Evidence map›Paper›PMID 27413122›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Congestive heart failure information extraction framework for automated treatment performance measures assessment.

Stéphane M Meystre, Youngjun Kim, Glenn T Gobbel, Michael E Matheny, Andrew Redd, Bruce E Bray, Jennifer H Garvin

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.7field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Article
  8. Clinical concept extraction: A methodology review.Journal of biomedical informatics · 2020
    Review
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  13. Underestimated prevalence of heart failure in hospital inpatients: a comparison of ICD codes and discharge letter information.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
    Article
  14. Article
  15. Article
  16. From Sour Grapes to Low-Hanging Fruit: A Case Study Demonstrating a Practical Strategy for Natural Language Processing Portability.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2018
    Article
  17. 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

7 authors at 3 institutions in 1 country.

Stéphane M MeystreDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Youngjun KimSalt Lake City VA Healthcare System, Salt Lake City, UT, USA.
Glenn T GobbelDepartment of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
Michael E MathenyDepartment of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
Andrew ReddSalt Lake City VA Healthcare System, Salt Lake City, UT, USA.
Bruce E BrayDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Jennifer H GarvinDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
University of Utah · USVanderbilt University · USVA Salt Lake City Healthcare System · US

Funding

HSRD VA HIR 09-007HSRD VA IBE 09-069
6 · The paper itself

Abstract

objectiveThis paper describes a new congestive heart failure (CHF) treatment performance measure information extraction system - CHIEF - developed as part of the Automated Data Acquisition for Heart Failure project, a Veterans Health Administration project aiming at improving the detection of patients not receiving recommended care for CHF.

designCHIEF is based on the Apache Unstructured Information Management Architecture framework, and uses a combination of rules, dictionaries, and machine learning methods to extract left ventricular function mentions and values, CHF medications, and documented reasons for a patient not receiving these medications. MEASUREMENTS: The training and evaluation of CHIEF were based on subsets of a reference standard of various clinical notes from 1083 Veterans Health Administration patients. Domain experts manually annotated these notes to create our reference standard. Metrics used included recall, precision, and the F 1 -measure.

resultsIn general, CHIEF extracted CHF medications with high recall (>0.990) and good precision (0.960-0.978). Mentions of Left Ventricular Ejection Fraction were also extracted with high recall (0.978-0.986) and precision (0.986-0.994), and quantitative values of Left Ventricular Ejection Fraction were found with 0.910-0.945 recall and with high precision (0.939-0.976). Reasons for not prescribing CHF medications were more difficult to extract, only reaching fair accuracy with about 0.310-0.400 recall and 0.250-0.320 precision.

conclusionThis study demonstrated that applying natural language processing to unlock the rich and detailed clinical information found in clinical narrative text notes makes fast and scalable quality improvement approaches possible, eventually improving management and outpatient treatment of patients suffering from CHF.

Indexed as

Natural Language ProcessingVentricular Function, LeftCardiotonic AgentsElectronic Health RecordsHeart FailureHospitals, VeteransHumansInformation Storage and RetrievalMachine LearningCardiotonic AgentsHeart Failure [C14.280.434]Left Ventricular Ejection FractionMedical Informatics [L01.313.500]Natural Language Processing (NLP) [MeSH L01.224.050.375.580]Quality Indicators, Health Care [N04.761.789]

Identifiers

PMID27413122
PMCPMC7651945
OpenAlexW2462565033

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.