Evidence map›Paper›PMID 20595304›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Extracting timing and status descriptors for colonoscopy testing from electronic medical records.

Joshua C Denny, Josh F Peterson, Neesha N Choma, Hua Xu, Randolph A Miller, Lisa Bastarache, Neeraja B Peterson

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Combining text mining with clinical decision support in clinical practice: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Clinical concept extraction: A methodology review.Journal of biomedical informatics · 2020
    Review
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  13. Review
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  16. Article
  17. Defining Phenotypes from Clinical Data to Drive Genomic Research.Annual review of biomedical data science · 2018
    Article
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  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Joshua C DennyDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA. josh.denny@vanderbilt.edu
Josh F Peterson
Neesha N Choma
Hua Xu
Randolph A Miller
Lisa Bastarache
Neeraja B Peterson

Funding

TIME:(Tools for Inpatient Monitoring using Evidence)for Safe &AppropriateTestingR01LM007995 · NLM · VANDERBILT UNIVERSITY · PI MILLER, RANDOLPH A · 2004 to 2009
$2.1M
Identifying Receipt of Colorectal Cancer ScreeningR21CA116573 · NCI · VANDERBILT UNIVERSITY · PI PETERSON, NEERAJA BOYAPATI · 2007 to 2008
$244k
NCI NIH HHS R21 CA116573NLM NIH HHS R01 LM007995
6 · The paper itself

Abstract

Colorectal cancer (CRC) screening rates are low despite confirmed benefits. The authors investigated the use of natural language processing (NLP) to identify previous colonoscopy screening in electronic records from a random sample of 200 patients at least 50 years old. The authors developed algorithms to recognize temporal expressions and 'status indicators', such as 'patient refused', or 'test scheduled'. The new methods were added to the existing KnowledgeMap concept identifier system, and the resulting system was used to parse electronic medical records (EMR) to detect completed colonoscopies. Using as the 'gold standard' expert physicians' manual review of EMR notes, the system identified timing references with a recall of 0.91 and precision of 0.95, colonoscopy status indicators with a recall of 0.82 and precision of 0.95, and references to actually completed colonoscopies with recall of 0.93 and precision of 0.95. The system was superior to using colonoscopy billing codes alone. Health services researchers and clinicians may find NLP a useful adjunct to traditional methods to detect CRC screening status. Further investigations must validate extension of NLP approaches for other types of CRC screening applications.

Indexed as

ColonoscopyData MiningDecision Support Systems, ClinicalElectronic Health RecordsNatural Language ProcessingAlgorithmsHumansMiddle AgedSoftware ValidationTennessee

Identifiers

PMID20595304
PMCPMC2995656

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.