Evidence map›Paper›PMID 30649738›Full record

ArticleDrug safety2019

Adverse Drug Events Detection in Clinical Notes by Jointly Modeling Entities and Relations Using Neural Networks.

Bharath Dandala, Venkata Joopudi, Murthy Devarakonda

Abstract read
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In one paragraph

Article in Drug safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

  1. Pooled it
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  3. Review
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  5. AI-Based Automation for Medication Reconciliation: Scoping Review.Journal of medical Internet research · 2026
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  9. Artificial intelligence in the field of pharmacy practice: A literature review.Exploratory research in clinical and social pharmacy · 2023
    Review
  10. Article
  11. Classifying Drug Ratings Using User Reviews with Transformer-Based Language Models.Proceedings. IEEE International Conference on Healthcare Informatics · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
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  17. Review
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  20. Deep learning in clinical natural language processing: a methodical review.Journal of the American Medical Informatics Association : JAMIA · 2020
    Review
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

3 authors.

Bharath DandalaIBM Research, Yorktown Heights, NY, USA.
Venkata JoopudiIBM Research, Yorktown Heights, NY, USA.
Murthy DevarakondaIBM Research, Yorktown Heights, NY, USA. mvd@acm.org.ORCID http://orcid.org/0000-0002-3418-8924

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and significanceAdverse drug events (ADEs) occur in approximately 2-5% of hospitalized patients, often resulting in poor outcomes or even death. Extraction of ADEs from clinical narratives can accelerate and automate pharmacovigilance. Using state-of-the-art deep-learning neural networks to jointly model concept and relation extraction, we achieved the highest integrated task score in the 2018 Medication and Adverse Drug Event (MADE) 1.0 challenge.

methodsWe used a combined bidirectional long short-term memory (BiLSTM) and conditional random fields (CRF) neural network to detect medical entities relevant to ADEs and a combined BiLSTM and attention network to determine relations, including the adverse drug reaction relation between medication and sign or symptom entities. Using these models, we conducted three experiments: (1) separate and sequential modeling of entities and relations; (2) joint modeling where relations between medications and sign or symptoms determined ADE and indication entities; (3) use of information from external resources such as the US FDA's adverse event database as additional input to the second method.

resultsJoint modeling improved the overall task accuracy from 0.62 to 0.65 F measure, and the additional use of external resources improved the accuracy to 0.66 F measure. Given the gold-standard medical entity labels, the joint model plus external resources method achieved F measures of 0.83 for ADE-relevant medical entity detection and 0.87 for relation detection.

conclusionIt is important to use joint modeling techniques and external resources for effectively detecting ADEs from clinical narratives in electronic health record (EHR) systems. While the extraction of entities and relations individually achieved high accuracy, the integrated task still has room for further improvement.

Indexed as

Neural Networks, ComputerAdverse Drug Reaction Reporting SystemsDeep LearningDrug-Related Side Effects and Adverse ReactionsHumans

Identifiers

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Registered trials

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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.