Evidence map›Paper›PMID 22582202›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Development and evaluation of a crowdsourcing methodology for knowledge base construction: identifying relationships between clinical problems and medications.

Allison B McCoy, Adam Wright, Archana Laxmisan, Madelene J Ottosen, Jacob A McCoy, David Butten, Dean F Sittig

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 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Mapping of Crowdsourcing in Health: Systematic Review.Journal of medical Internet research · 2018
    Pooled it
  2. Medication-indication knowledge bases: a systematic review and critical appraisal.Journal of the American Medical Informatics Association : JAMIA · 2015
    Pooled it
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  5. Overcoming Barriers to Parkinson Disease Trial Participation: Increasing Diversity and Novel Designs for Recruitment and Retention.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
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  7. A Decade of Translational Bioinformatics: A Retrospective Analysis of "Year-in-Review" Presentations.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019
    Article
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  10. Review
  11. Disease-drug database for pharmacogenomic-based prescribing.Clinical pharmacology and therapeutics · 2016
    Article
  12. Article
  13. Review
  14. Novel user interface design for medication reconciliation: an evaluation of Twinlist.Journal of the American Medical Informatics Association : JAMIA · 2015
    Article
  15. Article
  16. Scaling drug indication curation through crowdsourcing.Database : the journal of biological databases and curation · 2015
    Article
  17. LabeledIn: cataloging labeled indications for human drugs.Journal of biomedical informatics · 2014
    Article
  18. Article
  19. Article
  20. Review
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.

Allison B McCoySchool of Biomedical Informatics, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas 77030, USA. allison.b.mccoy@uth.tmc.edu
Adam Wright
Archana Laxmisan
Madelene J Ottosen
Jacob A McCoy
David Butten
Dean F Sittig

Funding

U OF TEXAS HLTH SCI CTR HOUSTON CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCESUL1RR024148 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2006 to 2010
$27.9M
NCRR NIH HHS 3UL1RR024148NCRR NIH HHS UL1 RR024148
6 · The paper itself

Abstract

objectiveWe describe a novel, crowdsourcing method for generating a knowledge base of problem-medication pairs that takes advantage of manually asserted links between medications and problems.

methodsThrough iterative review, we developed metrics to estimate the appropriateness of manually entered problem-medication links for inclusion in a knowledge base that can be used to infer previously unasserted links between problems and medications.

resultsClinicians manually linked 231,223 medications (55.30% of prescribed medications) to problems within the electronic health record, generating 41,203 distinct problem-medication pairs, although not all were accurate. We developed methods to evaluate the accuracy of the pairs, and after limiting the pairs to those meeting an estimated 95% appropriateness threshold, 11,166 pairs remained. The pairs in the knowledge base accounted for 183,127 total links asserted (76.47% of all links). Retrospective application of the knowledge base linked 68,316 medications not previously linked by a clinician to an indicated problem (36.53% of unlinked medications). Expert review of the combined knowledge base, including inferred and manually linked problem-medication pairs, found a sensitivity of 65.8% and a specificity of 97.9%.

conclusionCrowdsourcing is an effective, inexpensive method for generating a knowledge base of problem-medication pairs that is automatically mapped to local terminologies, up-to-date, and reflective of local prescribing practices and trends.

Indexed as

CrowdsourcingDrug Therapy, Computer-AssistedKnowledge BasesMedical Records, Problem-OrientedAdolescentAdultChildElectronic Health RecordsHumansRetrospective StudiesSensitivity and SpecificityTexas

Identifiers

PMID22582202
PMCPMC3422843

What OpenQuestion holds

Textmetadata
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Registered trials

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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.