Daily Archives: January 18, 2017

Characteristics of the Corfu Older Adult Cohort from the Seven Countries Study (updated)

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Pitsavos and colleagues published a paper in 2003 on the Seven Countries Study. They followed up a cohort from Corfu, 40 years after the original recruitment into the study. The researchers were primarily interested in coronary heart disease outcomes but what I found more interesting were the characteristics of the sample.

Firstly by selecting the characteristics, there is a risk of selection bias. Secondly a study would have a primary outcome and a risk that positive findings for secondary outcomes may be due to chance. The more of these secondary outcomes you look at, the more likely you are going to find false positives.

That aside, there were 67 men surviving 40 years after recruitment into the study (529 men were recruited into the study originally). Half of the original sample were farmers. The average age was 85 (rounding up). 94% of the sample lived in their own home. 58% described themselves as optimistic. 7% were described as working professionally. 87% were physically active and physical activity ranged from 5-7 times per week. 90% had an afternoon siesta. 75% drank wine and the average was 14 x 100ml glasses per week. 21% had a Geriatric Depression Scale score > 5 (a threshold for caseness but which does not substitute for clinical assessment – so a score over 5 does not necessarily imply depression). 85% ate vegetables every day. 83% ate fruits every day. 87% ate bread every day. 95% consumed olive oil every day. 5% ate meat every day. 23% ate eggs every day. 21% consumed dairy products every day.

We can’t really answer any questions by citing this data. The authors have answered questions about coronary heart disease using established methodology.

Instead we can paint a picture of one cohort that participated in the original seven countries study.

Appendix – Full Citation

Pitsavos C, Panagiotakos DB, Menotti A, Chrysohoou C, Skoumas J, Stefanadis C,
Dontas A, Toutouzas P. Prev Cardiol. 2003 Summer;6(3):155-60. Forty-year follow-up of coronary heart disease mortality and its predictors: the Corfu cohort of the seven countries study.

Index: There are indices for the TAWOP site here and here

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Responses: If you have any comments, you can leave them below or alternatively e-mail justinmarley17@yahoo.co.uk.

Disclaimer: The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.

Conflicts of Interest: *For potential conflicts of interest please see the About section.

Standardisation of Health Information Technology in New Zealand

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Park and Atalag have written a review of the standardisation of healthcare information systems in New Zealand. Along the way they discuss standards that are being used in other countries including the USA and the UK. They reference the various agencies in different countries with responsibility for standards.

The authors then focus on the New Zealand healthcare system and give a very helpful overview together with the national standards (HISO 10040.1, 10040.2, 10040.3) that have being developed and which utilise HL7. They also reference the endorsement of SNOMED CT with standard status.

This is a very useful overview both for standards in different countries as well as a detailed overview of the development of standards in New Zealand and this can be used in comparison with the developments in other countries.

Appendix A – Other Posts in the Series on Health Information Exchanges

Arizona Statewide Health Information Exchange

A History of The Health Information Exchange in Pennsylvania

The Arkansas Health Information Exchange – SHARE

The California Health Information Exchange – Cal Index

Health Information Exchanges

Health Information Exchanges and Chronic Conditions

HIPPA and Health Information Exchanges

Creating a Health Information Exchange in Arizona

Why Do We Need Electronic Record Systems to Talk to Each Other

Appendix B – Definition of Health Information Exchange

This is the definition of the Health Information Exchange that I use (Hersh et al, 2015)

Health information exchange (HIE), the electronic sharing of clinical information across the boundaries of health care organizations‘.

Appendix C – Full Citation

Healthc Inform Res. 2015 Jul;21(3):144-51. doi: 10.4258/hir.2015.21.3.144. Epub
2015 Jul 31.

Current National Approach to Healthcare ICT Standardization: Focus on Progress in
New Zealand.

Park YT, Atalag.

Index: There are indices for the TAWOP site here and here

Twitter: You can follow ‘The Amazing World of Psychiatry’ Twitter by clicking on this link.

TAWOP Channel: You can follow the TAWOP Channel on YouTube by clicking on this link.

Responses: If you have any comments, you can leave them below or alternatively e-mail justinmarley17@yahoo.co.uk.

Disclaimer: The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.

Conflicts of Interest: *For potential conflicts of interest please see the About section.