Methods of linking mothers and infants using health plan data for studies of pregnancy outcomes

ABSTRACT Purpose Research on medication safety in pregnancy often utilizes health plan and birth certificate records. This study discusses methods used to link mothers with infants, a crucial step in such research. Methods We describe how eight sites participating in the Medication Exposure in Pregn...

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Veröffentlicht in:Pharmacoepidemiology and drug safety 2013-07, Vol.22 (7), p.776-782
Hauptverfasser: Johnson, Karin E., Beaton, Sarah J., Andrade, Susan E., Cheetham, T. Craig, Scott, Pamela E., Hammad, Tarek A., Dashevsky, Inna, Cooper, William O., Davis, Robert L., Pawloski, Pamala A., Raebel, Marsha A., Smith, David H., Toh, Sengwee, Li, De-Kun, Haffenreffer, Katherine, Dublin, Sascha
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container_end_page 782
container_issue 7
container_start_page 776
container_title Pharmacoepidemiology and drug safety
container_volume 22
creator Johnson, Karin E.
Beaton, Sarah J.
Andrade, Susan E.
Cheetham, T. Craig
Scott, Pamela E.
Hammad, Tarek A.
Dashevsky, Inna
Cooper, William O.
Davis, Robert L.
Pawloski, Pamala A.
Raebel, Marsha A.
Smith, David H.
Toh, Sengwee
Li, De-Kun
Haffenreffer, Katherine
Dublin, Sascha
description ABSTRACT Purpose Research on medication safety in pregnancy often utilizes health plan and birth certificate records. This study discusses methods used to link mothers with infants, a crucial step in such research. Methods We describe how eight sites participating in the Medication Exposure in Pregnancy Risk Evaluation Program created linkages between deliveries, infants and birth certificates for the 2001–2007 birth cohorts. We describe linkage rates across sites, and for two sites, we compare the characteristics of populations linked using different methods. Results Of 299 260 deliveries, 256 563 (86%; range by site, 74–99%) could be linked to infants using a deterministic algorithm. At two sites, using birth certificate data to augment mother–infant linkage increased the representation of mothers who were Hispanic or non‐White, younger, Medicaid recipients, or had low educational level. A total of 236 460 (92%; range by site, 82–100%) deliveries could be linked to a birth certificate. Conclusions Tailored approaches enabled linking most deliveries to infants and to birth certificates, even when data systems differed. The methods used may affect the composition of the population identified. Linkages established with such methods can support sound pharmacoepidemiology studies of maternal drug exposure outside the context of a formal registry. Copyright © 2013 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/pds.3443
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Craig ; Scott, Pamela E. ; Hammad, Tarek A. ; Dashevsky, Inna ; Cooper, William O. ; Davis, Robert L. ; Pawloski, Pamala A. ; Raebel, Marsha A. ; Smith, David H. ; Toh, Sengwee ; Li, De-Kun ; Haffenreffer, Katherine ; Dublin, Sascha</creator><creatorcontrib>Johnson, Karin E. ; Beaton, Sarah J. ; Andrade, Susan E. ; Cheetham, T. Craig ; Scott, Pamela E. ; Hammad, Tarek A. ; Dashevsky, Inna ; Cooper, William O. ; Davis, Robert L. ; Pawloski, Pamala A. ; Raebel, Marsha A. ; Smith, David H. ; Toh, Sengwee ; Li, De-Kun ; Haffenreffer, Katherine ; Dublin, Sascha</creatorcontrib><description>ABSTRACT Purpose Research on medication safety in pregnancy often utilizes health plan and birth certificate records. This study discusses methods used to link mothers with infants, a crucial step in such research. Methods We describe how eight sites participating in the Medication Exposure in Pregnancy Risk Evaluation Program created linkages between deliveries, infants and birth certificates for the 2001–2007 birth cohorts. We describe linkage rates across sites, and for two sites, we compare the characteristics of populations linked using different methods. Results Of 299 260 deliveries, 256 563 (86%; range by site, 74–99%) could be linked to infants using a deterministic algorithm. At two sites, using birth certificate data to augment mother–infant linkage