Evidence map›Paper›PMID 31314550›Full record

ArticleJCO clinical cancer informatics2019

Automating the Capture of Structured Pathology Data for Prostate Cancer Clinical Care and Research.

Anobel Y Odisho, Mark Bridge, Mitchell Webb, Niloufar Ameli, Renu S Eapen, Frank Stauf, Janet E Cowan, Samuel L Washington, Annika Herlemann, Peter R Carroll and 1 more

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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

11 authors.

Anobel Y OdishoUniversity of California, San Francisco, San Francisco, CA.
Mark BridgeUniversity of California, San Francisco, San Francisco, CA.
Mitchell WebbUniversity of California, San Francisco Medical Center, San Francisco, CA.
Niloufar AmeliUniversity of California, San Francisco, San Francisco, CA.
Renu S EapenUniversity of California, San Francisco, San Francisco, CA.
Frank StaufUniversity of California, San Francisco, San Francisco, CA.
Janet E CowanUniversity of California, San Francisco, San Francisco, CA.
Samuel L WashingtonUniversity of California, San Francisco, San Francisco, CA.
Annika HerlemannUniversity of California, San Francisco, San Francisco, CA.
Peter R CarrollUniversity of California, San Francisco, San Francisco, CA.
Matthew R CooperbergUniversity of California, San Francisco, San Francisco, CA.

Funding

Improving Prostate Cancer Outcome Prediction Through Noninvasive exRNA AssessmentR01CA198145 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COOPERBERG, MATTHEW R · 2016 to 2020
$3.1M
NCI NIH HHS R01 CA198145
6 · The paper itself

Abstract

purposeCancer pathology findings are critical for many aspects of care but are often locked away as unstructured free text. Our objective was to develop a natural language processing (NLP) system to extract prostate pathology details from postoperative pathology reports and a parallel structured data entry process for use by urologists during routine documentation care and compare accuracy when compared with manual abstraction and concordance between NLP and clinician-entered approaches. MATERIALS AND

methodsFrom February 2016, clinicians used note templates with custom structured data elements (SDEs) during routine clinical care for men with prostate cancer. We also developed an NLP algorithm to parse radical prostatectomy pathology reports and extract structured data. We compared accuracy of clinician-entered SDEs and NLP-parsed data to manual abstraction as a gold standard and compared concordance (Cohen's κ) between approaches assuming no gold standard.

resultsThere were 523 patients with NLP-extracted data, 319 with SDE data, and 555 with manually abstracted data. For Gleason scores, NLP and clinician SDE accuracy was 95.6% and 95.8%, respectively, compared with manual abstraction, with concordance of 0.93 (95% CI, 0.89 to 0.98). For margin status, extracapsular extension, and seminal vesicle invasion, stage, and lymph node status, NLP accuracy was 94.8% to 100%, SDE accuracy was 87.7% to 100%, and concordance between NLP and SDE ranged from 0.92 to 1.0.

conclusionWe show that a real-world deployment of an NLP algorithm to extract pathology data and structured data entry by clinicians during routine clinical care in a busy clinical practice can generate accurate data when compared with manual abstraction for some, but not all, components of a prostate pathology report.

Indexed as

Natural Language ProcessingAlgorithmsBiomedical ResearchDecision Support Systems, ClinicalHumansMaleMedical InformaticsNeoplasm GradingNeoplasm StagingPatient CareProstatic NeoplasmsReproducibility of ResultsSoftwareUser-Computer InterfaceWorkflow

Identifiers

PMID31314550
PMCPMC6874052

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.