Electronic health record data extraction: Physical therapists’ documentation of physical activity assessments and prescriptions for patients with chronic low back pain

References

• Abenhaim L, Rossignol M, Valat J, Nordin M, Avouac B, Blotman F, Charlot J, Dreiser R, Legrand E, Rozenberg S, et al. 2000 The role of activity in the therapeutic management of back pain: Report of the International Paris task force on back pain. Spine 25: 1S–33S. 10.1097/00007632-200002151-00001.
   PubMed Web of Science ®Google Scholar
• American College of Sports Medicine 2018 ACSM’s guidelines for exercise testing and prescription. Philadelphia, PA: Wolters Kluwer.
   Google Scholar
• American Physical Therapy Association 2023 Guide to Physical Therapist Practice. https://store.apta.org/guide-to-physical-therapist-practice-3-0.html.
   Google Scholar
• Ayre J, Jenkins H, McCaffery KJ, Maher CG, Hancock MJ 2022 Physiotherapists have some hesitations and unmet needs regarding delivery of exercise programs for low back pain prevention in adults: A qualitative interview study. Musculoskeletal Science and Practice 62: 102630. 10.1016/j.msksp.2022.102630.
   PubMed Web of Science ®Google Scholar
• Balasubramanian BA, Cohen DJ, Davis MM, Gunn R, Dickinson LM, Miller WL, Crabtree BF, Stange KC 2015 Learning evaluation: Blending quality improvement and implementation research methods to study healthcare innovations. Implementation Science 10: 31. 10.1186/s13012-015-0219-z.
   PubMed Web of Science ®Google Scholar
• Bertagnolli MM, Anderson B, Quina A, Piantadosi S 2020 The electronic health record as a clinical trials tool: Opportunities and challenges. Clinical Trials 17: 237–242. 10.1177/1740774520913819.
   PubMed Web of Science ®Google Scholar
• Borgundvaag E, Janssen I 2017 Objectively measured physical activity and mortality risk among American adults. American Journal Preventative Medicine 52: e25–e31. 10.1016/j.amepre.2016.09.017.
   PubMed Web of Science ®Google Scholar
• Brockhusen SS, Bussières A, French SD, Christensen HW, Jensen TS 2017 Managing patients with acute and chronic non-specific neck pain: Are Danish chiropractors compliant with guidelines? Chiropractic and Manual Therapies 25: 17. 10.1186/s12998-017-0148-9.
   PubMed Web of Science ®Google Scholar
• Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, et al. 2020 World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine 54: 1451–1462. 10.1136/bjsports-2020-102955.
   PubMed Web of Science ®Google Scholar
• Damato TM, Oliveira CB, Franco MR, Silva FG, Gobbi C, Morelhão PK, Christofaro DG, Pinto RZ 2021 Characteristics associated with people with chronic low back pain meeting physical activity guidelines and recommendations for sedentary behavior: A cross-sectional study. Journal of Manipulative and Physiological Therapeutics 44: 378–388. 10.1016/j.jmpt.2021.03.005.
   PubMed Web of Science ®Google Scholar
• Foley TJ, Vale L 2017 What role for learning health systems in quality improvement within healthcare providers? Learning Health Systems 1: e10025. 10.1002/lrh2.10025.
   PubMed Web of Science ®Google Scholar
• Freburger JK, Carey TS, Holmes GM, Wallace AS, Castel LD, Darter JD, Jackman AM 2009 Exercise prescription for chronic back or neck pain: Who prescribes it? who gets it? What is prescribed? Arthritis and Rheumatism 61: 192–200. 10.1002/art.24234.
   PubMedGoogle Scholar
• George SZ, Fritz JM, Silfies SP, Schneider MJ, Beneciuk JM, Lentz TA, Gilliam JR, Hendren S, Norman KS 2021 Interventions for the management of acute and chronic low back pain: Revision 2021: Clinical practice guidelines linked to the international classification of functioning, disability and health from the academy of orthopaedic physical therapy of the American physical therapy Association. The Journal of Orthopaedic and Sports Physical Therapy 51: CPG1–CPG60. 10.2519/jospt.2021.0304.
   PubMed Web of Science ®Google Scholar
• Gianinazzi ME, Rueegg CS, Zimmerman K, Kuehni CE, Michel G, Matsuo K 2015 Intra-rater and inter-rater reliability of a medical record abstraction study on transition of care after childhood cancer. PLoS One 10: e0124290. 10.1371/journal.pone.0124290.
