Evidence map›Paper›PMID 34174396›Full record

ArticleJournal of biomedical informatics2021

Adaptation of an NLP system to a new healthcare environment to identify social determinants of health.

Ruth M Reeves, Lee Christensen, Jeremiah R Brown, Michael Conway, Maxwell Levis, Glenn T Gobbel, Rashmee U Shah, Christine Goodrich, Iben Ricket, Freneka Minter and 4 more

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

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  18. The 2022 n2c2/UW shared task on extracting social determinants of health.Journal of the American Medical Informatics Association : JAMIA · 2023
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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

14 authors.

Ruth M ReevesDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States; Geriatric Research Education and Clinical Care Center, Tennessee Valley Healthcare System VA, Nashville, TN, United States. Electronic address: ruth.reeves@vumc.org.
Lee ChristensenDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States.
Jeremiah R BrownDepartment of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.
Michael ConwayDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States.
Maxwell LevisDepartment of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.
Glenn T GobbelDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States; Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Geriatric Research Education and Clinical Care Center, Tennessee Valley Healthcare System VA, Nashville, TN, United States.
Rashmee U ShahDivision of Cardiovascular Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States.
Christine GoodrichDepartment of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.
Iben RicketDepartment of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.
Freneka MinterDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States.
Andrew BohmDepartment of Epidemiology and Biomedical Data Science, Dartmouth Geisel School of Medicine, Hanover, NH, United States.
Bruce E BrayDivision of Cardiovascular Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States; Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States.
Michael E MathenyDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States; Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, United States; Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, United States; Geriatric Research Education and Clinical Care Center, Tennessee Valley Healthcare System VA, Nashville, TN, United States.
Wendy ChapmanDepartment of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, UT, United States; Centre for Clinical and Public Health Informatics, University of Melbourne, Melbourne, Australia.

Funding

Information Extraction from EMRs to Predict Readmission following Acute Myocardial InfarctionR01HL130828 · NHLBI · DARTMOUTH COLLEGE · PI BROWN, JEREMIAH R, MATHENY, MICHAEL E. · 2016 to 2019
$3.1M
Quantitative Biomedical Sciences at DartmouthT32LM012204 · NLM · DARTMOUTH COLLEGE · PI TOSTESON, TOR D · 2016 to 2020
$876k
Improving Cardiovascular Drug Safety With Automated Bleeding ClassificationK08HL136850 · NHLBI · UNIVERSITY OF UTAH · PI SHAH, RASHMEE U. · 2017 to 2020
$652k
NHLBI NIH HHS K08 HL136850NHLBI NIH HHS R01 HL130828NLM NIH HHS T32 LM012204
6 · The paper itself

Abstract

Social determinants of health (SDoH) are increasingly important factors for population health, healthcare outcomes, and care delivery. However, many of these factors are not reliably captured within structured electronic health record (EHR) data. In this work, we evaluated and adapted a previously published NLP tool to include additional social risk factors for deployment at Vanderbilt University Medical Center in an Acute Myocardial Infarction cohort. We developed a transformation of the SDoH outputs of the tool into the OMOP common data model (CDM) for re-use across many potential use cases, yielding performance measures across 8 SDoH classes of precision 0.83 recall 0.74 and F-measure of 0.78.

Indexed as

Electronic Health RecordsSocial Determinants of HealthAcademic Medical CentersCohort StudiesDelivery of Health CareHumans

Identifiers

PMID34174396
PMCPMC8386129

What OpenQuestion holds

Textmetadata
LicenceTDM
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.