Evidence map›Paper›PMID 28269951›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2016

Literature-Based Discovery of Confounding in Observational Clinical Data.

Scott A Malec, Peng Wei, Hua Xu, Elmer V Bernstam, Sahiti Myneni, Trevor Cohen

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Exploring Novel Computable Knowledge in Structured Drug Product Labels.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020
    Article
  8. Article
  9. AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019
    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

6 authors.

Scott A MalecSchool of Biomedical Informatics.
Peng WeiSchool of Public Health.
Hua XuSchool of Biomedical Informatics.
Elmer V BernstamSchool of Biomedical Informatics; Division of General Internal Medicine, Medical School, Houston, TX.
Sahiti MyneniSchool of Biomedical Informatics.
Trevor CohenSchool of Biomedical Informatics.

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
Using Biomedical Knowledge to Identify Plausible Signals for PharmacovigilanceR01LM011563 · NLM · UNIVERSITY OF WASHINGTON · PI COHEN, TREVOR · 2013 to 2020
$3.0M
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
Encoding Semantic Knowledge in Vector Space for Biomedical InformationR21LM010826 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI COHEN, TREVOR · 2010 to 2011
$402k
NCATS NIH HHS UL1 TR000371NCATS NIH HHS UL1 TR001105NIGMS NIH HHS R01 GM103859NLM NIH HHS R01 LM011563NLM NIH HHS R21 LM010826
6 · The paper itself

Abstract

Observational data recorded in the Electronic Health Record (EHR) can help us better understand the effects of therapeutic agents in routine clinical practice. As such data were not collected for research purposes, their reuse for research must compensate for additional information that may bias analyses and lead to faulty conclusions. Confounding is present when factors aside from the given predictor(s) affect the response of interest. However, these additional factors may not be known at the outset. In this paper, we present a scalable literature-based confounding variable discovery method for biomedical research applications with pharmacovigilance as our use case. We hypothesized that statistical models, adjusted with literature-derived confounders, will more accurately identify causative drug-adverse drug event (ADE) relationships. We evaluated our method with a curated reference standard, and found a pattern of improved performance ~ 5% in two out of three models for gastrointestinal bleeding (pre-adjusted Area Under Curve ≥ 0.6).

Indexed as

Confounding Factors, EpidemiologicElectronic Health RecordsPharmacovigilanceArea Under CurveBiomedical ResearchDrug-Related Side Effects and Adverse ReactionsHumansModels, Theoretical

Identifiers

PMID28269951
PMCPMC5333204

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.