   PubMed Web of Science ®Google Scholar
• Gregory KE, Radovinsky L 2012 Research strategies that result in optimal data collection from the patient medical record. Applied Nursing Research 25: 108–116. 10.1016/j.apnr.2010.02.004.
   PubMed Web of Science ®Google Scholar
• Hanauer DA, Mei Q, Law J, Khanna R, Zheng K 2015 Supporting information retrieval from electronic health records: A report of University of Michigan’s nine-year experience in developing and using the Electronic Medical Record Search Engine (EMERSE). Journal of Biomedical Informatics 55: 290–300. 10.1016/j.jbi.2015.05.003.
   PubMed Web of Science ®Google Scholar
• Hurwitz E, Morgenstern H, Chiao C 2005 Effects of recreational physical activity and back exercises on low back pain and psychological distress: Findings from the UCLA low back pain study. American Journal of Public Health Research 95: 1817–1824. 10.2105/AJPH.2004.052993.
   Google Scholar
• Husted M, Rossen CB, Jensen TS, Mikkelsen LR, Rolving N 2020 Adherence to key domains in low back pain guidelines: A cross‐sectional study of Danish physiotherapists. Physiotherapy Research International 25: e1858. 10.1002/pri.1858.
   PubMed Web of Science ®Google Scholar
• Hyun S, Johnson SB, Bakken S 2009 Exploring the ability of natural language processing to extract data from nursing narratives. Computers, Informatics, Nursing: CIN 27: 215–223. 10.1097/NCN.0b013e3181a91b58.
   PubMed Web of Science ®Google Scholar
• Injeyan HS, Hogg-Johnson S, Abdulla S, Chow N, Cox J, Ridding A, Jacobs C 2021 Intra- and inter-rater reliability of an electronic health record audit used in a chiropractic teaching clinic system: An observational study. BMC Health Services Research 21: 750. 10.1186/s12913-021-06745-1.
   PubMed Web of Science ®Google Scholar
• Juhn Y, Liu H 2020 Artificial intelligence approaches using natural language processing to advance EHR-based clinical research. Journal of Allergy and Clinical Immunology 145: 463–469. 10.1016/j.jaci.2019.12.897.
   PubMed Web of Science ®Google Scholar
• Kaji AH, Schriger D, Green S 2014 Looking through the retrospectoscope: Reducing bias in emergency medicine chart review studies. Annals of Emergency Medicine 64: 292–298. 10.1016/j.annemergmed.2014.03.025.
   PubMed Web of Science ®Google Scholar
• Kim H, Mentzer J, Taira R 2019 Developing a physical activity ontology to support the interoperability of physical activity data. Journal of Medical Internet Research 21: e12776. 10.2196/12776.
   PubMed Web of Science ®Google Scholar
• Klehr J, Hafner J, Spelz LM, Steen S, Weaver K 2009 Implementation of standardized nomenclature in the electronic medical record. International Journal of Nursing Terminologies and Classifications 20: 169–180. 10.1111/j.1744-618X.2009.01132.x.
   PubMedGoogle Scholar
• Kumar Attar R 2022 The emergence of Natural Language Processing (NLP) techniques in healthcare AI. In: Parah S, Rashid M, and Varadarajan V (Eds) Artificial intelligence for innovative healthcare informatics, pp. 285–307. Switzerland AG: Springer Nature. https://doi.org/10.1007/978-3-030-96569-3_14.
   Google Scholar
• Learman KE, Ellis AR, Goode AP, Showalter C, Cook CE 2014 Physical therapists’ clinical knowledge of multidisciplinary low back pain treatment guidelines. Physical Therapy 94: 934–946. 10.2522/ptj.20130567.
   PubMed Web of Science ®Google Scholar
• Miles MB, Huberman AM 1994 Qualitative data analysis: An expanded sourcebook. London, UK: Sage.
   Google Scholar
• Morris Z, Wooding S, Grant J 2011 The answer is 17 years, what is the question: Understanding time lags in translational research. Journal of the Royal Society of Medicine 104: 510–520. 10.1258/jrsm.2011.110180.
   PubMed Web of Science ®Google Scholar
• Moslem WM, Alrwaily M, Almarwani MM 2022 Adherence to low back pain clinical practice guidelines by Saudi physical therapists: A cross-sectional study. Physiotherapy Theory and Practice 38: 938–951. 10.1080/09593985.2020.1806420.
