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Appl Clin Inform 2017; 08(01): 67-79
DOI: 10.4338/ACI-2016-07-RA-0115
Research Article
Schattauer GmbH

The prevalence of obesity documentation in Primary Care Electronic Medical Records

Are we acknowledging the problem?
Ahmed Mattar
1   North Central Texas Medical Foundation, Wichita Falls Family Medicine Residency Program, Wichita Falls, Texas, USA
,
David Carlston
1   North Central Texas Medical Foundation, Wichita Falls Family Medicine Residency Program, Wichita Falls, Texas, USA
2   Department of Psychology, Midwestern State University, Wichita Falls, Texas, USA
,
Glen Sariol
1   North Central Texas Medical Foundation, Wichita Falls Family Medicine Residency Program, Wichita Falls, Texas, USA
,
Tongle Yu
1   North Central Texas Medical Foundation, Wichita Falls Family Medicine Residency Program, Wichita Falls, Texas, USA
,
Ahmad Almustafa
1   North Central Texas Medical Foundation, Wichita Falls Family Medicine Residency Program, Wichita Falls, Texas, USA
,
Genevieve B. Melton
3   Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
4   Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA
,
Adil Ahmed
1   North Central Texas Medical Foundation, Wichita Falls Family Medicine Residency Program, Wichita Falls, Texas, USA
3   Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
› Author Affiliations Funding Research reported in this publication was supported by the National Center for Advancing Translational Sciences (CTSI) of the National Institutes of Health Award Number UL1TR000114. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Further Information

Publication History

Received: 18 July 2016

Accepted: 22 January 2016

Publication Date:
20 December 2017 (online)

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Summary

Background: Although obesity is a growing problem, primary care physicians often inadequately address it. The objective of this study is to examine the prevalence of obesity documentation in the patient’s problem list for patients with eligible body mass indexes (BMI) as contained in the patients’ electronic medical record (EMR). Additionally, we examined the prevalence of selected chronic conditions across BMI levels.

Method: This study is a retrospective study using EMR data for adult patients visiting an outpatient clinic between June 2012 and June 2015. International Classification of Diseases, Ninth Revision, (ICD-9) codes were used to identify obesity documentation in the EMR problem list. Univariate and multivariate logistic regression analyses were used.

Results: Out of 10,540, a total of 3,868 patients were included in the study. 2,003 (52%) patients met the criteria for obesity (BMI30.0); however, only 112 (5.6%) patient records included obesity in the problem list. Moreover, in a multivariate analysis, in addition to age and gender, morbid obesity and cumulative number of comorbidities were significantly associated with obesity documentation, OR=1.6 and OR=1.3, respectively, with 95% CI [1.4, 1.9] and [1.0, 1.7], respectively. For those with obesity documentation, exercise counseling was provided more often than diet counselling.

Conclusion: Based on EHR documentation, obesity is under coded and generally not identified as a significant problem in primary care. Physicians are more likely to document obesity in the patient record for those with higher BMI scores who are morbidly obese. Moreover, physicians more frequently provide exercise than diet counseling for the documented obese.

Keywords

Primary care - obesity prevalence - body mass index - electronic medical records documentation - service utilization
 

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