Clinical Scorecard: Menopause may be underdocumented in EHRs
At a Glance
| Category | Detail |
|---|---|
| Condition | Menopause |
| Key Mechanisms | Underreporting in electronic health records (EHRs) compared to self-reported surveys. |
| Target Population | Female participants recorded as female at birth in the All of Us Research Program. |
| Care Setting | Clinical research using electronic health records and survey data. |
Key Highlights
- Self-reported surveys identified nearly 7 times more menopause observations than EHR data.
- Among participants with an EHR menopause diagnosis, over 99% reported permanent cessation of menstrual periods.
- Limited documentation of menopause-related symptoms in structured EHR data.
- EHR diagnoses showed a pronounced increase in menopause observations at age 65.
- Survey data provided greater ascertainment of menopause than structured EHR diagnoses.
Guideline-Based Recommendations
Diagnosis
- Consider both self-reported surveys and EHR data for a comprehensive assessment of menopause.
Management
- Utilize multimodal data sources for future studies on menopause.
Monitoring & Follow-up
- Monitor the documentation practices in EHRs to improve menopause-related data capture.
Risks
- Be aware of potential response and recall bias in self-reported survey data.
Patient & Prescribing Data
Participants in the All of Us Research Program, primarily females.
Limited treatment insights due to underreporting in EHRs.
Clinical Best Practices
- Encourage accurate documentation of menopause in EHRs.
- Integrate survey data with EHRs for better understanding of menopause experiences.
- Address sociodemographic differences in menopause reporting.
Related Resources & Content
This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.
