Evidence map›Paper›PMID 31615985›Full record

ArticleScientific data2019

Tracing diagnosis trajectories over millions of patients reveal an unexpected risk in schizophrenia.

Hyojung Paik, Matthew J Kan, Nadav Rappoport, Dexter Hadley, Marina Sirota, Bin Chen, Udi Manber, Seong Beom Cho, Atul J Butte

Open access · goldAbstract read
In one paragraph

Article in Scientific data, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Evaluation of trajectory analysis for disease risk assessment: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026
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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

9 authors at 2 institutions in 2 countries.

Hyojung PaikBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA.
Matthew J KanBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA.
Nadav RappoportBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA.ORCID http://orcid.org/0000-0002-7218-2558
Dexter HadleyBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA.
Marina SirotaBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA.
Bin ChenBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA.
Udi ManberBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA.
Seong Beom ChoNational Institute of Health, Division of Bio-Medical Informatics, Center for Genome Science, OHTAC, 187 Osongsaengmyeong2(i)-ro, Gangoe-myeon, Cheongwon-gun, ChoongchungBuk-do, South Korea. sbcho@korea.kr.
Atul J ButteBakar Computational Health Sciences Institute, University of California, San Francisco, 550 16th Street, San Francisco, CA, 9414, USA. atul.butte@ucsf.edu.ORCID http://orcid.org/0000-0002-7433-2740
University of California, San Francisco · USKorea National Institute of Health · KR

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
Repositioning drugs for the treatment of small cell lung cancerR01GM079719 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BUTTE, ATUL J · 2006 to 2015
$4.4M
Crowd-Assisted Deep Learning (CrADLe) Digital Curation to Translate Big Data into Precision MedicineU01LM012675 · NLM · UNIVERSITY OF CENTRAL FLORIDA · PI HADLEY, DEXTER D · 2017 to 2020
$2.1M
NCATS NIH HHS UL1 TR001872NIAMS NIH HHS P30 AR070155NIGMS NIH HHS R01 GM079719NLM NIH HHS U01 LM012675
6 · The paper itself

Abstract

The identification of novel disease associations using big-data for patient care has had limited success. In this study, we created a longitudinal disease network of traced readmissions (disease trajectories), merging data from over 10.4 million inpatients through the Healthcare Cost and Utilization Project, which allowed the representation of disease progression mapping over 300 diseases. From these disease trajectories, we discovered an interesting association between schizophrenia and rhabdomyolysis, a rare muscle disease (incidence < 1E-04) (relative risk, 2.21 [1.80-2.71, confidence interval = 0.95], P-value 9.54E-15). We validated this association by using independent electronic medical records from over 830,000 patients at the University of California, San Francisco (UCSF) medical center. A case review of 29 rhabdomyolysis incidents in schizophrenia patients at UCSF demonstrated that 62% are idiopathic, without the use of any drug known to lead to this adverse event, suggesting a warning to physicians to watch for this unexpected risk of schizophrenia. Large-scale analysis of disease trajectories can help physicians understand potential sequential events in their patients.

Indexed as

Electronic Health RecordsHumansRhabdomyolysisRiskSan FranciscoSchizophrenia

Identifiers

PMID31615985
PMCPMC6794302
OpenAlexW2980963212

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.