Correction to: Evaluating the effectiveness of biomedical fine-tuning for large language models on clinical tasks.
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DOI: 10.1093/jamia/ocaf189
Author(s):
DOI: 10.1093/jamia/ocaf189
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocag072
Early warning systems (EWSs) help clinicians identify deteriorating patients using clinical data, such as vital signs. However, standard systems struggle to capture nuanced nursing concerns. The Healthcare Process Model-ExpertSignals (HPM-ExpertSignals) framework describes how nurses' concerns are reflected in their documentation patterns. While a recent trial showed positive outcomes, the predictive gain of combining both data types remains unquantified.
Author(s): Wan, Yik-Ki Jacob, Abdelrahman, Samir E, Facelli, Julio C, Madaras-Kelly, Karl, Kawamoto, Kensaku, Dishman, Deniz, Cato, Kenrick, Rossetti, Sarah C, Del Fiol, Guilherme
DOI: 10.1093/jamiaopen/ooag077
With the rapid growth of unstructured clinical narratives in electronic health records (EHRs), clinical named entity recognition (NER) has become a crucial technique for extracting structured medical information. However, traditional supervised models such as CRF and BioClinicalBERT rely on costly manual annotations. Although large language model (LLM)-based zero-shot NER reduces the dependency on labeled data, challenges remain in aligning example selection with task granularity and in effectively integrating prompt design [...]
Author(s): Tao, Xinli, Dong, Xin, Zhu, Qiang, Zhou, Xuezhong
DOI: 10.1093/jamiaopen/ooag049
Characterise longitudinal patterns of chiropractic visits for neck pain or low back pain by using machine learning (ML) methods and explainable models.
Author(s): Ray, Monika, Fang, Shao-You, Lisi, Anthony J, Romano, Patrick S
DOI: 10.1093/jamiaopen/ooag035
The "Projections In Multiple Sclerosis" (PRIMUS) project aims to develop a precision medicine platform enabling neurologists to support therapeutic decisions in multiple sclerosis by visualizing similar patient data in a reference database. We present a data integration method to combine randomized clinical trials (RCTs) and observational studies data and optimize the informativeness of the resulting database.
Author(s): Demuth, Stanislas, Faddeenkov, Igor, Paris, Julien, Rousseau, Olivia, Baciotti, Béatrice, Payet, Marianne, Casey, Romain, Vukusic, Sandra, Doyle, Senan, Jarre, Guillaume, Vince, Nicolas, Limou, Sophie, De Sèze, Jérôme, Kerbrat, Anne, Laplaud, David, Edan, Gilles, Gourraud, Pierre-Antoine, ,
DOI: 10.1093/jamiaopen/ooag039
This study aims to develop and evaluate a trustworthy and ethical-by-design machine learning (ML) framework for predicting 5-year cancer survival across 10 Surveillance, Epidemiology, and End Results (SEER) cancer types. We assessed ML model(s) performance across localized, regional, and distant stages while examining ML fairness, ML explainability, and the added value of social determinants of health (SDOH) as features. The goal is to advance clinically interpretable and equity-centered survival prediction [...]
Author(s): Farahani, Sajede, Siddiqui, Ismaeel A, Taheri, Asma, Fox, Chloe, Einhorn, Anatea, Helman, Stephanie, Mathew, Jacob, Harshman, Kasey, Myers, Nicole, Koleck, Theresa A, Weiss, Kurt R, Lohse, Ines, Tafti, Ahmad P
DOI: 10.1093/jamiaopen/ooag071
To develop a large-language-model (LLM)-centric workflow flow extraction and migration of clinician-documented colonoscopy recall recommendations from unstructured reports and letters during an enterprise-wide electronic health record (EHR) transition.
Author(s): Mohapatra, Aman, Porth, Rachel, Wong, Si, Hardway, Heather, Piatkowski, Gail, Shang, John, Amat, Maelys J, Flier, Sarah, Salsman, Adam, Fitzgerald, Ted, Shammout, Ayad, Rubins, David, Miller, Amy, Jegadeesan, Venkat, Ravi, Arvind, Feuerstein, Joseph D
DOI: 10.1093/jamiaopen/ooag070
Electronic Health Record (EHR) data are increasingly used in cancer research, yet the fidelity of this data when exchanged between systems remains poorly quantified. This study investigated the agreement in essential biomarker data after they are passed from the EHR into the cancer registry and Fast Healthcare Interoperability Resources (FHIR) extracts.
Author(s): App, Samantha J, Meyer, Anne-Marie, Silkensen, Shannon, Hudson, Cody, Inman, Inez, Niedner, R Hannes, Sincan, Murat, Shaalan Beg, Muhammad, Topaloglu, Umit
DOI: 10.1093/jamiaopen/ooag052
In the absence of standardized measures, researchers have struggled to define meaningful use of telehealth (care received via video or telephone). We evaluated a novel Telehealth Engagement Measure (TEM) that quantifies an individual's telehealth use, including telephone (TEM-t) and video (TEM-v), as a percentage of total care received.
Author(s): Ferguson, Jacqueline M, Zulman, Donna M, Reddy, Ashok, Van Campen, James, Wray, Charlie
DOI: 10.1093/jamiaopen/ooag048