Background Secondary analysis of health administrative databases is indispensable to enriching our understanding of health trajectories, health care utilization, and real-world risks and benefits of drugs among large populations. Objectives This systematic review aimed at assessing evidence about the validity of algorithms for the identification of individuals suffering from nonarthritic chronic noncancer pain (CNCP) in administrative databases. Methods Studies reporting measures of diagnostic accuracy of such algorithms and published in English or French were searched in the Medline, Embase, CINAHL, AgeLine, PsycINFO, and Abstracts in Social Gerontology electronic databases without any dates of coverage restrictions up to March 1, 2018. Reference lists of included studies were also screened for additional publications. Results Only six studies focused on commonly studied CNCP conditions and were included in the review. Some algorithms showed a ≥60% combination of sensitivity and specificity values (back pain disorders in general, fibromyalgia, low back pain, migraine, neck/back problems studied together). Only algorithms designed to identify fibromyalgia cases reached a ≥80% combination (without replication of findings in other studies/databases). Conclusions In summary, the present investigation informs us about the limited amount of literature available to guide and support the use of administrative databases as valid sources of data for research on CNCP. Considering the added value of such data sources, the important research gaps identified in this innovative review provide important directions for future research. The review protocol was registered with PROSPERO (CRD42018086402).
The Peace–Athabasca Delta (PAD) in western Canada is one of the largest inland deltas in the world. Flooding caused by the expansion of lakes beyond normal shorelines occurred during the summer of 2020 and provided a unique opportunity to evaluate the capabilities of remote sensing platforms to map surface water expansion into vegetated landscape with complex surface connectivity. Firstly, multi-source remotely sensed data via satellites were used to create a temporal reconstruction of the event spanning May to September. Optical synthetic aperture radar (SAR) and altimeter data were used to reconstruct surface water area and elevation as seen from space. Lastly, temporal water surface area and level data obtained from the existing satellites and hydrometric stations were used as input data in the CNES Large-Scale SWOT Simulator, which provided an overview of the newly launched SWOT satellite ability to monitor such flood events. The results show a 25% smaller water surface area for optical instruments compared to SAR. Simulations show that SWOT would have greatly increased the spatio-temporal understanding of the flood dynamics with complete PAD coverage three to four times per month. Overall, seasonal vegetation growth was a major obstacle for water surface area retrieval, especially for optical sensors.
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