Evidence map›Paper›PMID 30514889›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

ClinPhen extracts and prioritizes patient phenotypes directly from medical records to expedite genetic disease diagnosis.

Cole A Deisseroth, Johannes Birgmeier, Ethan E Bodle, Jennefer N Kohler, Dena R Matalon, Yelena Nazarenko, Casie A Genetti, Catherine A Brownstein, Klaus Schmitz-Abe, Kelly Schoch and 9 more

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02450851 (Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network), which is not on this map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 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.

NCT02450851 recruitingnot on this map

Clinical and Genetic Evaluation of Patients With Undiagnosed Disorders Through the Undiagnosed Diseases Network

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2015 to 2028Enrolled20,000ConditionsGenetic Disease
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. PhenoSS: phenotype semantic similarity-based approach for rare disease prediction and patient clustering.Journal of the American Medical Informatics Association : JAMIA · 2026
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  20. PheNormGPT: a framework for extraction and normalization of key medical findings.Database : the journal of biological databases and curation · 2024
    Article

3 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

19 authors.

Cole A DeisserothDepartment of Computer Science, Stanford University, Stanford, CA, USA.
Johannes BirgmeierDepartment of Computer Science, Stanford University, Stanford, CA, USA.
Ethan E BodleDepartment of Pediatrics, Stanford School of Medicine, Stanford, CA, USA.
Jennefer N KohlerStanford Center for Undiagnosed Diseases, Stanford, CA, USA.
Dena R MatalonDepartment of Pediatrics, Stanford School of Medicine, Stanford, CA, USA.
Yelena NazarenkoDepartment of Biomedical Data Science, Stanford University, Stanford, CA, USA.
Casie A GenettiThe Manton Center for Orphan Disease Research, Division of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Catherine A BrownsteinThe Manton Center for Orphan Disease Research, Division of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Klaus Schmitz-AbeThe Manton Center for Orphan Disease Research, Division of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Kelly SchochDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Heidi CopeDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Rebecca SignerDepartment of Human Genetics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Undiagnosed Diseases Network
Julian A Martinez-AgostoDepartment of Human Genetics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Vandana ShashiDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Alan H BeggsThe Manton Center for Orphan Disease Research, Division of Genetics and Genomics, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Matthew T WheelerStanford Center for Undiagnosed Diseases, Stanford, CA, USA.
Jonathan A BernsteinDepartment of Pediatrics, Stanford School of Medicine, Stanford, CA, USA. Jon.Bernstein@stanford.edu.
Gill BejeranoDepartment of Computer Science, Stanford University, Stanford, CA, USA. bejerano@stanford.edu.

Funding

Coordinating Center for the Undiagnosed Diseases NetworkU01HG007530 · NHGRI · HARVARD MEDICAL SCHOOL · PI KOHANE, ISAAC S. · 2014 to 2022
$30.2M
An integrated and diverse genomic medicine program for undiagnosed diseasesU01HG007672 · NHGRI · DUKE UNIVERSITY · PI SHASHI, VANDANA · 2014 to 2022
$13.4M
Center for Integrated Approaches to Undiagnosed DiseasesU01HG007690 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSCALZO, JOSEPH · 2014 to 2022
$10.4M
Clinical Sequencing Core Facility for the Undiagnosed Diseases Network (UDN)U01HG007942 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI ENG, CHRISTINE · 2014 to 2021
$10.2M
UCLA clinical site for the investigation of undiagnosed disordersU01HG007703 · NHGRI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTINEZ-AGOSTO, JULIAN, NELSON, STANLEY F. · 2014 to 2022
$10.1M
Stanford Center for Undiagnosed DiseasesU01HG007708 · NHGRI · STANFORD UNIVERSITY · PI ASHLEY, EUAN A, BERNSTEIN, JONATHAN ADAM · 2014 to 2018
$8.0M
What comes next? Engaging stakeholders in governance of participant data and relationships during the sunset of large genomic medicine research initiativesU01HG010218 · NHGRI · STANFORD UNIVERSITY · PI ASHLEY, EUAN A, BERNSTEIN, JONATHAN ADAM · 2018 to 2022
$6.3M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI SAHIN, MUSTAFA · 2016 to 2020
$5.2M
Clinical Pursuits by the NHGRI Office of the Clinical DirectorZIAHG200402 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM · 2019 to 2019
$122k
NHGRI NIH HHS U01 HG007530NHGRI NIH HHS U01 HG007672NHGRI NIH HHS U01 HG007690NHGRI NIH HHS U01 HG007703NHGRI NIH HHS U01 HG007708NHGRI NIH HHS U01 HG007942NHGRI NIH HHS U01 HG010218NICHD NIH HHS U54 HD090255
6 · The paper itself

Abstract

purposeDiagnosing monogenic diseases facilitates optimal care, but can involve the manual evaluation of hundreds of genetic variants per case. Computational tools like Phrank expedite this process by ranking all candidate genes by their ability to explain the patient's phenotypes. To use these tools, busy clinicians must manually encode patient phenotypes from lengthy clinical notes. With 100 million human genomes estimated to be sequenced by 2025, a fast alternative to manual phenotype extraction from clinical notes will become necessary.

methodsWe introduce ClinPhen, a fast, high-accuracy tool that automatically converts clinical notes into a prioritized list of patient phenotypes using Human Phenotype Ontology (HPO) terms.

resultsClinPhen shows superior accuracy and 20× speedup over existing phenotype extractors, and its novel phenotype prioritization scheme improves the performance of gene-ranking tools.

conclusionWhile a dedicated clinician can process 200 patient records in a 40-hour workweek, ClinPhen does the same in 10 minutes. Compared with manual phenotype extraction, ClinPhen saves an additional 3-5 hours per Mendelian disease diagnosis. Providers can now add ClinPhen's output to each summary note attached to a filled testing laboratory request form. ClinPhen makes a substantial contribution to improvements in efficiency critically needed to meet the surging demand for clinical diagnostic sequencing.

Indexed as

Computational BiologyMedical RecordsAlgorithmsGenetic Diseases, InbornHumansNatural Language ProcessingPhenotypemedical geneticsMendelian disease diagnosisnatural language processingprioritized disease phenotypes

Identifiers

PMID30514889
PMCPMC6551315

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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.