   PubMed Web of Science ®Google Scholar
• Oliveira C, Maher C, Pinto R, Traeger A, Lin C, Chenot J, van Tulder M, Koes B 2018 Clinical practice guidelines for the management of non-specific low back pain in primary care: An updated overview. European Spine Journal 27: 2791–2803. 10.1007/s00586-018-5673-2.
   PubMed Web of Science ®Google Scholar
• Paim T, Low-Choy N, Dorsch S, Kuys S 2022 An audit of physiotherapists’ documentation on physical activity assessment, promotion and prescription to older adults attending out-patient rehabilitation. Disability and Rehabilitation 44: 1537–1543. 10.1080/09638288.2020.1805644.
   PubMed Web of Science ®Google Scholar
• Pan L, Fergusson D, Schweitzer I, Hebert PC 2005 Ensuring high accuracy of data abstracted from patient charts: The use of a standardized medical record as a training tool. Journal of Clinical Epidemiology 58: 918–923. 10.1016/j.jclinepi.2005.02.004.
   PubMed Web of Science ®Google Scholar
• Phan N, Dou D, Wang H, Kil D, Piniewski B 2017 Ontology-based deep learning for human behavior prediction with explanations in health social networks. Information Sciences 384: 298–313. 10.1016/j.ins.2016.08.038.
   Web of Science ®Google Scholar
• Rhodes R, Janssen I, Bredin S, Warburton D, Bauman A 2017 Physical activity: Health impact, prevalence, correlates and interventions. Psychology & Health 32: 942–975. 10.1080/08870446.2017.1325486.
   PubMed Web of Science ®Google Scholar
• Safdar N, Abbo LM, Knobloch MJ, Seo SK 2016 Research methods in healthcare epidemiology: Survey and qualitative research. Infection Control and Hospital Epidemiology 37: 1272–1277. 10.1017/ice.2016.171.
   PubMed Web of Science ®Google Scholar
• Santana JA, Martinie R, Gomez J 2020 Improving concussion management by including driving recommendations for adolescents with concussions: A quality improvement project. Pediatric Quality and Safety 5: e307. 10.1097/pq9.0000000000000307.
   PubMedGoogle Scholar
• Shoenbill K, Song Y, Gress L, Johnson H, Smith M, Mendonca EA 2020 Natural language processing of lifestyle modification documentation. Health Informatics Journal 26: 388–405. 10.1177/1460458218824742.
   PubMed Web of Science ®Google Scholar
• Spratling R, Powers E 2017 Development of a data abstraction form: Getting what you need from the electronic health record. Journal of Pediatric Health Care 31: 126–130. 10.1016/j.pedhc.2016.07.007.
   PubMed Web of Science ®Google Scholar
• To T, Estrabillo E, Wang C, Cicutto L 2008 Examining intra-rater and inter-rater response agreement: A medical chart abstraction study of a community-based asthma care program. BMC Medical Research Methodology 8: 29. 10.1186/1471-2288-8-29.
   PubMed Web of Science ®Google Scholar
• U.S. Department of Health and Human Services 2018 Physical activity guidelines for Americans (2nd ed). Washington, DC. https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf.
   Google Scholar
• Vassar M, Matthew H 2013 The retrospective chart review: Important methodological considerations. Journal of Educational Evaluation for Health Professions 10: 12. 10.3352/jeehp.2013.10.12.
   PubMedGoogle Scholar
• Weller LM 2021 Development and implementation of a primary care clinic workflow protocol to meet opioid prescribing guidelines. Journal of the American Association of Nurse Practitioners 33: 1100–1107. 10.1097/JXX.0000000000000487.
   Web of Science ®Google Scholar
• Wingood M, Gell NM, Vincenzo JL, Peters DM 2022 Exploring the implementation potential of physical activity assessment and prescription tools in physical therapy practice: A mixed-method study. Physiotherapy Theory and Practice: 1–12. Online ahead of print. 10.1080/09593985.2022.2100849.
   PubMed Web of Science ®Google Scholar
• Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, Blyth FM, Smith E, Buchbinder R, Hoy D 2020 Global low back pain prevalence and years lived with disability from 1990 to 2017: Estimates from the global burden of disease study 2017. Annals of Translational Medicine 8: 299. 10.21037/atm.2020.02.175.
   PubMed Web of Science ®Google Scholar