Summarise clinical tables records

Introduction

knitr::opts_chunk$set(
  collapse = TRUE,
  comment = "#>"
)

In this vignette, we will explore the OmopSketch functions designed to provide an overview of the clinical tables within a CDM object (observation_period, visit_occurrence, condition_occurrence, drug_exposure, procedure_occurrence, device_exposure, measurement, observation, and death). Specifically, there are four key functions that facilitate this:

Create a mock cdm

Let's see an example of its functionalities. To start with, we will load essential packages and create a mock cdm using the mockOmopSketch() database.

library(dplyr)
library(OmopSketch)

# Connect to mock database
cdm <- mockOmopSketch()

Summarise clinical tables

Let's now use summariseClinicalTables()from the OmopSketch package to help us have an overview of one of the clinical tables of the cdm (i.e., condition_occurrence).

summarisedResult <- summariseClinicalRecords(cdm, "condition_occurrence")

summarisedResult |> print()

Notice that the output is in the summarised result format.

We can use the arguments to specify which statistics we want to perform. For example, use the argument recordsPerPerson to indicate which estimates you are interested regarding the number of records per person.

summarisedResult <- summariseClinicalRecords(cdm,
  "condition_occurrence",
  recordsPerPerson = c("mean", "sd", "q05", "q95")
)

summarisedResult |>
  filter(variable_name == "records_per_person") |>
  select(variable_name, estimate_name, estimate_value)

You can further specify if you want to include the number of records in observation (inObservation = TRUE), the number of concepts mapped (standardConcept = TRUE), which types of source vocabulary does the table contain (sourceVocabulary = TRUE), which types of domain does the vocabulary have (domainId = TRUE) or the concept's type (typeConcept = TRUE).

summarisedResult <- summariseClinicalRecords(cdm,
  "condition_occurrence",
  recordsPerPerson = c("mean", "sd", "q05", "q95"),
  inObservation = TRUE,
  standardConcept = TRUE,
  sourceVocabulary = TRUE,
  domainId = TRUE,
  typeConcept = TRUE
)

summarisedResult |>
  select(variable_name, estimate_name, estimate_value) |>
  glimpse()

Additionally, you can also stratify the previous results by sex and age groups:

summarisedResult <- summariseClinicalRecords(cdm,
  "condition_occurrence",
  recordsPerPerson = c("mean", "sd", "q05", "q95"),
  inObservation = TRUE,
  standardConcept = TRUE,
  sourceVocabulary = TRUE,
  domainId = TRUE,
  typeConcept = TRUE,
  sex = TRUE,
  ageGroup = list("<35" = c(0, 34), ">=35" = c(35, Inf))
)

summarisedResult |>
  select(variable_name, strata_level, estimate_name, estimate_value) |>
  glimpse()

Notice that, by default, the "overall" group will be also included, as well as crossed strata (that means, sex == "Female" and ageGroup == ">35").

Also, see that the analysis can be conducted for multiple OMOP tables at the same time:

summarisedResult <- summariseClinicalRecords(cdm,
  c("observation_period", "drug_exposure"),
  recordsPerPerson = c("mean", "sd"),
  inObservation = FALSE,
  standardConcept = FALSE,
  sourceVocabulary = FALSE,
  domainId = FALSE,
  typeConcept = FALSE
)

summarisedResult |>
  select(group_level, variable_name, estimate_name, estimate_value) |>
  glimpse()

We can also filter the clinical table to a specific time window by setting the dateRange argument.

summarisedResult <- summariseClinicalRecords(cdm, "drug_exposure",
  dateRange = as.Date(c("1990-01-01", "2010-01-01"))) 

summarisedResult |>
  omopgenerics::settings()|>
  glimpse()

Tidy the summarised object

tableClinicalRecords() will help you to tidy the previous results and create a gt table.

summarisedResult <- summariseClinicalRecords(cdm,
  "condition_occurrence",
  recordsPerPerson = c("mean", "sd", "q05", "q95"),
  inObservation = TRUE,
  standardConcept = TRUE,
  sourceVocabulary = TRUE,
  domainId = TRUE,
  typeConcept = TRUE,
  sex = TRUE
)

summarisedResult |>
  tableClinicalRecords()

Summarise record counts

OmopSketch can also help you to summarise the trend of the records of an OMOP table. See the example below, where we use summariseRecordCount() to count the number of records within each year, and then, we use plotRecordCount() to create a ggplot with the trend. We can also use tableRecordCount() to display results in a table of type gt, reactable or datatable. By default it creates a gt table.

summarisedResult <- summariseRecordCount(cdm, "drug_exposure", interval = "years")

summarisedResult |> tableRecordCount(type = "gt")

Note that you can adjust the time interval period using the interval argument, which can be set to either "years", "months" or "quarters". See the example below, where it shows the number of records every 18 months:

summariseRecordCount(cdm, "drug_exposure", interval = "quarters") |>
  plotRecordCount()

We can further stratify our counts by sex (setting argument sex = TRUE) or by age (providing an age group). Notice that in both cases, the function will automatically create a group called overall with all the sex groups and all the age groups.

summariseRecordCount(cdm, "drug_exposure",
  interval = "months",
  sex = TRUE,
  ageGroup = list(
    "<30" = c(0, 29),
    ">=30" = c(30, Inf)
  )
) |>
  plotRecordCount()

By default, plotRecordCount() does not apply faceting or colour to any variables. This can result confusing when stratifying by different variables, as seen in the previous picture. We can use VisOmopResults package to help us know by which columns we can colour or face by:

summariseRecordCount(cdm, "drug_exposure",
  interval = "months",
  sex = TRUE,
  ageGroup = list(
    "0-29" = c(0, 29),
    "30-Inf" = c(30, Inf)
  )
) |>
  visOmopResults::tidyColumns()

Then, we can simply specify this by using the facet and colour arguments from plotRecordCount()

summariseRecordCount(cdm, "drug_exposure",
  interval = "months",
  sex = TRUE,
  ageGroup = list(
    "0-29" = c(0, 29),
    "30-Inf" = c(30, Inf)
  )
) |>
  plotRecordCount(facet = omop_table ~ age_group, colour = "sex")

We can also filter the clinical table to a specific time window by setting the dateRange argument.

summariseRecordCount(cdm, "drug_exposure",
  interval = "years",
  sex = TRUE, 
  dateRange = as.Date(c("1990-01-01", "2010-01-01"))) |>
  tableRecordCount(type = "gt")

Finally, disconnect from the cdm

PatientProfiles::mockDisconnect(cdm = cdm)


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OmopSketch documentation built on June 8, 2025, 1:36 p.m.