Evidence map›Paper›PMID 30526572›Full record

ArticleBMC medical informatics and decision making2018

Preliminary exploration of survival analysis using the OHDSI common data model: a case study of intrahepatic cholangiocarcinoma.

Na Hong, Ning Zhang, Huawei Wu, Shanshan Lu, Yue Yu, Li Hou, Yinying Lu, Hongfang Liu, Guoqian Jiang

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

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

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

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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

9 authors.

Na HongDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Ning ZhangIntegrated TCM & Western Medicine Department, 302 Military Hospital, Beijing, China.
Huawei WuChengdu Library and Information Center, University of Chinese Academy of Sciences, Chengdu, China.
Shanshan LuComprehensive Liver Cancer Center, 302 Military Hospital, Beijing, China.
Yue YuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Li HouInstitute of Medical Information, Chinese Academy of Medical Sciences, Beijing, China.
Yinying LuComprehensive Liver Cancer Center, 302 Military Hospital, Beijing, China.
Hongfang LiuDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Guoqian JiangDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA. Jiang.guoqian@mayo.edu.

Funding

Tools for standardizing clinical research metadata using HL7 FHIRU01HG009450 · NHGRI · MAYO CLINIC ROCHESTER · PI JIANG, GUOQIAN · 2016 to 2018
$1.4M
NHGRI NIH HHS U01 HG009450
6 · The paper itself

Abstract

backgroundData heterogeneity is a common phenomenon related to the secondary use of electronic health records (EHR) data from different sources. The Observational Health Data Sciences and Informatics (OHDSI) Common Data Model (CDM) organizes healthcare data into standard data structures using concepts that are explicitly and formally specified through standard vocabularies, thereby facilitating large-scale analysis. The objective of this study is to design, develop, and evaluate generic survival analysis routines built using the OHDSI CDM.

methodsWe used intrahepatic cholangiocarcinoma (ICC) patient data to implement CDM-based survival analysis methods. Our methods comprise the following modules: 1) Mapping local terms to standard OHDSI concepts. The analytical expression of variables and values related to demographic characteristics, medical history, smoking status, laboratory results, and tumor feature data. These data were mapped to standard OHDSI concepts through a manual analysis; 2) Loading patient data into the CDM using the concept mappings; 3) Developing an R interface that supports the portable survival analysis on top of OHDSI CDM, and comparing the CDM-based analysis results with those using traditional statistical analysis methods.

resultsOur dataset contained 346 patients diagnosed with ICC. The collected clinical data contains 115 variables, of which 75 variables were mapped to the OHDSI concepts. These concepts mainly belong to four domains: condition, observation, measurement, and procedure. The corresponding standard concepts are scattered in six vocabularies: ICD10CM, ICD10PCS, SNOMED, LOINC, NDFRT, and READ. We loaded a total of 25,950 patient data records into the OHDSI CDM database. However, 40 variables failed to map to the OHDSI CDM as they mostly belong to imaging data and pathological data.

conclusionsOur study demonstrates that conducting survival analysis using the OHDSI CDM is feasible and can produce reusable analysis routines. However, challenges to be overcome include 1) semantic loss caused by inaccurate mapping and value normalization; 2) incomplete OHDSI vocabularies describing imaging data, pathological data, and modular data representation.

Indexed as

Big DataCholangiocarcinomaElectronic Health RecordsInformation Storage and RetrievalInformation SystemsSurvival AnalysisHumansIntrahepatic cholangiocarcinomaMulti-center analysisOHDSI CDMRSurvival analysis

Identifiers

PMID30526572
PMCPMC6284277

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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.