by 111
Self-citation

Authors: Melton, L. J.
Affiliations: Mayo Clinic (US)
Corresponding author: Melton, L. Joseph
Venue: Mayo Clinic Proceedings
Publisher: Elsevier BV
Published: 1996-03
Volume: 71
Issue: 3
Pages: 266-274
ISSN: 0025-6196 (ISSN-L)
DOI: 10.4065/71.3.266
OpenAlex: W2137393443
Cited by: 1,443
References: 30
Citations by year: 2026: 6 · 2025: 7 · 2024: 15 · 2023: 10 · 2022: 22 · 2021: 35 · 2020: 27 · 2019: 18 · 2018: 30 · 2017: 26 · 2016: 44 · 2015: 35 · 2014: 43 · 2013: 80 · 2012: 89
FWCI: 121.36
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Mayo Clinic Proceedings (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
Health Sciences › Medicine › Epidemiology › Historical and modern epidemiology studies
Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Keywords: Rochester Epidemiology Project, medical record linkage, Olmsted County, Minnesota, disease incidence, natural history of disease
MeSH terms: Epidemiology, Humans, Medical Record Linkage, Minnesota, History, 20th Century

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