{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T21:18:39Z","timestamp":1776892719271,"version":"3.51.2"},"reference-count":32,"publisher":"American Speech Language Hearing Association","issue":"3S","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Audiol"],"published-print":{"date-parts":[[2020,9,18]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>The clinical data stored in electronic health records (EHRs) provide unique opportunities for audiological clinical research. In this article, we share insights from our experience of working with a large clinical database of over 730,000 cases.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>Under a framework outlining the process from patient care to researcher data use, we describe issues that can arise in each step of this process and how we overcame specific issues in our data set.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Correct interpretation of findings depends on an understanding of the data source and structure, and efforts to establish confidence in the data through the processes are discussed under the framework.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>We conclude that EHRs have considerable utility in audiological research, though researchers must exhibit caution and consideration when working with EHRs.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1044\/2020_aja-19-00067","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T18:22:46Z","timestamp":1600453366000},"page":"676-681","source":"Crossref","is-referenced-by-count":14,"title":["Insights Into Conducting Audiological Research With Clinical Databases"],"prefix":"10.1044","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8631-1341","authenticated-orcid":false,"given":"Lauren K.","family":"Dillard","sequence":"first","affiliation":[{"name":"School of Medicine and Public Health, University of Wisconsin\u2013Madison"},{"name":"VA Rehabilitation Research and Development, National Center for Rehabilitative Auditory Research, Portland, OR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle H.","family":"Saunders","sequence":"additional","affiliation":[{"name":"VA Rehabilitation Research and Development, National Center for Rehabilitative Auditory Research, Portland, OR"},{"name":"Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Zobay","sequence":"additional","affiliation":[{"name":"VA Rehabilitation Research and Development, National Center for Rehabilitative Auditory Research, Portland, OR"},{"name":"School of Medicine, University of Nottingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham","family":"Naylor","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Nottingham, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","first-page":"1","article-title":"Biases in electronic health record data due to processes within the healthcare system: Retrospective observational study","volume":"361","author":"Agniel D.","year":"2018","journal-title":"British Medical Journal"},{"issue":"8","key":"e_1_3_2_3_1","first-page":"928","article-title":"A large-scale examination of veterans with normal pure-tone hearing thresholds within the Department of Veterans Affairs","volume":"29","author":"Billings C. 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