Table 1.
Review Categorya | n (%)b | Chart Review Summary |
---|---|---|
T2DM (n = 84 821; cases = 9301, controls = 23 776) | ||
Cases with probability <50% | 675 (0.80) | 7 cases: none had T2DM diagnosis codes, but they did have a history of diabetes in clinical notes with medication and elevated blood glucose measurements. |
3 could not be determined: no mention of T2DM in clinical notes but they had medication and elevated blood glucose measurements. | ||
Controls with probability ≥50% | 24 (0.03) | 1 case: clinical notes indicate well-controlled T2DM. |
9 non-cases: no evidence that suggests T2DM, but they had other features that inflated the phenotype score, like blood glucose measurements or hypoglycemia. | ||
Unclassified with probability <50% | 39 611 (46.69) | 10 non-cases: no evidence that suggests T2DM. |
Unclassified with probability ≥50% | 12 133 (14.31) | 6 cases: history of T2DM in clinical notes. |
4 non-cases: 3 have no evidence that suggests T2DM; 1 has prediabetes. | ||
Dementia (n = 84 821; cases = 2989, controls = 77 688) | ||
Cases with probability <50% | 1339 (1.58) | 4 cases: history of dementia in clinical notes with no dementia diagnosis codes but they were identified as cases by the presence of an associated medication. |
6 non-cases or could not be determined: no evidence that suggests dementia; identified as cases by the presence of an associated medication, where the medication was prescribed for reasons unrelated to dementia | ||
Controls with probability ≥50% | 0 (0.00) | 0 cases |
Unclassified with probability <50% | 2894 (3.41) | 10 non-cases: 7 diagnosed with delirium, but not dementia. |
3 with a persistent mental disorder, but not dementia | ||
Unclassified with probability ≥50% | 1250 (1.47) | 5 cases: history of dementia in clinical notes but excluded from a case group for not having >5 diagnosis codes. |
5 non-cases: persistent mental disorder, but not dementia | ||
Hypothyroidism (n = 84 821; cases = 5170, controls = 27 926) | ||
Cases with probability <50% | 16 (0.02) | 10 cases: history of hypothyroidism in clinical notes, but specific diagnosis code were not captured or assigned a lower score by PheMap |
Controls with probability ≥50% | 133 (0.16) | 5 non-cases: goiter, but no hypothyroidism |
5 non-cases: coma (assigned a high score by PheMap), but unrelated to hypothyroidism | ||
Unclassified with probability <50% | 45 499 (55.64) | 10 non-cases: no evidence that suggests hypothyroidism |
Unclassified with probability ≥50% | 11 492 (13.55) | 3 cases: history of hypothyroidism in clinical notes |
3 cases: postsurgical or secondary due to recent contrast exposure | ||
4 non-cases: goiter or coma (see “Controls with probability ≥50%”) |
Note: Data are of subjects with inconsistent PheMap phenotype probabilities, eMERGE-defined case-control status, and results of chart reviews of randomly selected 10 samples per group. eMERGE: Electronic Medical Records and Genomics; T2DM: type 2 diabetes mellitus; XPRESS: eXtraction of Phenotypes from Records using Silver Standards.
Case, control, and unclassified refer to a patient’s eMERGE-defined case-control status.
Reporting as percentage of total patients (N = 84 821)