Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record
Background: Obesity remains a public health crisis in the United States with 64% of adults in the U.S. being overweight or obese with its corresponding economic impacts. Purpose: This study examined concordance between obesity body mass index (BMI > 30) in the patient’s electronic medical record...
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ftaurorahc:oai:institutionalrepository.aah.org:fam-1003 2023-07-23T04:18:25+02:00 Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record Fink, Jennifer Morris, George L, III Singh, Maharaj Nelson, David Walker, Renee Cisler, Ron A 2014-07-01T07:00:00Z https://institutionalrepository.aah.org/fam/4 unknown Advocate Aurora Health Institutional Repository https://institutionalrepository.aah.org/fam/4 Family Medicine obesity BMI electronic medical record EMR diagnosis Advocate Aurora Research Institute text 2014 ftaurorahc 2023-07-05T20:12:09Z Background: Obesity remains a public health crisis in the United States with 64% of adults in the U.S. being overweight or obese with its corresponding economic impacts. Purpose: This study examined concordance between obesity body mass index (BMI > 30) in the patient’s electronic medical record (EMR) and a documented diagnosis of obesity in the EMR. Methods: We conducted a retrospective record review of a large health care system EMR for the period of one year (2012). A total of 397,313 patients met criteria including having at least one physician visit, at least 18 years of age and not being pregnant. Of those patients, 158,372 had a BMI > 30 (39.86%). We examined BMI obesity and obesity diagnosis on the EMR concordance as well as demographics and comorbid diagnoses for their ability to predict obesity diagnosis. Results: Obesity was on the problem list for only 35% of patients with a BMI > 30. Obesity was documented more frequently in women, more frequently in middle-aged patients, and more frequently for blacks/African Americans. Obesity on the problem list was greater for some comorbidities (e.g. sleep apnea, hypertension, diabetes) and less for others (e.g. coronary artery disease, osteoarthritis); there was a significant positive association between the number of comorbid diagnoses and obesity diagnosis on the problem list. Conclusion: Obesity remains underdiagnosed despite the presence of obesity BMI in the patient’s EMR. Patient demographics and comorbidities should be considered when identifying new best practices for screening, diagnosing, documenting, intervening and monitoring weight management. New practices should be patient-centered and consider cultural context and social and physical resources available to patients – all crucial for enacting systems change in a true accountable care environment. Text Aurora Research Institute Aurora Health Care Digital Repository |
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obesity BMI electronic medical record EMR diagnosis Advocate Aurora Research Institute |
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obesity BMI electronic medical record EMR diagnosis Advocate Aurora Research Institute Fink, Jennifer Morris, George L, III Singh, Maharaj Nelson, David Walker, Renee Cisler, Ron A Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record |
topic_facet |
obesity BMI electronic medical record EMR diagnosis Advocate Aurora Research Institute |
description |
Background: Obesity remains a public health crisis in the United States with 64% of adults in the U.S. being overweight or obese with its corresponding economic impacts. Purpose: This study examined concordance between obesity body mass index (BMI > 30) in the patient’s electronic medical record (EMR) and a documented diagnosis of obesity in the EMR. Methods: We conducted a retrospective record review of a large health care system EMR for the period of one year (2012). A total of 397,313 patients met criteria including having at least one physician visit, at least 18 years of age and not being pregnant. Of those patients, 158,372 had a BMI > 30 (39.86%). We examined BMI obesity and obesity diagnosis on the EMR concordance as well as demographics and comorbid diagnoses for their ability to predict obesity diagnosis. Results: Obesity was on the problem list for only 35% of patients with a BMI > 30. Obesity was documented more frequently in women, more frequently in middle-aged patients, and more frequently for blacks/African Americans. Obesity on the problem list was greater for some comorbidities (e.g. sleep apnea, hypertension, diabetes) and less for others (e.g. coronary artery disease, osteoarthritis); there was a significant positive association between the number of comorbid diagnoses and obesity diagnosis on the problem list. Conclusion: Obesity remains underdiagnosed despite the presence of obesity BMI in the patient’s EMR. Patient demographics and comorbidities should be considered when identifying new best practices for screening, diagnosing, documenting, intervening and monitoring weight management. New practices should be patient-centered and consider cultural context and social and physical resources available to patients – all crucial for enacting systems change in a true accountable care environment. |
format |
Text |
author |
Fink, Jennifer Morris, George L, III Singh, Maharaj Nelson, David Walker, Renee Cisler, Ron A |
author_facet |
Fink, Jennifer Morris, George L, III Singh, Maharaj Nelson, David Walker, Renee Cisler, Ron A |
author_sort |
Fink, Jennifer |
title |
Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record |
title_short |
Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record |
title_full |
Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record |
title_fullStr |
Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record |
title_full_unstemmed |
Obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record |
title_sort |
obesity remains underdiagnosed: discordant documentation of obesity body mass index and obesity diagnosis in patients' electronic medical record |
publisher |
Advocate Aurora Health Institutional Repository |
publishDate |
2014 |
url |
https://institutionalrepository.aah.org/fam/4 |
genre |
Aurora Research Institute |
genre_facet |
Aurora Research Institute |
op_source |
Family Medicine |
op_relation |
https://institutionalrepository.aah.org/fam/4 |
_version_ |
1772180746665984000 |