Evidence map›Paper›PMID 24431336›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Assisted annotation of medical free text using RapTAT.

Glenn T Gobbel, Jennifer Garvin, Ruth Reeves, Robert M Cronin, Julia Heavirland, Jenifer Williams, Allison Weaver, Shrimalini Jayaramaraja, Dario Giuse, Theodore Speroff and 3 more

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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Translational NLP: A New Paradigm and General Principles for Natural Language Processing Research.Proceedings of the conference. Association for Computational Linguistics. North American Chapter. Meeting · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. NLPReViz: an interactive tool for natural language processing on clinical text.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  12. Article
  13. De-identification of patient notes with recurrent neural networks.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  14. Article
  15. Article
  16. Trends in biomedical informatics: automated topic analysis of JAMIA articles.Journal of the American Medical Informatics Association : JAMIA · 2015
    Article
  17. 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

13 authors.

Glenn T GobbelDepartment of Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee, USA Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA Division of General Internal Medicine & Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Jennifer GarvinIDEAS Center SLC VA Healthcare System, Salt Lake City, Utah, USA Division of Epidemiology, University of Utah School of Medicine, Salt Lake City, Utah, USA Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA Department of Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Salt Lake City, Utah, USA.
Ruth ReevesDepartment of Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee, USA Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Robert M CroninDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA Division of General Internal Medicine & Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Julia HeavirlandIDEAS Center SLC VA Healthcare System, Salt Lake City, Utah, USA.
Jenifer WilliamsIDEAS Center SLC VA Healthcare System, Salt Lake City, Utah, USA.
Allison WeaverIDEAS Center SLC VA Healthcare System, Salt Lake City, Utah, USA.
Shrimalini JayaramarajaDivision of General Internal Medicine & Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Dario GiuseDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Theodore SperoffDepartment of Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee, USA Division of General Internal Medicine & Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Steven H BrownDepartment of Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee, USA Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Hua XuSchool of Biomedical Informatics, University of Texas Health Science Center, Houston, Texas, USA.ORCID http://orcid.org/0000-0001-9730-7276
Michael E MathenyDepartment of Veterans Affairs Medical Center, Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee, USA Department of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA Division of General Internal Medicine & Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.

Funding

Vanderbilt Biomedical Informatics Training ProgramT15LM007450 · NLM · VANDERBILT UNIVERSITY · PI Jessica S. Ancker, Bradley A. Malin · 2002 to 2026
$19.7M
HSRD VA IBE 09-069NLM NIH HHS T15 LM007450
6 · The paper itself

Abstract

objectiveTo determine whether assisted annotation using interactive training can reduce the time required to annotate a clinical document corpus without introducing bias. MATERIALS AND

methodsA tool, RapTAT, was designed to assist annotation by iteratively pre-annotating probable phrases of interest within a document, presenting the annotations to a reviewer for correction, and then using the corrected annotations for further machine learning-based training before pre-annotating subsequent documents. Annotators reviewed 404 clinical notes either manually or using RapTAT assistance for concepts related to quality of care during heart failure treatment. Notes were divided into 20 batches of 19-21 documents for iterative annotation and training.

resultsThe number of correct RapTAT pre-annotations increased significantly and annotation time per batch decreased by ~50% over the course of annotation. Annotation rate increased from batch to batch for assisted but not manual reviewers. Pre-annotation F-measure increased from 0.5 to 0.6 to >0.80 (relative to both assisted reviewer and reference annotations) over the first three batches and more slowly thereafter. Overall inter-annotator agreement was significantly higher between RapTAT-assisted reviewers (0.89) than between manual reviewers (0.85). DISCUSSION: The tool reduced workload by decreasing the number of annotations needing to be added and helping reviewers to annotate at an increased rate. Agreement between the pre-annotations and reference standard, and agreement between the pre-annotations and assisted annotations, were similar throughout the annotation process, which suggests that pre-annotation did not introduce bias.

conclusionsPre-annotations generated by a tool capable of interactive training can reduce the time required to create an annotated document corpus by up to 50%.

Indexed as

Artificial IntelligenceElectronic Health RecordsNatural Language ProcessingHeart FailureHumansClinical InformaticsGuideline AdherenceHeart FailureMedical Informatics ComputingNatural Language Processing

Identifiers

PMID24431336
PMCPMC4147611

What OpenQuestion holds

Textmetadata
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.