Evidence map›Paper›PMID 32990147›Full record

ArticleJournal of the American Heart Association2020

Claims-Based Algorithms for Identifying Patients With Pulmonary Hypertension: A Comparison of Decision Rules and Machine-Learning Approaches.

Mei-Sing Ong, Jeffrey G Klann, Kueiyu Joshua Lin, Bradley A Maron, Shawn N Murphy, Marc D Natter, Kenneth D Mandl

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

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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

7 authors.

Mei-Sing OngDepartment of Population Medicine Harvard Medical School & Harvard Pilgrim Health Care Institute Boston MA.
Jeffrey G KlannLaboratory of Computer Science Massachusetts General Hospital Harvard Medical School Boston MA.
Kueiyu Joshua LinDivision of Pharmacoepidemiology and Pharmacoeconomics Department of Medicine Brigham and Women's Hospital Harvard Medical School Boston MA.
Bradley A MaronCardiovascular Division Department of Medicine Brigham and Women's Hospital Harvard Medical School Boston MA.
Shawn N MurphyDepartment of Neurology Massachusetts General Hospital, Harvard Medical School Boston MA.
Marc D NatterComputational Health Informatics Program Boston Children's Hospital Boston MA.
Kenneth D MandlComputational Health Informatics Program Boston Children's Hospital Boston MA.

Funding

Data Fusion: A Sustainable, Scalable, Open Source Registry Advancing PVD ResearchU01HL121518 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ABMAN, STEVEN HERBERT, MANDL, KENNETH D. · 2014 to 2018
$9.3M
Instrumenting the Delivery System for a Genomics Research Information CommonsU01TR002623 · NCATS · BOSTON CHILDREN'S HOSPITAL · PI MANDL, KENNETH D. · 2019 to 2024
$8.6M
NCATS NIH HHS U01 TR002623NHLBI NIH HHS U01 HL121518
6 · The paper itself

Abstract

Background Real-world healthcare data are an important resource for epidemiologic research. However, accurate identification of patient cohorts-a crucial first step underpinning the validity of research results-remains a challenge. We developed and evaluated claims-based case ascertainment algorithms for pulmonary hypertension (PH), comparing conventional decision rules with state-of-the-art machine-learning approaches. Methods and Results We analyzed an electronic health record-Medicare linked database from two large academic tertiary care hospitals (years 2007-2013). Electronic health record charts were reviewed to form a gold standard cohort of patients with (n=386) and without PH (n=164). Using health encounter data captured in Medicare claims (including patients' demographics, diagnoses, medications, and procedures), we developed and compared 2 approaches for identifying patients with PH: decision rules and machine-learning algorithms using penalized lasso regression, random forest, and gradient boosting machine. The most optimal rule-based algorithm-having ≥3 PH-related healthcare encounters and having undergone right heart catheterization-attained an area under the receiver operating characteristic curve of 0.64 (sensitivity, 0.75; specificity, 0.48). All 3 machine-learning algorithms outperformed the most optimal rule-based algorithm (

Indexed as

AlgorithmsInsurance Claim ReviewMachine LearningAgedDecision Support TechniquesFemaleHumansHypertension, PulmonaryMalecomputable phenotypemachine learningpulmonary hypertension

Identifiers

PMID32990147
PMCPMC7792386

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.