New approaches to cohort selection.
Author(s): Stubbs, Amber, Uzuner, Özlem
DOI: 10.1093/jamia/ocz174
Author(s): Stubbs, Amber, Uzuner, Özlem
DOI: 10.1093/jamia/ocz174
Electronic health records linked with biorepositories are a powerful platform for translational studies. A major bottleneck exists in the ability to phenotype patients accurately and efficiently. The objective of this study was to develop an automated high-throughput phenotyping method integrating International Classification of Diseases (ICD) codes and narrative data extracted using natural language processing (NLP).
Author(s): Liao, Katherine P, Sun, Jiehuan, Cai, Tianrun A, Link, Nicholas, Hong, Chuan, Huang, Jie, Huffman, Jennifer E, Gronsbell, Jessica, Zhang, Yichi, Ho, Yuk-Lam, Castro, Victor, Gainer, Vivian, Murphy, Shawn N, O'Donnell, Christopher J, Gaziano, J Michael, Cho, Kelly, Szolovits, Peter, Kohane, Isaac S, Yu, Sheng, Cai, Tianxi
DOI: 10.1093/jamia/ocz066
Track 1 of the 2018 National NLP Clinical Challenges shared tasks focused on identifying which patients in a corpus of longitudinal medical records meet and do not meet identified selection criteria.
Author(s): Stubbs, Amber, Filannino, Michele, Soysal, Ergin, Henry, Samuel, Uzuner, Özlem
DOI: 10.1093/jamia/ocz163
The study sought to characterize institution-wide participation in secure messaging (SM) at a large academic health network, describe our experience with electronic medical record (EMR)-based cohort selection, and discuss the potential roles of SM for research recruitment.
Author(s): Miller, Hailey N, Gleason, Kelly T, Juraschek, Stephen P, Plante, Timothy B, Lewis-Land, Cassie, Woods, Bonnie, Appel, Lawrence J, Ford, Daniel E, Dennison Himmelfarb, Cheryl R
DOI: 10.1093/jamia/ocz168
Electronic health records are increasingly utilized for observational and clinical research. Identification of cohorts using electronic health records is an important step in this process. Previous studies largely focused on the methods of cohort selection, but there is little evidence on the impact of underlying vocabularies and mappings between vocabularies used for cohort selection. We aim to compare the cohort selection performance using Australian Medicines Terminology to Anatomical Therapeutic Chemical [...]
Author(s): Guo, Guan N, Jonnagaddala, Jitendra, Farshid, Sanjay, Huser, Vojtech, Reich, Christian, Liaw, Siaw-Teng
DOI: 10.1093/jamia/ocz143
The goal of the 2018 n2c2 shared task on cohort selection for clinical trials (track 1) is to identify which patients meet the selection criteria for clinical trials. Cohort selection is a particularly demanding task to which natural language processing and deep learning can make a valuable contribution. Our goal is to evaluate several deep learning architectures to deal with this task.
Author(s): Segura-Bedmar, Isabel, Raez, Pablo
DOI: 10.1093/jamia/ocz139
We sought to demonstrate applicability of user stories, progressively elaborated by testable acceptance criteria, as lightweight requirements for agile development of clinical decision support (CDS).
Author(s): Kannan, Vaishnavi, Basit, Mujeeb A, Bajaj, Puneet, Carrington, Angela R, Donahue, Irma B, Flahaven, Emily L, Medford, Richard, Melaku, Tsedey, Moran, Brett A, Saldana, Luis E, Willett, Duwayne L, Youngblood, Josh E, Toomay, Seth M
DOI: 10.1093/jamia/ocz123
Automated clinical phenotyping is challenging because word-based features quickly turn it into a high-dimensional problem, in which the small, privacy-restricted, training datasets might lead to overfitting. Pretrained embeddings might solve this issue by reusing input representation schemes trained on a larger dataset. We sought to evaluate shallow and deep learning text classifiers and the impact of pretrained embeddings in a small clinical dataset.
Author(s): Oleynik, Michel, Kugic, Amila, Kasáč, Zdenko, Kreuzthaler, Markus
DOI: 10.1093/jamia/ocz149
We sought to investigate the experiences of general practitioners (GPs) with an electronic decision support tool to reduce inappropriate polypharmacy in older patients (the PRIMA-eDS [Polypharmacy in chronic diseases: Reduction of Inappropriate Medication and Adverse drug events in older populations by electronic Decision Support] tool) in a multinational sample of GPs and to quantify the findings from a prior qualitative study on the PRIMA-eDS-tool.
Author(s): Rieckert, Anja, Teichmann, Anne-Lisa, Drewelow, Eva, Kriechmayr, Celine, Piccoliori, Giuliano, Woodham, Adrine, Sönnichsen, Andreas
DOI: 10.1093/jamia/ocz104
With growing availability of digital health data and technology, health-related studies are increasingly augmented or implemented using real world data (RWD). Recent federal initiatives promote the use of RWD to make clinical assertions that influence regulatory decision-making. Our objective was to determine whether traditional real world evidence (RWE) techniques in cardiovascular medicine achieve accuracy sufficient for credible clinical assertions, also known as "regulatory-grade" RWE.
Author(s): Hernandez-Boussard, Tina, Monda, Keri L, Crespo, Blai Coll, Riskin, Dan
DOI: 10.1093/jamia/ocz119