Evidence map›Paper›PMID 29295118›Full record

ArticleStudies in health technology and informatics2017

Detecting Signals of Interactions Between Warfarin and Dietary Supplements in Electronic Health Records.

Yadan Fan, Terrence J Adam, Reed McEwan, Serguei V Pakhomov, Genevieve B Melton, Rui Zhang

Abstract read
In one paragraph

Article in Studies in health technology and informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
9.5field-weighted citation impact, top 2% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. EGb 761Healthcare (Basel, Switzerland) · 2021
    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 at 1 institution in 1 country.

Yadan FanInstitute for Health Informatics, Minneapolis, MN, USA.
Terrence J AdamInstitute for Health Informatics, Minneapolis, MN, USA.
Reed McEwanAcademic Health Center-Information Systems, Minneapolis, MN, USA.
Serguei V PakhomovInstitute for Health Informatics, Minneapolis, MN, USA.
Genevieve B MeltonInstitute for Health Informatics, Minneapolis, MN, USA.
Rui ZhangInstitute for Health Informatics, Minneapolis, MN, USA.
Minnesota Department of Health · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
A Translational Informatics Framework to Mine Efficacy and Safety of Dietary SupplementsR01AT009457 · NCCIH · UNIVERSITY OF MINNESOTA · PI RUI ZHANG · 2017 to 2026
$4.1M
Discovery and Visualization of New Information from Clinical Reports in the EHRR01HS022085 · AHRQ · UNIVERSITY OF MINNESOTA · PI MELTON-MEAUX, GENEVIEVE B · 2013 to 2016
$1.9M
AHRQ HHS R01 HS022085NCATS NIH HHS UL1 TR000114NCCIH NIH HHS R01 AT009457
6 · The paper itself

Abstract

Drug and supplement interactions (DSIs) have drawn widespread attention due to their potential to affect therapeutic response and adverse event risk. Electronic health records provide a valuable source where the signals of DSIs can be identified and characterized. We detected signals of interactions between warfarin and seven dietary supplements, viz., alfalfa, garlic, ginger, ginkgo, ginseng, St. John's Wort, and Vitamin E by analyzing structured clinical data and unstructured clinical notes from the University of Minnesota Clinical Data Repository. A machine learning-based natural language processing module was further developed to classify supplement use status and applied to filter out irrelevant clinical notes. Cox proportional hazards models were fitted, controlling for a set of confounding factors: age, gender, and Charlson Index of Comorbidity. There was a statistically significant association of warfarin concurrently used with supplements which can potentially increase the risk of adverse events, such as gastrointestinal bleeding.

Indexed as

Dietary SupplementsElectronic Health RecordsHerb-Drug InteractionsDrug InteractionsGinkgo bilobaHumansWarfarinWarfarinElectronic Health RecordsNatural Language ProcessingWarfarin

Identifiers

PMID29295118
PMCPMC5760175
OpenAlexW2785506446

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.