Evidence map›Paper›PMID 31308617›Full record

ArticleEthnicity & disease2019

Development of a Natural Language Processing Algorithm to Identify and Evaluate Transgender Patients in Electronic Health Record Systems.

Jesse M Ehrenfeld, Keanan Gabriel Gottlieb, Lauren Brittany Beach, Shelby E Monahan, Daniel Fabbri

Abstract read
In one paragraph

Article in Ethnicity & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  5. Review
  6. Review
  7. A scoping review of models to identify transgender patients in electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2026
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  8. Review
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  14. Transgender Individuals and Digital Health.Current HIV/AIDS reports · 2022
    Review
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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

5 authors.

Jesse M EhrenfeldVanderbilt University, Departments of Anesthesiology, Surgery, Biomedical Informatics, Health Policy; Nashville, Tennessee.
Keanan Gabriel GottliebVanderbilt University Medical Center, Program for LGBTQ Health; Nashville, Tennessee.
Lauren Brittany BeachNorthwestern University, Institute for Sexual and Gender Minority Health & Wellbeing, Chicago, Illinois.
Shelby E MonahanWestern Kentucky University, Department of Psychology; Bowling Green, Kentucky.
Daniel FabbriVanderbilt University, Departments of Biomedical Informatics & Computer Science; Nashville, Tennessee.

Funding

TCC for Health Disparties: Informing & Influencing Health Policy and PracticeU54MD008173 · NIMHD · MOREHOUSE SCHOOL OF MEDICINE · PI SATCHER, DAVID · 2012 to 2016
$13.4M
NIMHD NIH HHS U54 MD008173
6 · The paper itself

Abstract

Objective: To create a natural language processing (NLP) algorithm to identify transgender patients in electronic health records. Design: We developed an NLP algorithm to identify patients (keyword + billing codes). Patients were manually reviewed, and their health care services categorized by billing code. Setting: Vanderbilt University Medical Center. Participants: 234 adult and pediatric transgender patients. Main Outcome Measures: Number of transgender patients correctly identified and categorization of health services utilized. Results: We identified 234 transgender patients of whom 50% had a diagnosed mental health condition, 14% were living with HIV, and 7% had diabetes. Largely driven by hormone use, nearly half of patients attended the Endocrinology/Diabetes/Metabolism clinic. Many patients also attended the Psychiatry, HIV, and/or Obstetrics/Gynecology clinics. The false positive rate of our algorithm was 3%. Conclusions: Our novel algorithm correctly identified transgender patients and provided important insights into health care utilization among this marginalized population.

Indexed as

AlgorithmsNatural Language ProcessingAdolescentAdultAgedAged, 80 and overChildElectronic Health RecordsFemaleHumansMaleMiddle AgedTransgender PersonsYoung AdultElectronic Health RecordsNatural Language ProcessingTransgenderUtilization

Identifiers

PMID31308617
PMCPMC6604788

What OpenQuestion holds

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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.