Evidence map›Paper›PMID 31160009›Full record

ArticleInternational journal of medical informatics2019

Automated extraction of sudden cardiac death risk factors in hypertrophic cardiomyopathy patients by natural language processing.

Sungrim Moon, Sijia Liu, Christopher G Scott, Sujith Samudrala, Mohamed M Abidian, Jeffrey B Geske, Peter A Noseworthy, Jane L Shellum, Rajeev Chaudhry, Steve R Ommen and 3 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of medical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Large Language Models for Efficient Medical Information Extraction.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
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  8. Review
  9. Review
  10. Article
  11. NATURAL LANGUAGE PROCESSING BASED MACHINE LEARNING MODEL USING CARDIAC MRI REPORTS TO IDENTIFY HYPERTROPHIC CARDIOMYOPATHY PATIENTS.Proceedings of the ... Design of Medical Devices Conference. Design of Medical Devices Conference · 2021
    Article
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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

13 authors at 2 institutions in 1 country.

Sungrim MoonDivision of Digital Health Sciences, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Sijia LiuDivision of Digital Health Sciences, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Christopher G ScottDivision of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Sujith SamudralaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Mohamed M AbidianDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Jeffrey B GeskeDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Peter A NoseworthyDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Jane L ShellumRobert and Patricia Kern Center for Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
Rajeev ChaudhryRobert and Patricia Kern Center for Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA; Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Steve R OmmenDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Rick A NishimuraDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Hongfang LiuDivision of Digital Health Sciences, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Adelaide M Arruda-OlsonDivision of Digital Health Sciences, Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA. Electronic address: ArrudaOlson.Adelaide@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

Open Health Natural Language Processing CollaboratoryU01TR002062 · NCATS · MAYO CLINIC ROCHESTER · PI JIANG, XIAOQIAN, LIU, HONGFANG · 2017 to 2021
$7.6M
Secondary use of EMRs for surgical complication surveillanceR01EB019403 · NIBIB · MAYO CLINIC ROCHESTER · PI LIU, HONGFANG, STORLIE, CURTIS · 2015 to 2022
$3.8M
Natural language processing for clinical and translational researchR01GM102282 · NIGMS · MAYO CLINIC ROCHESTER · PI LIU, HONGFANG, PAKHOMOV, SERGUEI VS · 2013 to 2016
$2.5M
Novel Informatics Approaches for Ascertainment of PAD Status and Adverse OutcomesK01HL124045 · NHLBI · MAYO CLINIC ROCHESTER · PI ARRUDA-OLSON, ADELAIDE MARIA MARTINS · 2015 to 2019
$820k
NCATS NIH HHS U01 TR002062NHLBI NIH HHS K01 HL124045NIBIB NIH HHS R01 EB019403NIGMS NIH HHS R01 GM102282
6 · The paper itself

Abstract

backgroundThe management of hypertrophic cardiomyopathy (HCM) patients requires the knowledge of risk factors associated with sudden cardiac death (SCD). SCD risk factors such as syncope and family history of SCD (FH-SCD) as well as family history of HCM (FH-HCM) are documented in electronic health records (EHRs) as clinical narratives. Automated extraction of risk factors from clinical narratives by natural language processing (NLP) may expedite management workflow of HCM patients. The aim of this study was to develop and deploy NLP algorithms for automated extraction of syncope, FH-SCD, and FH-HCM from clinical narratives. METHODS AND

resultsWe randomly selected 200 patients from the Mayo HCM registry for development (n = 100) and testing (n = 100) of NLP algorithms for extraction of syncope, FH-SCD as well as FH-HCM from clinical narratives of EHRs. The clinical reference standard was manually abstracted by 2 independent annotators. Performance of NLP algorithms was compared to aggregation and summarization of data entries in the HCM registry for syncope, FH-SCD, and FH-HCM. We also compared the NLP algorithms with billing codes for syncope as well as responses to patient survey questions for FH-SCD and FH-HCM. These analyses demonstrated NLP had superior sensitivity (0.96 vs 0.39, p < 0.001) and comparable specificity (0.90 vs 0.92, p = 0.74) and PPV (0.90 vs 0.83, p = 0.37) compared to billing codes for syncope. For FH-SCD, NLP outperformed survey responses for all parameters (sensitivity: 0.91 vs 0.59, p = 0.002; specificity: 0.98 vs 0.50, p < 0.001; PPV: 0.97 vs 0.38, p < 0.001). NLP also achieved superior sensitivity (0.95 vs 0.24, p < 0.001) with comparable specificity (0.95 vs 1.0, p-value not calculable) and positive predictive value (PPV) (0.92 vs 1.0, p = 0.09) compared to survey responses for FH-HCM.

conclusionsAutomated extraction of syncope, FH-SCD and FH-HCM using NLP is feasible and has promise to increase efficiency of workflow for providers managing HCM patients.

Indexed as

AlgorithmsNatural Language ProcessingCardiomyopathy, HypertrophicDeath, Sudden, CardiacElectronic Health RecordsFemaleHumansMaleMiddle AgedPrognosisRisk FactorsElectronic health recordsHypertrophic cardiomyopathyNatural language processingSudden cardiac death

Identifiers

PMID31160009
PMCPMC6550341
OpenAlexW2945443752

What OpenQuestion holds

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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.