Evidence map›Paper›PMID 33894541›Full record

ArticleJournal of fluency disorders2021

Identifying developmental stuttering and associated comorbidities in electronic health records and creating a phenome risk classifier.

Dillon G Pruett, Douglas M Shaw, Hung-Hsin Chen, Lauren E Petty, Hannah G Polikowsky, Shelly Jo Kraft, Robin M Jones, Jennifer E Below

Open access · hybridAbstract read
In one paragraph

Article in Journal of fluency disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 38 citations in OpenAlex.

  1. Developmental stuttering with common and complex phenotypes.Developmental medicine and child neurology · 2026
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  2. Article
  3. Review
  4. Unraveling Stuttering Through a Multi-Omics Lens.Life (Basel, Switzerland) · 2025
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  6. Review
  7. An active inference account of stuttering behavior.Frontiers in human neuroscience · 2025
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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

8 authors at 3 institutions in 1 country.

Dillon G PruettDepartment of Hearing and Speech Sciences, Vanderbilt University, United States.
Douglas M ShawVanderbilt Genetics Institute, Vanderbilt University Medical Center, United States.
Hung-Hsin ChenVanderbilt Genetics Institute, Vanderbilt University Medical Center, United States.
Lauren E PettyVanderbilt Genetics Institute, Vanderbilt University Medical Center, United States.
Hannah G PolikowskyVanderbilt Genetics Institute, Vanderbilt University Medical Center, United States.
Shelly Jo KraftDepartment of Communication Sciences and Disorders, Wayne State University, United States.
Robin M JonesDepartment of Hearing and Speech Sciences, Vanderbilt University, United States.
Jennifer E BelowVanderbilt Genetics Institute, Vanderbilt University Medical Center, United States. Electronic address: jennifer.e.below@vanderbilt.edu.
Vanderbilt University Medical Center · USVanderbilt University · USWayne State University · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
Developmental stuttering: Population-based genetic discoveryR01DC017175 · NIDCD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BELOW, JENNIFER, KRAFT, SHELLY JO · 2018 to 2022
$3.5M
Harnessing the power of genetic relatedness for disease gene discoveryR01GM133169 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BELOW, JENNIFER, HUFF, CHAD DANIEL · 2019 to 2022
$2.6M
Automated Storage and Retrieval of Biological SystemsS10RR025141 · NCRR · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2008 to 2008
$988k
Psychophysiology of Childhood Stuttering: Cognitive-Emotional MechanismsR21DC016723 · NIDCD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JONES, ROBIN MICHAEL · 2018 to 2021
$514k
Genetic Study of Developmental Stuttering.R03DC015329 · NIDCD · WAYNE STATE UNIVERSITY · PI KRAFT, SHELLY JO · 2016 to 2018
$465k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NCRR NIH HHS S10 RR025141NCRR NIH HHS UL1 RR024975NICHD NIH HHS P50 HD103537NIDCD NIH HHS R01 DC017175NIDCD NIH HHS R03 DC015329NIDCD NIH HHS R21 DC016723NIGMS NIH HHS R01 GM133169
6 · The paper itself

Abstract

purposeThis study aimed to identify cases of developmental stuttering and associated comorbidities in de-identified electronic health records (EHRs) at Vanderbilt University Medical Center, and, in turn, build and test a stuttering prediction model.

methodsA multi-step process including a keyword search of medical notes, a text-mining algorithm, and manual review was employed to identify stuttering cases in the EHR. Confirmed cases were compared to matched controls in a phenotype code (phecode) enrichment analysis to reveal conditions associated with stuttering (i.e., comorbidities). These associated phenotypes were used as proxy variables to phenotypically predict stuttering in subjects within the EHR that were not otherwise identifiable using the multi-step identification process described above.

resultsThe multi-step process resulted in the manually reviewed identification of 1,143 stuttering cases in the EHR. Highly enriched phecodes included codes related to childhood onset fluency disorder, adult-onset fluency disorder, hearing loss, sleep disorders, atopy, a multitude of codes for infections, neurological deficits, and body weight. These phecodes were used as variables to create a phenome risk classifier (PheRC) prediction model to identify additional high likelihood stuttering cases. The PheRC prediction model resulted in a positive predictive value of 83 %.

conclusionsThis study demonstrates the feasibility of using EHRs in the study of stuttering and found phenotypic associations. The creation of the PheRC has the potential to enable future studies of stuttering using existing EHR data, including investigations into the genetic etiology.

Indexed as

StutteringAlgorithmsChildComorbidityElectronic Health RecordsHumansPhenotypeDevelopmental stutteringElectronic health recordsMachine learningStuttering comorbidities

Identifiers

PMID33894541
PMCPMC8188400
OpenAlexW3154900877

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.