[Formation of a cohort of opiate addicts through linkage of confidential records].

Gac Sanit

Departament d'Epidemiologia i Salut Pública. Institut Municipal d'Investigacio Médica (IMIM), Universitat Autònoma de Barcelona, UAB.

Published: March 1995

AI Article Synopsis

  • The study aims to combine multiple files to effectively analyze mortality rates among opiate addicts using a probabilistic method of record linkage.
  • The initial phase links two sub-files from the Hospital del Mar Register of toxicological emergencies to develop and evaluate the linkage method while safeguarding confidentiality.
  • The results showed that the automated approach is both feasible and efficient, achieving over 95% sensitivity and specificity with minimal manual review of records.

Article Abstract

The need to combine several files in order to create a cohort of opiate addicts, sufficiently large for the analysis of its mortality, requires use of the probabilistic method of record linkage. This study is a preliminary phase in which two sub-files of the Hospital del Mar (Barcelona) Register of toxicological emergencies are linked. This phase served to adapt probabilistic record linkage to our files, develop computer programs, define agreement criteria, and evaluate the validity and performance of the method. In order to safeguard confidentiality, identification variables were limited to sex, birth date and three initial letters from each surname. The automated probabilistic linkage was seen to be feasible, valid and efficient; in contrast to deterministic approaches, sensitivities and specificities above 95% were obtained with visual reviewing of under 5% of the records. Difficulties encountered during the process are discussed.

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http://dx.doi.org/10.1016/s0213-9111(94)71197-3DOI Listing

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