Evidence map›Paper›PMID 31476655›Full record

ArticleInternational journal of medical informatics2019

Automatic extraction and assessment of lifestyle exposures for Alzheimer's disease using natural language processing.

Xin Zhou, Yanshan Wang, Sunghwan Sohn, Terry M Therneau, Hongfang Liu, David S Knopman

Abstract 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
–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

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

  1. Pooled it
  2. Article
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  4. Article
  5. Empowering Precision Medicine for Rare Diseases through Cloud Infrastructure Refactoring.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  6. Digital Neuropsychology beyond Computerized Cognitive Assessment: Applications of Novel Digital Technologies.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2024
    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

6 authors.

Xin ZhouDepartment of Health Science Research, Mayo Clinic, MN, USA.
Yanshan WangDepartment of Health Science Research, Mayo Clinic, MN, USA. Electronic address: wang.yanshan@mayo.edu.
Sunghwan SohnDepartment of Health Science Research, Mayo Clinic, MN, USA.
Terry M TherneauDepartment of Health Science Research, Mayo Clinic, MN, USA.
Hongfang LiuDepartment of Health Science Research, Mayo Clinic, MN, USA.
David S KnopmanDepartment of Neurology, Mayo Clinic, MN, USA.

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Open Health Natural Language Processing CollaboratoryU01TR002062 · NCATS · MAYO CLINIC ROCHESTER · PI JIANG, XIAOQIAN, LIU, HONGFANG · 2017 to 2021
$7.6M
Semi-structured Information Retrieval in Clinical Text for Cohort IdentificationR01LM011934 · NLM · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI HERSH, WILLIAM R, LIU, HONGFANG · 2014 to 2025
$5.1M
NCATS NIH HHS U01 TR002062NCATS NIH HHS UL1 TR002377NLM NIH HHS R01 LM011934
6 · The paper itself

Abstract

introductionPrevious biomedical studies identified many lifestyle exposures that could possibly represent risk factors for dementia in general or dementia due to Alzheimer's disease (AD). These lifestyle exposures are mainly mentioned in free-text electronic health records (EHRs). However, automatic extraction and assessment of these exposures using EHRs remains understudied.

methodsA natural language processing (NLP) approach was adopted to extract lifestyle exposures and intervention strategies from the clinical notes of 260 patients with clinical diagnoses of AD dementia and 260 age-matched cognitively unimpaired persons. Statistics of lifestyle exposures were compared between these two groups. The mapping results of the NLP extraction were evaluated by comparing the results with data captured independently by clinicians.

resultsThirty out of fifty-five potentially relevant lifestyle exposures were mentioned in our clinical note dataset. Twenty-two dietary factors and three substance abuses that were potentially relevant were not found in clinical notes. Patients with AD dementia were significantly exposed to more of the potential risk factors compared to the cognitively unimpaired subjects (χ2 = 120.31, p-value < 0.001). The average accuracy of the automated extraction was 74.0% in comparison with the manual review of randomly selected 50 sample documents. DISCUSSION AND

conclusionWe illustrated the feasibility of NLP techniques for the automated evaluation of a large number lifestyle habits using free-text EHR data. We found that AD dementia patients were exposed to more of the potential risk factors than the comparison group. Our results also demonstrated the feasibility and accuracy of investigating putative risk factors using NLP techniques.

Indexed as

Life StyleNatural Language ProcessingAlzheimer DiseaseElectronic Health RecordsHumansResearch DesignRisk FactorsAlzheimer’s diseaseElectronic health recordsLifestyle exposureNatural language processing

Identifiers

PMID31476655
PMCPMC6750723

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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.