Evidence map›Paper›PMID 22779054›Full record

ArticleAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science2012

Analyzing patterns of drug use in clinical notes for patient safety.

Paea Lependu, Yi Liu, Srinivasan Iyer, Madeleine R Udell, Nigam H Shah

Abstract read
In one paragraph

Article in AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. A Hybrid Normalization Method for Medical Concepts in Clinical Narrative using Semantic Matching.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019
    Article
  6. Review
  7. Article
  8. Article
  9. Analyzing search behavior of healthcare professionals for drug safety surveillance.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2015
    Article
  10. Mining Electronic Health Records using Linked Data.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2015
    Article
  11. Article
  12. Article
  13. Pharmacovigilance using clinical notes.Clinical pharmacology and therapeutics · 2013
    Article
  14. Automated Detection of Systematic Off-label Drug Use in Free Text of Electronic Medical Records.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2013
    Article
  15. Network analysis of unstructured EHR data for clinical research.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2013
    Article
  16. Article
  17. Article
  18. Using temporal patterns in medical records to discern adverse drug events from indications.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2012
    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

5 authors.

Paea LependuStanford University, Stanford, CA.
Yi Liu
Srinivasan Iyer
Madeleine R Udell
Nigam H Shah

Funding

STANFORD COMPOSITE(RMI)U54HG004028 · NHGRI · STANFORD UNIVERSITY · PI MUSEN, MARK A · 2005 to 2014
$36.2M
NHGRI NIH HHS U54 HG004028
6 · The paper itself

Abstract

Doctors prescribe drugs for indications that are not FDA approved. Research indicates that 21% of prescriptions filled are for off-label indications. Of those, more than 73% lack supporting scientific evidence. Traditional drug safety alerts may not cover usages that are not FDA approved. Therefore, analyzing patterns of off-label drug usage in the clinical setting is an important step toward reducing the incidence of adverse events and for improving patient safety. We applied term extraction tools on the clinical notes of a million patients to compile a database of statistically significant patterns of drug use. We validated some of the usage patterns learned from the data against sources of known on-label and off-label use. Given our ability to quantify adverse event risks using the clinical notes, this will enable us to address patient safety because we can now rank-order off-label drug use and prioritize the search for their adverse event profiles.

Identifiers

PMID22779054
PMCPMC3392046

What OpenQuestion holds

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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.