Evidence map›Paper›PMID 23304302›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2012

Hedging their mets: the use of uncertainty terms in clinical documents and its potential implications when sharing the documents with patients.

David A Hanauer, Yang Liu, Qiaozhu Mei, Frank J Manion, Ulysses J Balis, Kai Zheng

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
  2. Pooled it
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  12. Toward Understanding Clinical Context of Medication Change Events in Clinical Narratives.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2021
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  14. Quantifying risk factors in medical reports with a context-aware linear model.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
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  17. Assessing the Readability of Freely Available ICU Notes.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019
    Article
  18. Article
  19. Review
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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

6 authors.

David A HanauerDepartment of Pediatrics, Univ. of Michigan, Ann Arbor, MI, USA.
Yang Liu
Qiaozhu Mei
Frank J Manion
Ulysses J Balis
Kai Zheng

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
NCI NIH HHS CA46592NCI NIH HHS P30 CA046592NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1RR024986NLM NIH HHS HHSN276201000032C
6 · The paper itself

Abstract

In this study, we quantified the use of uncertainty expressions, referred to as 'hedge' phrases, among a corpus of 100,000 clinical documents retrieved from our institution's electronic health record system. The frequency of each hedge phrase appearing in the corpus was characterized across document types and clinical departments. We also used a natural language processing tool to identify clinical concepts that were spatially, and potentially semantically, associated with the hedge phrases identified. The objective was to delineate the prevalence of hedge phrase usage in clinical documentation which may have a profound impact on patient care and provider-patient communication, and may become a source of unintended consequences when such documents are made directly accessible to patients via patient portals.

Indexed as

Electronic Health RecordsLanguageNatural Language ProcessingPatient Access to RecordsHumansMedical Records Systems, ComputerizedPhysicians

Identifiers

PMID23304302
PMCPMC3540426

What OpenQuestion holds

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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.