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Abstract
Objective To identify the prevalence of obesity documented within the electronic medical record problem list.
Methods We conducted a retrospective cohort study of adult patients with obesity and endometrial cancer receiving care from January 2018 to March 2021 at a single institution. Obesity intervention was defined as receipt of at least one of the following: referral to weight loss clinic, referral to a nutritionist, completion of obesity intervention tab, or documentation of weight loss counseling. Our secondary objectives were to (1) identify the prevalence of completed obesity interventions, (2) identify the number of patients who have achieved weight loss since their initial visit, and (3) identify covariates associated with presence of obesity on problem list, completion of obesity interventions, and weight loss.
Results We identified 372 patients who met inclusion criteria. Of eligible patients, 202 (54%) had obesity documented on their problem list and 171 (46%) completed at least one obesity intervention. Within our cohort, 195 (52%) patients achieved weight loss from diagnosis or initial clinical encounter at our institution to most recent clinical encounter with median weight loss of 3.9 kg (IQR 1.5–8.0). In the multivariable logistic regressions, patients with obesity on the problem list were approximately twice as likely to have completion of obesity intervention (OR 1.91, 95% CI 1.09, 3.35, p=0.024). Although presence of obesity on the problem list was not associated with weight loss, completion of health maintenance obesity intervention tab in the electronic medical record (Epic) was associated with weight loss (OR 2.77, 95% CI 1.11, 6.89, p=0.03).
Conclusions Only half of obese endometrial cancer patients had documentation of obesity within the electronic medical record problem list. The electronic medical record could be leveraged to achieve compliance with weight loss interventions. Further investigation on how the electronic medical record can be optimized to help patients achieve weight loss is needed.
- Endometrial Neoplasms
- Obesity, Morbid
- Gynecology
- Neoplasms
Data availability statement
Data are available upon reasonable request. In accordance with the Journal’s guidelines, we will provide our data for independent analysis by a selected team by the Editorial Team for the purposes of additional data analysis or for the reproducibility of this study in other centers if such is requested.
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Data availability statement
Data are available upon reasonable request. In accordance with the Journal’s guidelines, we will provide our data for independent analysis by a selected team by the Editorial Team for the purposes of additional data analysis or for the reproducibility of this study in other centers if such is requested.
Footnotes
Twitter @LPrescottMD
Contributors Conception and design of the project, analysis, and interpretation of data: KAB, SM, LSP. Conception and design of the project: AB. Acquisition of data, analysis, and interpretation of data: AH, SS. Drafted the article and revised it critically for important intellectual content: all authors. Approved the final manuscript: all authors. LP is responsible for the overall content as guarantor.
Funding Vanderbilt University Medical Center’s REDCap was used for this project with funding through UL1 TR000445 from NCATS/NIH.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Author note Abstract previously presented: Mokshagundam S, Buttafuoco K, Brown A, Prescott L. Impact of electronic medical record utilization on obesity screening and intervention for obese patients with endometrial cancer. Poster presentation on January 29, 2022 at the Society of Gynecologic Oncology Winter Meeting, Olympic Valley, CA, USA.