{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:46:47Z","timestamp":1777852007562,"version":"3.51.4"},"reference-count":58,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    We aimed to compare the Epic\n                    <jats:sup>\u00ae<\/jats:sup>\n                    social determinants of health (SDOH) \u201cwheel\u201d to validated SDOH questionnaires in the domains of transportation security and financial toxicity to determine its accuracy in risk stratifying patients.\n                    <jats:bold>Methods:<\/jats:bold>\n                    We enrolled patients presenting to orthopaedic clinics at an urban tertiary care center, the University of Chicago Medical Center. Patients completed two validated surveys (the COmprehensive Score for financial Toxicity (COST) questionnaire and Transportation Security Index (TSI) questionnaire) and their Epic equivalents. The sensitivity and specificity of each Epic domain was calculated using validated questionnaires as the gold-standard.\n                    <jats:bold>Results:<\/jats:bold>\n                    203 patients completed the transportation surveys while 199 completed the financial toxicity surveys. In the domain of financial toxicity, Epic\u2019s sensitivity and specificity were 35% 53%, respectively. In the domain of transportation security, Epic\u2019s sensitivity and specificity were 53% and 94%, respectively.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    The Epic SDOH wheel demonstrated poor sensitivity in both domains studied, suggesting limitations in its ability to serve as an effective screening tool.\n                  <\/jats:p>","DOI":"10.1177\/14604582251381237","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T22:58:13Z","timestamp":1758754693000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Performance of an EMR screening tool for social determinants of health"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5086-2238","authenticated-orcid":false,"given":"Malik","family":"Scott","sequence":"first","affiliation":[{"name":"University of Chicago Pritzker School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarthak","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"University of Chicago Pritzker School of Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7602-6916","authenticated-orcid":false,"given":"Michael","family":"Koch","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-1595","authenticated-orcid":false,"given":"Jason","family":"Strelzow","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Hynes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey G.","family":"Stepan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"key":"e_1_3_7_2_2","unstructured":"Magnan S. 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