Construction and Use of Body Weight Measures from Administrative Data in a Large National Health System: A Systematic Review.
Journal
Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
17
11
2019
revised:
29
01
2020
accepted:
11
02
2020
pubmed:
2
6
2020
medline:
29
9
2020
entrez:
2
6
2020
Statut:
ppublish
Résumé
Administrative data are increasingly used in research and evaluation yet lack standardized guidelines for constructing measures using these data. Body weight measures from administrative data serve critical functions of monitoring patient health, evaluating interventions, and informing research. This study aimed to describe the algorithms used by researchers to construct and use weight measures. A structured, systematic literature review of studies that constructed body weight measures from the Veterans Health Administration was conducted. Key information regarding time frames and time windows of data collection, measure calculations, data cleaning, treatment of missing and outlier weight values, and validation processes was collected. We identified 39 studies out of 492 nonduplicated records for inclusion. Studies parameterized weight outcomes as change in weight from baseline to follow-up (62%), weight trajectory over time (21%), proportion of participants meeting weight threshold (46%), or multiple methods (28%). Most (90%) reported total time in follow-up and number of time points. Fewer reported time windows (54%), outlier values (51%), missing values (34%), or validation strategies (15%). A high variability in the operationalization of weight measures was found. Improving methods to construct clinical measures will support transparency and replicability in approaches, guide interpretation of findings, and facilitate comparisons across studies.
Identifiants
pubmed: 32478469
doi: 10.1002/oby.22790
pmc: PMC7384104
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1205-1214Subventions
Organisme : National Center for Health Promotion and Disease Prevention
Pays : International
Commentaires et corrections
Type : CommentIn
Informations de copyright
Published 2020. This article is a U.S. Government work and is in the public domain in the USA. Obesity published by Wiley Periodicals, Inc. on behalf of The Obesity Society (TOS).
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