Evidence map›Paper›PMID 23543111›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Use of a support vector machine for categorizing free-text notes: assessment of accuracy across two institutions.

Adam Wright, Allison B McCoy, Stanislav Henkin, Abhivyakti Kale, Dean F Sittig

Abstract readValidation Study
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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
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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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Automated Type 2 Diabetes Case and Control Identification from the MIMIC-IV Database.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023
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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

5 authors.

Adam WrightDepartment of General Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Allison B McCoy
Stanislav Henkin
Abhivyakti Kale
Dean F Sittig

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health record (EHR) users must regularly review large amounts of data in order to make informed clinical decisions, and such review is time-consuming and often overwhelming. Technologies like automated summarization tools, EHR search engines and natural language processing have been shown to help clinicians manage this information.

objectiveTo develop a support vector machine (SVM)-based system for identifying EHR progress notes pertaining to diabetes, and to validate it at two institutions. MATERIALS AND

methodsWe retrieved 2000 EHR progress notes from patients with diabetes at the Brigham and Women's Hospital (1000 for training and 1000 for testing) and another 1000 notes from the University of Texas Physicians (for validation). We manually annotated all notes and trained a SVM using a bag of words approach. We then used the SVM on the testing and validation sets and evaluated its performance with the area under the curve (AUC) and F statistics.

resultsThe model accurately identified diabetes-related notes in both the Brigham and Women's Hospital testing set (AUC=0.956, F=0.934) and the external University of Texas Faculty Physicians validation set (AUC=0.947, F=0.935). DISCUSSION: Overall, the model we developed was quite accurate. Furthermore, it generalized, without loss of accuracy, to another institution with a different EHR and a distinct patient and provider population.

conclusionsIt is possible to use a SVM-based classifier to identify EHR progress notes pertaining to diabetes, and the model generalizes well.

Indexed as

Electronic Health RecordsSupport Vector MachineDiabetes MellitusHumansROC CurveSearch Engineelectronic health recordnatural language processingsearchsupport vector machine

Identifiers

PMID23543111
PMCPMC3756266

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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.