Evidence map›Paper›PMID 31197354›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Hybrid bag of approaches to characterize selection criteria for cohort identification.

V G Vinod Vydiswaran, Asher Strayhorn, Xinyan Zhao, Phil Robinson, Mahesh Agarwal, Erin Bagazinski, Madia Essiet, Bradley E Iott, Hyeon Joo, PingJui Ko and 7 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Combining human and machine intelligence for clinical trial eligibility querying.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  11. Article
  12. Article
  13. New approaches to cohort selection.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  14. Cohort selection for clinical trials: n2c2 2018 shared task track 1.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

V G Vinod VydiswaranDepartment of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Asher StrayhornDepartment of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Xinyan ZhaoSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Phil RobinsonSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Mahesh AgarwalDepartment of Mathematics and Statistics, College of Arts, Sciences, and Letters, University of Michigan-Dearborn, Dearborn, Michigan, USA.
Erin BagazinskiSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Madia EssietSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Bradley E IottSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Hyeon JooSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
PingJui KoSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Dahee LeeSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Jin Xiu LuSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Jinghui LiuSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Adharsh MuraliSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Koki SasagawaSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Tianshi WangSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.
Nalingna YuanSchool of Information, University of Michigan, Ann Arbor, Michigan, USA.

Funding

National NLP Clinical Challenges (n2c2): Challenges in Natural Language Processing for Clinical NarrativesR13LM013127 · NLM · GEORGE MASON UNIVERSITY · PI UZUNER, OZLEM · 2019 to 2023
$100k
Challenges in Natural Language Processing in Clinical TextR13LM011411 · NLM · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI UZUNER, OZLEM · 2012 to 2016
$98k
NLM NIH HHS R13 LM011411NLM NIH HHS R13 LM013127
6 · The paper itself

Abstract

objectiveThe 2018 National NLP Clinical Challenge (2018 n2c2) focused on the task of cohort selection for clinical trials, where participating systems were tasked with analyzing longitudinal patient records to determine if the patients met or did not meet any of the 13 selection criteria. This article describes our participation in this shared task. MATERIALS AND

methodsWe followed a hybrid approach combining pattern-based, knowledge-intensive, and feature weighting techniques. After preprocessing the notes using publicly available natural language processing tools, we developed individual criterion-specific components that relied on collecting knowledge resources relevant for these criteria and pattern-based and weighting approaches to identify "met" and "not met" cases.

resultsAs part of the 2018 n2c2 challenge, 3 runs were submitted. The overall micro-averaged F1 on the training set was 0.9444. On the test set, the micro-averaged F1 for the 3 submitted runs were 0.9075, 0.9065, and 0.9056. The best run was placed second in the overall challenge and all 3 runs were statistically similar to the top-ranked system. A reimplemented system achieved the best overall F1 of 0.9111 on the test set. DISCUSSION: We highlight the need for a focused resource-intensive effort to address the class imbalance in the cohort selection identification task.

conclusionOur hybrid approach was able to identify all selection criteria with high F1 performance on both training and test sets. Based on our participation in the 2018 n2c2 task, we conclude that there is merit in continuing a focused criterion-specific analysis and developing appropriate knowledge resources to build a quality cohort selection system.

Indexed as

Machine LearningPatient SelectionPattern Recognition, AutomatedClinical Trials as TopicData MiningHumansNatural Language Processingclinical trial selection criteriacohort identificationinformation storage and retrieval [L01.313.500.750.280]information systems [L01.313.500.750.300]natural language processing (L01.224.065.580)

Identifiers

PMID31197354
PMCPMC7647216

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.