Evidence map›Paper›PMID 30657379›Full record

ArticleJCO clinical cancer informatics2017

Algorithm to Identify Systemic Cancer Therapy Treatment Using Structured Electronic Data.

Nikki M Carroll, Kate M Burniece, Jeff Holzman, Deanna B McQuillan, Angela Plata, Debra P Ritzwoller

Open access · greenAbstract read
In one paragraph

Article in JCO clinical cancer informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 19 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Nikki M CarrollAll authors: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Kate M BurnieceAll authors: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Jeff HolzmanAll authors: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Deanna B McQuillanAll authors: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Angela PlataAll authors: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Debra P RitzwollerAll authors: Institute for Health Research, Kaiser Permanente Colorado, Denver, CO.
Kaiser Permanente · US

Funding

Building CER Capacity: Aligning CRN, CMS, and State Resources to Map Cancer CareRC2CA148185 · NCI · DANA-FARBER CANCER INST · PI RITZWOLLER, DEBRA P, WEEKS, JANE C. · 2009 to 2009
$2.0M
NCI NIH HHS RC2 CA148185
6 · The paper itself

Abstract

purposeWith the shift in the majority of oncology clinical care in the United States from paper records to electronic health records, researchers need efficient and validated processes to obtain accurate data about the entire treatment history of patients diagnosed with cancer. The objective of this study was to develop and validate an algorithm that is agnostic to the source of data but that can identify specific regimens in the entire course of systemic therapy treatment for patients diagnosed with breast, colorectal, or lung cancer.

methodsA cohort of patients with incident breast, colorectal, and lung cancer were randomly distributed into six groups. The algorithm was iteratively modified, and the performance was assessed until no additional modifications could be identified in the first three groups. The performance of the algorithm was confirmed in the three groups that remained.

resultsThe final model produced ranges of sensitivity between 97.2% and 100% for first-course systemic therapy across all cancers, with a false-positive rate of 0%. The algorithm matched the exact number of courses and the exact regimens of systemic therapy agents as captured by infusion, pharmacy, and procedure electronic medical record data for all courses of therapy 88% to 100% of the time.

conclusionUse of our validated algorithm that characterizes entire courses of systemic therapy treatment in patients diagnosed with breast, colorectal, and lung cancer will allow researchers in a variety of settings to conduct comparative effectiveness studies related to the uptake, safety, outcomes, and costs associated with the use of both novel and standard regimens.

Indexed as

AlgorithmsCombined Modality TherapyData WarehousingDisease ManagementElectronic Health RecordsFemaleHumansMaleNeoplasmsRegistriesReproducibility of ResultsUnited States

Identifiers

PMID30657379
PMCPMC7006900
OpenAlexW2622491597

What OpenQuestion holds

Textmetadata
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.