Evidence map›Paper›PMID 28625502›Full record

Observational studyThe Journal of pediatrics2017

A Computable Phenotype Improves Cohort Ascertainment in a Pediatric Pulmonary Hypertension Registry.

Alon Geva, Jessica L Gronsbell, Tianxi Cai, Tianrun Cai, Shawn N Murphy, Jessica C Lyons, Michelle M Heinz, Marc D Natter, Nandan Patibandla, Jonathan Bickel and 3 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02249923 (Pediatric Pulmonary Hypertension Network), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

NCT02249923 recruitingnot on this map

Pediatric Pulmonary Hypertension Network (PPHNet) Informatics Registry

Typeobservational_patient_registrySponsorNew York Medical CollegeRan2014 to 2031Enrolled2,500ConditionsPulmonary Vascular Disease, Pulmonary Arterial Hypertension
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
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  7. Semi-supervised ROC analysis for reliable and streamlined evaluation of phenotyping algorithms.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  8. Article
  9. Article
  10. The SMART Text2FHIR Pipeline.medRxiv : the preprint server for health sciences · 2023
    Article
  11. Article
  12. The SMART Text2FHIR Pipeline.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023
    Article
  13. Article
  14. A high-throughput phenotyping algorithm is portable from adult to pediatric populations.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Adverse drug event rates in pediatric pulmonary hypertension: a comparison of real-world data sources.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  19. Article
  20. 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

13 authors.

Alon GevaComputational Health Informatics Program, Boston Children's Hospital, Boston, MA; Division of Critical Care Medicine, Department of Anesthesiology, Perioperative, and Pain Medicine, Boston Children's Hospital, Boston, MA; Department of Anesthesia, Harvard Medical School, Boston, MA.
Jessica L GronsbellDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA.
Tianxi CaiDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA.
Tianrun CaiDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA.
Shawn N MurphyDepartment of Research Information Services and Computing, Partners Healthcare, Boston, MA; Department of Neurology, Massachusetts General Hospital, Boston, MA; Department of Biomedical Informatics, Harvard Medical School, Boston, MA.
Jessica C LyonsDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA.
Michelle M HeinzComputational Health Informatics Program, Boston Children's Hospital, Boston, MA.
Marc D NatterComputational Health Informatics Program, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.
Nandan PatibandlaInformation Services Department, Boston Children's Hospital, Boston, MA.
Jonathan BickelComputational Health Informatics Program, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA; Information Services Department, Boston Children's Hospital, Boston, MA.
Mary P MullenDepartment of Pediatrics, Harvard Medical School, Boston, MA; Department of Cardiology, Boston Children's Hospital, Boston, MA.
Kenneth D MandlComputational Health Informatics Program, Boston Children's Hospital, Boston, MA; Department of Biomedical Informatics, Harvard Medical School, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA. Electronic address: kenneth_mandl@harvard.edu.
Pediatric Pulmonary Hypertension Network and National Heart, Lung, and Blood Institute Pediatric Pulmonary Vascular Disease Outcomes Bioinformatics Clinical Coordinating Center Investigators

Funding

Data Fusion: A Sustainable, Scalable, Open Source Registry Advancing PVD ResearchU01HL121518 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ABMAN, STEVEN HERBERT, MANDL, KENNETH D. · 2014 to 2018
$9.3M
RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
Instrumenting i2b2 for Improved Medication Research: Adding the Patient VoiceR01GM104303 · NIGMS · BOSTON CHILDREN'S HOSPITAL · PI MANDL, KENNETH D. · 2013 to 2016
$1.6M
NHLBI NIH HHS L40 HL133929NHLBI NIH HHS U01 HL121518NICHD NIH HHS T32 HD040128NIGMS NIH HHS R01 GM104303
6 · The paper itself

Abstract

objectivesTo compare registry and electronic health record (EHR) data mining approaches for cohort ascertainment in patients with pediatric pulmonary hypertension (PH) in an effort to overcome some of the limitations of registry enrollment alone in identifying patients with particular disease phenotypes. STUDY

designThis study was a single-center retrospective analysis of EHR and registry data at Boston Children's Hospital. The local Informatics for Integrating Biology and the Bedside (i2b2) data warehouse was queried for billing codes, prescriptions, and narrative data related to pediatric PH. Computable phenotype algorithms were developed by fitting penalized logistic regression models to a physician-annotated training set. Algorithms were applied to a candidate patient cohort, and performance was evaluated using a separate set of 136 records and 179 registry patients. We compared clinical and demographic characteristics of patients identified by computable phenotype and the registry.

resultsThe computable phenotype had an area under the receiver operating characteristics curve of 90% (95% CI, 85%-95%), a positive predictive value of 85% (95% CI, 77%-93%), and identified 413 patients (an additional 231%) with pediatric PH who were not enrolled in the registry. Patients identified by the computable phenotype were clinically distinct from registry patients, with a greater prevalence of diagnoses related to perinatal distress and left heart disease.

conclusionsMining of EHRs using computable phenotypes identified a large cohort of patients not recruited using a classic registry. Fusion of EHR and registry data can improve cohort ascertainment for the study of rare diseases.

trial registrationClinicalTrials.gov: NCT02249923.

Indexed as

Data MiningElectronic Health RecordsRegistriesAlgorithmsChildHumansHypertension, PulmonaryPhenotypePredictive Value of TestsRetrospective StudiesSensitivity and SpecificityUnited Statesbioinformaticscomputer-based modelpediatricspulmonary hypertensionregistry

Identifiers

PMID28625502
PMCPMC5572538

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Registered trials

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.