Consideration of bias in data sources and digital services to advance health equity.
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac074
Author(s): Bakken, Suzanne
DOI: 10.1093/jamia/ocac074
To combine machine efficiency and human intelligence for converting complex clinical trial eligibility criteria text into cohort queries.
Author(s): Fang, Yilu, Idnay, Betina, Sun, Yingcheng, Liu, Hao, Chen, Zhehuan, Marder, Karen, Xu, Hua, Schnall, Rebecca, Weng, Chunhua
DOI: 10.1093/jamia/ocac051
The systematic documentation of sexual orientation and gender identity data in electronic health records can improve patient-centered care and help to identify and address health disparities affecting sexual and gender minority populations. Although there are existing guidelines for sexual orientation and gender identity data among adult patients, there are not yet standard recommendations for pediatric patients. In this article, we discuss methods that pediatric primary care organizations can use to [...]
Author(s): Goldhammer, Hilary, Grasso, Chris, Katz-Wise, Sabra L, Thomson, Katharine, Gordon, Allegra R, Keuroghlian, Alex S
DOI: 10.1093/jamia/ocac048
Sepsis has a high rate of 30-day unplanned readmissions. Predictive modeling has been suggested as a tool to identify high-risk patients. However, existing sepsis readmission models have low predictive value and most predictive factors in such models are not actionable.
Author(s): Amrollahi, Fatemeh, Shashikumar, Supreeth P, Meier, Angela, Ohno-Machado, Lucila, Nemati, Shamim, Wardi, Gabriel
DOI: 10.1093/jamia/ocac060
This systematic review aims to assess how information from unstructured text is used to develop and validate clinical prognostic prediction models. We summarize the prediction problems and methodological landscape and determine whether using text data in addition to more commonly used structured data improves the prediction performance.
Author(s): Seinen, Tom M, Fridgeirsson, Egill A, Ioannou, Solomon, Jeannetot, Daniel, John, Luis H, Kors, Jan A, Markus, Aniek F, Pera, Victor, Rekkas, Alexandros, Williams, Ross D, Yang, Cynthia, van Mulligen, Erik M, Rijnbeek, Peter R
DOI: 10.1093/jamia/ocac058
Participant willingness to share electronic health record (EHR) information is central to success of the National Institutes of Health All of Us Research Program (AoURP). We describe the demographic characteristics of participants who decline access to their EHR data.
Author(s): Joseph, Christine L M, Tang, Amy, Chesla, David W, Epstein, Mara M, Pawloski, Pamala A, Stevens, Alan B, Waring, Stephen C, Ahmedani, Brian K, Johnson, Christine C, Peltz-Rauchman, Cathryn D
DOI: 10.1093/jamia/ocac055
Electronic health record (EHR)-derived data are extensively used in health research. However, the pattern of patient interaction with the healthcare system can result in informative presence bias if those who have poorer health have more data recorded than healthier patients. We aimed to determine how informative presence affects bias across multiple scenarios informed by real-world healthcare utilization patterns.
Author(s): Harton, Joanna, Mitra, Nandita, Hubbard, Rebecca A
DOI: 10.1093/jamia/ocac050
Artificial intelligence (AI) models may propagate harmful biases in performance and hence negatively affect the underserved. We aimed to assess the degree to which data quality of electronic health records (EHRs) affected by inequities related to low socioeconomic status (SES), results in differential performance of AI models across SES.
Author(s): Juhn, Young J, Ryu, Euijung, Wi, Chung-Il, King, Katherine S, Malik, Momin, Romero-Brufau, Santiago, Weng, Chunhua, Sohn, Sunghwan, Sharp, Richard R, Halamka, John D
DOI: 10.1093/jamia/ocac052
Accurate extraction of breast cancer patients' phenotypes is important for clinical decision support and clinical research. This study developed and evaluated cancer domain pretrained CancerBERT models for extracting breast cancer phenotypes from clinical texts. We also investigated the effect of customized cancer-related vocabulary on the performance of CancerBERT models.
Author(s): Zhou, Sicheng, Wang, Nan, Wang, Liwei, Liu, Hongfang, Zhang, Rui
DOI: 10.1093/jamia/ocac040
We sought to evaluate the fidelity with which the patient's clinical state is represented by the electronic health record (EHR) flow sheet vital signs data compared to a commercially available automated data aggregation platform in a pediatric cardiac intensive care unit (CICU).
Author(s): Lowry, Adam W, Futterman, Craig A, Gazit, Avihu Z
DOI: 10.1093/jamia/ocac033