Evidence map›Paper›PMID 27506131›Full record

ArticleArtificial intelligence in medicine2016

Clinical phenotyping in selected national networks: demonstrating the need for high-throughput, portable, and computational methods.

Rachel L Richesson, Jimeng Sun, Jyotishman Pathak, Abel N Kho, Joshua C Denny

Abstract read
In one paragraph

Article in Artificial intelligence in medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

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

  1. Pooled it
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  12. Review
  13. Characterizing variability of electronic health record-driven phenotype definitions.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
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  16. Review
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  19. Toward a better understanding about real-world evidence.European journal of hospital pharmacy : science and practice · 2022
    Review
  20. Characterizing Patient Representations for Computational Phenotyping.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article

1 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

5 authors.

Rachel L RichessonDuke University School of Nursing, 311 Trent Drive, Durham, NC 27710 USA. Electronic address: rachel.richesson@duke.edu.
Jimeng SunSchool of Computational Science and Engineering, Georgia Institute of Technology, 266 Ferst Drive, Atlanta, GA 30313, USA. Electronic address: jsun@cc.gatech.edu.
Jyotishman PathakDepartment of Health Sciences Research, 200 1st Street SW, Mayo Clinic, Rochester, MN, 55905, USA. Electronic address: pathak@med.cornell.edu.
Abel N KhoDepartments of Medicine and Preventive Medicine, Northwestern University, 633 N St. Clair St. 20th floor. Chicago IL 60611, USA. Electronic address: a-kho@northwestern.edu.
Joshua C DennyDepartments of Biomedical Informatics and Medicine, Vanderbilt University, 2525 West End Ave, Suite 672, Nashville, TN 37203, USA. Electronic address: josh.denny@Vanderbilt.Edu.

Funding

Health Care Systems Research Collaboratory SupplementU54AT007748 · NCCIH · DUKE UNIVERSITY · PI CURTIS, LESLEY H, HERNANDEZ, ADRIAN · 2012 to 2017
$15.1M
Midwest Small Practice Care Transformation Research AllianceR18HS023921 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KHO, ABEL N. · 2015 to 2017
$14.5M
Understanding and preventing HLA-associated drug reactionsP50GM115305 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PHILLIPS, ELIZABETH · 2015 to 2019
$13.0M
Vanderbilt Genome-Electronic Records ProjectU01HG004603 · NHGRI · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2007 to 2011
$7.3M
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
Integrated, Individualized, Intelligent Prescribing (I3P)U01HG007253 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LEVY, MIA A., PETERSON, JOSEPH F. · 2014 to 2018
$4.6M
A Personalized Genomic Medicine Pilot Program Using the NJgene eMERGE ExperienceU01HG006388 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CHISHOLM, REX L, SMITH, MAUREEN E · 2011 to 2014
$4.1M
Informatics Tools for Pharmacogenomic Discovery using Practice-based DataR01GM103859 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., PATHAK, JYOTISHMAN · 2014 to 2017
$2.4M
Modeling Social Behavior for Healthcare Utilization in DepressionR01MH105384 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI PATHAK, JYOTISHMAN, SHETH, AMIT P · 2015 to 2018
$2.1M
Understanding the Bidirectional Relationship between Depression and Heart FailureR01HS023077 · AHRQ · MAYO CLINIC ROCHESTER · PI BOBO, WILLIAM V · 2014 to 2014
$400k
AHRQ HHS R01 HS023077AHRQ HHS R18 HS023921NCCIH NIH HHS U54 AT007748NHGRI NIH HHS U01 HG004603NHGRI NIH HHS U01 HG006388NHGRI NIH HHS U01 HG007253NIGMS NIH HHS P50 GM115305NIGMS NIH HHS R01 GM103859NIGMS NIH HHS R01 GM105688NIMH NIH HHS R01 MH105384NLM NIH HHS R01 LM010685
6 · The paper itself

Abstract

objectiveThe combination of phenomic data from electronic health records (EHR) and clinical data repositories with dense biological data has enabled genomic and pharmacogenomic discovery, a first step toward precision medicine. Computational methods for the identification of clinical phenotypes from EHR data will advance our understanding of disease risk and drug response, and support the practice of precision medicine on a national scale.

methodsBased on our experience within three national research networks, we summarize the broad approaches to clinical phenotyping and highlight the important role of these networks in the progression of high-throughput phenotyping and precision medicine. We provide supporting literature in the form of a non-systematic review.

resultsThe practice of clinical phenotyping is evolving to meet the growing demand for scalable, portable, and data driven methods and tools. The resources required for traditional phenotyping algorithms from expert defined rules are significant. In contrast, machine learning approaches that rely on data patterns will require fewer clinical domain experts and resources.

conclusionsMachine learning approaches that generate phenotype definitions from patient features and clinical profiles will result in truly computational phenotypes, derived from data rather than experts. Research networks and phenotype developers should cooperate to develop methods, collaboration platforms, and data standards that will enable computational phenotyping and truly modernize biomedical research and precision medicine.

Indexed as

AlgorithmsElectronic Health RecordsMachine LearningPhenotypePrecision MedicineGenomicsHumansClinical phenotypingElectronic health recordsMachine learningNetworked researchPrecision medicine

Identifiers

PMID27506131
PMCPMC5480212

What OpenQuestion holds

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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.