Evidence map›Paper›PMID 23576672›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Development and evaluation of an ensemble resource linking medications to their indications.

Wei-Qi Wei, Robert M Cronin, Hua Xu, Thomas A Lasko, Lisa Bastarache, Joshua C Denny

Open access · bronzeAbstract readEvaluation 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 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 113 citations in OpenAlex.

  1. 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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  7. A Multi-Dimensional Approach to Map Disease Relationships Challenges Classical Disease Views.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
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  10. Evaluating resources composing the PheMAP knowledge base to enhance high-throughput phenotyping.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  11. Hierarchical Concept Relations Improve Detection of Off-Label Drug Use in Electronic Health Records Data.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023
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  18. DDIWAS: High-throughput electronic health record-based screening of drug-drug interactions.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  19. Article
  20. A bottom-up approach to creating an ontology for medication indications.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article

4 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Wei-Qi WeiDepartment of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, USA.
Robert M Cronin
Hua Xu
Thomas A Lasko
Lisa Bastarache
Joshua C Denny
Vanderbilt University · USThe University of Texas Health Science Center at Houston · US

Funding

Vanderbilt Biomedical Informatics Training ProgramT15LM007450 · NLM · VANDERBILT UNIVERSITY · PI Jessica S. Ancker, Bradley A. Malin · 2002 to 2026
$19.7M
Pharmacogenomics of Arrhythmia TherapyU19HL065962 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2010 to 2014
$17.4M
From GWAS to PheWAS: Scanning the EMR Phenome for Gene-disease AssociationsR01LM010685 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BASTARACHE, LISA · 2011 to 2022
$6.3M
National Infrastructure for Standardized and Portable EHR Phenotyping AlgorithmsR01GM105688 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI LUO, YUAN, PATHAK, JYOTISHMAN · 2013 to 2020
$5.7M
Vanderbilt Genome Electronic Records ProjectU01HG006378 · NHGRI · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2011 to 2014
$4.0M
NHGRI NIH HHS U01 HG006378NHLBI NIH HHS U19 HL065962NIGMS NIH HHS R01 GM105688NLM NIH HHS 1 R01 LM 010685NLM NIH HHS R01 LM010685NLM NIH HHS T15 LM007450
6 · The paper itself

Abstract

objectiveTo create a computable MEDication Indication resource (MEDI) to support primary and secondary use of electronic medical records (EMRs). MATERIALS AND

methodsWe processed four public medication resources, RxNorm, Side Effect Resource (SIDER) 2, MedlinePlus, and Wikipedia, to create MEDI. We applied natural language processing and ontology relationships to extract indications for prescribable, single-ingredient medication concepts and all ingredient concepts as defined by RxNorm. Indications were coded as Unified Medical Language System (UMLS) concepts and International Classification of Diseases, 9th edition (ICD9) codes. A total of 689 extracted indications were randomly selected for manual review for accuracy using dual-physician review. We identified a subset of medication-indication pairs that optimizes recall while maintaining high precision.

resultsMEDI contains 3112 medications and 63 343 medication-indication pairs. Wikipedia was the largest resource, with 2608 medications and 34 911 pairs. For each resource, estimated precision and recall, respectively, were 94% and 20% for RxNorm, 75% and 33% for MedlinePlus, 67% and 31% for SIDER 2, and 56% and 51% for Wikipedia. The MEDI high-precision subset (MEDI-HPS) includes indications found within either RxNorm or at least two of the three other resources. MEDI-HPS contains 13 304 unique indication pairs regarding 2136 medications. The mean±SD number of indications for each medication in MEDI-HPS is 6.22 ± 6.09. The estimated precision of MEDI-HPS is 92%.

conclusionsMEDI is a publicly available, computable resource that links medications with their indications as represented by concepts and billing codes. MEDI may benefit clinical EMR applications and reuse of EMR data for research.

Indexed as

Drug TherapyElectronic Health RecordsNatural Language ProcessingPharmaceutical PreparationsDictionaries as TopicInternetMedlinePlusRxNormPharmaceutical Preparationselectronic medical recordsInternational Classification of Diseasesmedication indicationsOntologyTerminologyUnified Medical Language System

Identifiers

PMID23576672
PMCPMC3756263
OpenAlexW2121111666

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.