Evidence map›Paper›PMID 25368505›Full record

ArticleCancer informatics2014

Automated recommendation for cervical cancer screening and surveillance.

Kavishwar B Wagholikar, Kathy L MacLaughlin, Petra M Casey, Thomas M Kastner, Michael R Henry, Ronald A Hankey, Steve G Peters, Robert A Greenes, Christopher G Chute, Hongfang Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancer informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Evolving Research Data Sharing Networks to Clinical App Sharing Networks.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2017
    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

11 authors at 2 institutions in 1 country.

Kavishwar B WagholikarBiomedical Statistics and Informatics, Mayo Clinic Rochester, MN, USA.
Kathy L MacLaughlinFamily Medicine, Mayo Clinic Rochester, MN, USA.
Petra M CaseyObstetrics-Gynecology, Mayo Clinic Rochester, MN, USA.
Thomas M KastnerObstetrics-Gynecology, Mayo Clinic Rochester, MN, USA.
Michael R HenryAnatomic Pathology, Mayo Clinic Rochester, MN, USA.
Ronald A HankeyPopulation Management Systems, Mayo Clinic Rochester, MN, USA.
Steve G PetersPulmonary and Critical Care Medicine, Mayo Clinic Rochester, MN, USA.
Robert A GreenesBiomedical Informatics, Arizona State University, Phoenix, Arizona. ; Health Science Research, Mayo Clinic, Scottsdale, Arizona.
Christopher G ChuteBiomedical Statistics and Informatics, Mayo Clinic Rochester, MN, USA.
Hongfang LiuBiomedical Statistics and Informatics, Mayo Clinic Rochester, MN, USA.
Rajeev ChaudhryPrimary Care Internal Medicine and Center for Innovation, Mayo Clinic Rochester, MN, USA.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Natural language processing for clinical and translational researchR01GM102282 · NIGMS · MAYO CLINIC ROCHESTER · PI LIU, HONGFANG, PAKHOMOV, SERGUEI VS · 2013 to 2016
$2.5M
A Framework to Enhance Decision Support by Invoking NLP: Methods and ApplicationsK99LM011575 · NLM · MAYO CLINIC ROCHESTER · PI WAGHOLIKAR, KAVISHWAR B. · 2014 to 2015
$179k
NIGMS NIH HHS R01 GM102282NLM NIH HHS K99 LM011575
6 · The paper itself

Abstract

Because of the complexity of cervical cancer prevention guidelines, clinicians often fail to follow best-practice recommendations. Moreover, existing clinical decision support (CDS) systems generally recommend a cervical cytology every three years for all female patients, which is inappropriate for patients with abnormal findings that require surveillance at shorter intervals. To address this problem, we developed a decision tree-based CDS system that integrates national guidelines to provide comprehensive guidance to clinicians. Validation was performed in several iterations by comparing recommendations generated by the system with those of clinicians for 333 patients. The CDS system extracted relevant patient information from the electronic health record and applied the guideline model with an overall accuracy of 87%. Providers without CDS assistance needed an average of 1 minute 39 seconds to decide on recommendations for management of abnormal findings. Overall, our work demonstrates the feasibility and potential utility of automated recommendation system for cervical cancer screening and surveillance.

Indexed as

cervical cancerclinical decision supportcolposcopynatural language processingPapanicolaou test

Identifiers

PMID25368505
PMCPMC4214690
OpenAlexW2014352097

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.