Evidence map›Paper›PMID 33436814›Full record

ArticleScientific reports2021

A natural language processing approach for identifying temporal disease onset information from mental healthcare text.

Natalia Viani, Riley Botelle, Jack Kerwin, Lucia Yin, Rashmi Patel, Robert Stewart, Sumithra Velupillai

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. A Systematic Temporal Extraction Pipeline for Medical Concepts in Clinical Notes.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023
    Article
  9. Review
  10. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Natalia VianiIoPPN, King's College London, SE5 8AF, London, UK.
Riley BotelleIoPPN, King's College London, SE5 8AF, London, UK.
Jack KerwinIoPPN, King's College London, SE5 8AF, London, UK.
Lucia YinIoPPN, King's College London, SE5 8AF, London, UK.
Rashmi PatelIoPPN, King's College London, SE5 8AF, London, UK.
Robert StewartIoPPN, King's College London, SE5 8AF, London, UK.
Sumithra VelupillaiIoPPN, King's College London, SE5 8AF, London, UK. sumithra.velupillai@kcl.ac.uk.

Funding

Medical Research Council MC_PC_17214Medical Research Council MR/S003118/1Medical Research Council MR/T045302/1
6 · The paper itself

Abstract

Receiving timely and appropriate treatment is crucial for better health outcomes, and research on the contribution of specific variables is essential. In the mental health domain, an important research variable is the date of psychosis symptom onset, as longer delays in treatment are associated with worse intervention outcomes. The growing adoption of electronic health records (EHRs) within mental health services provides an invaluable opportunity to study this problem at scale retrospectively. However, disease onset information is often only available in open text fields, requiring natural language processing (NLP) techniques for automated analyses. Since this variable can be documented at different points during a patient's care, NLP methods that model clinical and temporal associations are needed. We address the identification of psychosis onset by: 1) manually annotating a corpus of mental health EHRs with disease onset mentions, 2) modelling the underlying NLP problem as a paragraph classification approach, and 3) combining multiple onset paragraphs at the patient level to generate a ranked list of likely disease onset dates. For 22/31 test patients (71%) the correct onset date was found among the top-3 NLP predictions. The proposed approach was also applied at scale, allowing an onset date to be estimated for 2483 patients.

Indexed as

Natural Language ProcessingElectronic Health RecordsHumansMental HealthMental Health ServicesPsychotic DisordersRetrospective StudiesSymptom Assessment

Identifiers

PMID33436814
PMCPMC7804184

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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.