Prevalence and Characterization of Yoga Mentions in the Electronic Health Record
| Autor: | Nithya Seshadri, Jason H. Moore, Selah Lynch, Sunil Thomas, Nadia M. Penrod |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty media_common.quotation_subject education Health informatics 03 medical and health sciences Young Adult 0302 clinical medicine Health care medicine Electronic Health Records Humans 030212 general & internal medicine Meditation Medical diagnosis media_common Aged Retrospective Studies Aged 80 and over Academic Medical Centers business.industry Yoga Public Health Environmental and Occupational Health Retrospective cohort study Odds ratio Middle Aged Pennsylvania humanities Family medicine Cohort Chronic Disease Female Diagnosis code Family Practice business human activities 030217 neurology & neurosurgery |
| Zdroj: | Journal of the American Board of Family Medicine : JABFM. 32(6) |
| ISSN: | 1558-7118 |
| Popis: | Background: There is a growing patient population using yoga as a therapeutic intervention, but little is known about how yoga interfaces with health care in clinical settings. Purpose: To characterize how yoga is documented at a large academic medical center and to systematically identify clinician-derived therapeutic use cases of yoga. Methods: We designed a retrospective observational study using a yoga cohort (n = 30,976) and a demographically matched control cohort (n = 92,919) from the electronic health records at Penn Medicine between 2006 and 2016. We modeled the distribution of yoga notes among patients, clinicians, and clinical service departments, built a multinomial Naive Bayes classifier to separate the notes by context-dependent use of the word yoga, and modeled associations between clinician recommendations to use yoga and 754 diagnostic codes with Fisher9s exact test, setting an false discovery rate (FDR)-adjusted P-value ≤ .05 (ie, q-value) as the significance threshold. Results: Yoga mentions in the electronic health record have increased 10.4-fold during the 10-year study period, with 2.6% of patients having at least 1 mention of yoga in their notes. In total, 30,976 patients, 2398 clinicians, and 41 clinical service departments were affiliated with yoga notes. The majority of yoga notes are in primary care. Nine diagnoses met the significance criteria for having an association with clinician recommendations to use yoga including Parkinson9s disease (Odds ratio [OR], 6.3 [3.7 to 11.4]; q-value Conclusions: There is a widespread and growing trend to include yoga as part of the clinical record. In practice, clinicians are recommending yoga as a nonpharmacological intervention for a subset of common chronic diseases. |
| Databáze: | OpenAIRE |
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