increased the representation of mothers who were Hispanic or non‐White, younger, Medicaid recipients, or had low educational level. A total of 236 460 (92%; range by site, 82–100%) deliveries could be linked to a birth certificate. Conclusions Tailored approaches enabled linking most deliveries to infants and to birth certificates, even when data systems differed. The methods used may affect the composition of the population identified. Linkages established with such methods can support sound pharmacoepidemiology studies of maternal drug exposure outside the context of a formal registry. Copyright © 2013 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 1053-8569</identifier><identifier>EISSN: 1099-1557</identifier><identifier>DOI: 10.1002/pds.3443</identifier><identifier>PMID: 23596095</identifier><identifier>CODEN: PDSAEA</identifier><language>eng</language><publisher>Chichester: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Adverse Drug Reaction Reporting Systems ; Algorithms ; Biological and medical sciences ; Birth Certificates ; Chi-Square Distribution ; Clinical trial. 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Craig</creatorcontrib><creatorcontrib>Scott, Pamela E.</creatorcontrib><creatorcontrib>Hammad, Tarek A.</creatorcontrib><creatorcontrib>Dashevsky, Inna</creatorcontrib><creatorcontrib>Cooper, William O.</creatorcontrib><creatorcontrib>Davis, Robert L.</creatorcontrib><creatorcontrib>Pawloski, Pamala A.</creatorcontrib><creatorcontrib>Raebel, Marsha A.</creatorcontrib><creatorcontrib>Smith, David H.</creatorcontrib><creatorcontrib>Toh, Sengwee</creatorcontrib><creatorcontrib>Li, De-Kun</creatorcontrib><creatorcontrib>Haffenreffer, Katherine</creatorcontrib><creatorcontrib>Dublin, Sascha</creatorcontrib><title>Methods of linking mothers and infants using health plan data for studies of pregnancy outcomes</title><title>Pharmacoepidemiology and drug safety</title><addtitle>Pharmacoepidemiol Drug Saf</addtitle><description>ABSTRACT Purpose Research on medication safety in pregnancy often utilizes health plan and birth certificate records. This study discusses methods used to link mothers with infants, a crucial step in such research. Methods We describe how eight sites participating in the Medication Exposure in Pregnancy Risk Evaluation Program created linkages between deliveries, infants and birth certificates for the 2001–2007 birth cohorts. We describe linkage rates across sites, and for two sites, we compare the characteristics of populations linked using different methods. Results Of 299 260 deliveries, 256 563 (86%; range by site, 74–99%) could be linked to infants using a deterministic algorithm. At two sites, using birth certificate data to augment mother–infant linkage increased the representation of mothers who were Hispanic or non‐White, younger, Medicaid recipients, or had low educational level. A total of 236 460 (92%; range by site, 82–100%) deliveries could be linked to a birth certificate. Conclusions Tailored approaches enabled linking most deliveries to infants and to birth certificates, even when data systems differed. The methods used may affect the composition of the population identified. Linkages established with such methods can support sound pharmacoepidemiology studies of maternal drug exposure outside the context of a formal registry. Copyright © 2013 John Wiley &amp; Sons, Ltd.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adverse Drug Reaction Reporting Systems</subject><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Birth Certificates</subject><subject>Chi-Square Distribution</subject><subject>Clinical trial. Drug monitoring</subject><subject>Continental Population Groups</subject><subject>Data Mining</subject><subject>Databases, Factual - statistics &amp; numerical data</subject><subject>Drug Prescriptions</subject><subject>Drug Utilization Review</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>General pharmacology</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medicaid</subject><subject>Medical Record Linkage</subject><subject>Medical Records Systems, Computerized - statistics &amp; numerical data</subject><subject>Medical sciences</subject><subject>Perinatal Care - economics</subject><subject>Perinatal Care - statistics &amp; numerical data</subject><subject>pharmacoepidemiology</subject><subject>Pharmacology. 