Evidence map›Paper›PMID 33653690›Full record

SynthesisBMJ health & care informatics2021

Applying natural language processing and machine learning techniques to patient experience feedback: a systematic review.

Mustafa Khanbhai, Patrick Anyadi, Joshua Symons, Kelsey Flott, Ara Darzi, Erik Mayer

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ health & care informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

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

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1 more citing papers are in PubMed but not listed here.

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.

Mustafa KhanbhaiPatient Safety Translational Research Centre, Imperial College of Science Technology and Medicine, London, UK m.khanbhai@imperial.ac.uk.ORCID http://orcid.org/0000-0002-4434-1785
Patrick AnyadiPatient Safety Translational Research Centre, Imperial College of Science Technology and Medicine, London, UK.
Joshua SymonsBig Data and Analytical Unit, Imperial College of Science Technology and Medicine, London, UK.
Kelsey FlottPatient Safety Translational Research Centre, Imperial College of Science Technology and Medicine, London, UK.
Ara DarziInstitute of Global Health Innovation, Imperial College of Science Technology and Medicine, London, UK.
Erik MayerPatient Safety Translational Research Centre, Imperial College of Science Technology and Medicine, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUnstructured free-text patient feedback contains rich information, and analysing these data manually would require a lot of personnel resources which are not available in most healthcare organisations.To undertake a systematic review of the literature on the use of natural language processing (NLP) and machine learning (ML) to process and analyse free-text patient experience data.

methodsDatabases were systematically searched to identify articles published between January 2000 and December 2019 examining NLP to analyse free-text patient feedback. Due to the heterogeneous nature of the studies, a narrative synthesis was deemed most appropriate. Data related to the study purpose, corpus, methodology, performance metrics and indicators of quality were recorded.

resultsNineteen articles were included. The majority (80%) of studies applied language analysis techniques on patient feedback from social media sites (unsolicited) followed by structured surveys (solicited). Supervised learning was frequently used (n=9), followed by unsupervised (n=6) and semisupervised (n=3). Comments extracted from social media were analysed using an unsupervised approach, and free-text comments held within structured surveys were analysed using a supervised approach. Reported performance metrics included the precision, recall and F-measure, with support vector machine and Naïve Bayes being the best performing ML classifiers.

conclusionNLP and ML have emerged as an important tool for processing unstructured free text. Both supervised and unsupervised approaches have their role depending on the data source. With the advancement of data analysis tools, these techniques may be useful to healthcare organisations to generate insight from the volumes of unstructured free-text data.

Indexed as

FeedbackMachine LearningNatural Language ProcessingPatient SatisfactionBayes TheoremElectronic Health RecordsHumansPatient Outcome AssessmentSocial MediaBMJ health informaticscomputer methodologiesinformation managementpatient care

Identifiers

PMID33653690
PMCPMC7929894

What OpenQuestion holds

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LicenceCC BY-NC
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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.