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Craig ; Scott, Pamela E. ; Hammad, Tarek A. ; Dashevsky, Inna ; Cooper, William O. ; Davis, Robert L. ; Pawloski, Pamala A. ; Raebel, Marsha A. ; Smith, David H. ; Toh, Sengwee ; Li, De-Kun ; Haffenreffer, Katherine ; Dublin, Sascha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5063-5923a8c5a42d2c3289bd9d79eb8453f02fe454be2d4b8d42114d15fe21a2c9713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adverse Drug Reaction Reporting Systems</topic><topic>Algorithms</topic><topic>Biological and medical sciences</topic><topic>Birth Certificates</topic><topic>Chi-Square Distribution</topic><topic>Clinical trial. 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Craig</au><au>Scott, Pamela E.</au><au>Hammad, Tarek A.</au><au>Dashevsky, Inna</au><au>Cooper, William O.</au><au>Davis, Robert L.</au><au>Pawloski, Pamala A.</au><au>Raebel, Marsha A.</au><au>Smith, David H.</au><au>Toh, Sengwee</au><au>Li, De-Kun</au><au>Haffenreffer, Katherine</au><au>Dublin, Sascha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Methods of linking mothers and infants using health plan data for studies of pregnancy outcomes</atitle><jtitle>Pharmacoepidemiology and drug safety</jtitle><addtitle>Pharmacoepidemiol Drug Saf</addtitle><date>2013-07</date><risdate>2013</risdate><volume>22</volume><issue>7</issue><spage>776</spage><epage>782</epage><pages>776-782</pages><issn>1053-8569</issn><eissn>1099-1557</eissn><coden>PDSAEA</coden><abstract>ABSTRACT Purpose Research on medication safety in pregnancy often utilizes health plan and birth certificate records. This study discusses methods used to link mothers with infants, a crucial step in such research. Methods We describe how eight sites participating in the Medication Exposure in Pregnancy Risk Evaluation Program created linkages between deliveries, infants and birth certificates for the 2001–2007 birth cohorts. We describe linkage rates across sites, and for two sites, we compare the characteristics of populations linked using different methods. Results Of 299 260 deliveries, 256 563 (86%; range by site, 74–99%) could be linked to infants using a deterministic algorithm. At two sites, using birth certificate data to augment mother–infant linkage increased the representation of mothers who were Hispanic or non‐White, younger, Medicaid recipients, or had low educational level. A total of 236 460 (92%; range by site, 82–100%) deliveries could be linked to a birth certificate. Conclusions Tailored approaches enabled linking most deliveries to infants and to birth certificates, even when data systems differed. The methods used may affect the composition of the population identified. Linkages established with such methods can support sound pharmacoepidemiology studies of maternal drug exposure outside the context of a formal registry. Copyright © 2013 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester</cop><pub>Blackwell Publishing Ltd</pub><pmid>23596095</pmid><doi>10.1002/pds.3443</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Adverse Drug Reaction Reporting Systems
Algorithms
Biological and medical sciences
Birth Certificates
Chi-Square Distribution
Clinical trial. Drug monitoring
Continental Population Groups
Data Mining
Databases, Factual - statistics & numerical data
Drug Prescriptions
Drug Utilization Review
Ethnic Groups
Female
General pharmacology
Health Services Research
Humans
Infant, Newborn
Medicaid
Medical Record Linkage
Medical Records Systems, Computerized - statistics & numerical data
Medical sciences
Perinatal Care - economics
Perinatal Care - statistics & numerical data
pharmacoepidemiology
Pharmacology. Drug treatments
Pregnancy
Pregnancy Outcome - economics
Pregnancy Outcome - ethnology
pregnancy outcome/epidemiology
Socioeconomic Factors
United States - epidemiology
Young Adult
title Methods of linking mothers and infants using health plan data for studies of pregnancy outcomes
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