Evidence map›Paper›PMID 34411708›Full record

ReviewJournal of biomedical informatics2021

Longitudinal K-means approaches to clustering and analyzing EHR opioid use trajectories for clinical subtypes.

Sarah Mullin, Jaroslaw Zola, Robert Lee, Jinwei Hu, Brianne MacKenzie, Arlen Brickman, Gabriel Anaya, Shyamashree Sinha, Angie Li, Peter L Elkin

Open access · greenAbstract readReview
In one paragraph

Review 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.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.9field-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

26 citing papers in PubMed, 42 citations in OpenAlex.

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  17. Personalized event prediction for Electronic Health Records.Artificial intelligence in medicine · 2023
    Article
  18. Article
  19. Article
  20. Machine learning approaches for electronic health records phenotyping: a methodical review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
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

10 authors at 3 institutions in 3 countries.

Sarah MullinUniversity at Buffalo, The State University of New York, United States. Electronic address: sarahmul@buffalo.edu.
Jaroslaw ZolaUniversity at Buffalo, The State University of New York, United States.
Robert LeeUniversity at Buffalo, The State University of New York, United States; Department of Veterans Affairs, WNY VA, United States.
Jinwei HuUniversity at Buffalo, The State University of New York, United States.
Brianne MacKenzieUniversity at Buffalo, The State University of New York, United States.
Arlen BrickmanUniversity at Buffalo, The State University of New York, United States.
Gabriel AnayaUniversity at Buffalo, The State University of New York, United States.
Shyamashree SinhaUniversity at Buffalo, The State University of New York, United States.
Angie LiUniversity at Buffalo, The State University of New York, United States.
Peter L ElkinUniversity at Buffalo, The State University of New York, United States; Department of Veterans Affairs, WNY VA, United States; Faculty of Engineering, University of Southern Denmark, Denmark.
University at Buffalo, State University of New York · USUnited States University · USUniversity of Southern Denmark · DK

Funding

University of Buffalo Clinical and Translational Science Institute - Supplement SchulyerUL1TR001412 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI MURPHY, TIMOTHY F · 2015 to 2024
$33.8M
MEDICAL INFORMATICS RESEARCH TRAINING AT YALET15LM007056 · NLM · YALE UNIVERSITY · PI Mark Bender Gerstein, LUCILA OHNO-MACHADO · 1987 to 2026
$22.2M
National Library of Medicine Conference 2022T15LM012495 · NLM · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI PETER L. ELKIN · 2017 to 2026
$4.3M
Reconstruction and Modeling of Dynamical Molecular NetworksR01LM012595 · NLM · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUBRAMANIAM, SHANKAR · 2018 to 2021
$1.3M
Pain Medication Prescriptions and Misuse Following Treatment for Alcohol Use DisordersR33AA026954 · NIAAA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI ELKIN, PETER L., LEONARD, KENNETH E · 2020 to 2022
$1.0M
Buffalo Research Innovation in Genomic and Healthcare Technology (BRIGHT) Short-Term Training and EducationR25LM014213 · NLM · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI PETER L. ELKIN, RAM SAMUDRALA · 2022 to 2026
$668k
Pain Medication Prescriptions and Misuse Following Treatment for Alcohol Use DisordersR21AA026954 · NIAAA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI ELKIN, PETER L., LEONARD, KENNETH E · 2018 to 2019
$386k
NCATS NIH HHS UL1 TR001412NIAAA NIH HHS R21 AA026954NIAAA NIH HHS R33 AA026954NLM NIH HHS R01 LM012595NLM NIH HHS R25 LM014213NLM NIH HHS T15 LM007056NLM NIH HHS T15 LM012495
6 · The paper itself

Abstract

Identification of patient subtypes from retrospective Electronic Health Record (EHR) data is fraught with inherent modeling issues, such as missing data and variable length time intervals, and the results obtained are highly dependent on data pre-processing strategies. As we move towards personalized medicine, assessing accurate patient subtypes will be a key factor in creating patient specific treatment plans. Partitioning longitudinal trajectories from irregularly spaced and variable length time intervals is a well-established, but open problem. In this work, we present and compare k-means approaches for subtyping opioid use trajectories from EHR data. We then interpret the resulting subtypes using decision trees, examining how each subtype is influenced by opioid medication features and patient diagnoses, procedures, and demographics. Finally, we discuss how the subtypes can be incorporated in static machine learning models as features in predicting opioid overdose and adverse events. The proposed methods are general, and can be extended to other EHR prescription dosage trajectories.

Indexed as

Analgesics, OpioidOpioid-Related DisordersCluster AnalysisElectronic Health RecordsHumansRetrospective StudiesAnalgesics, OpioidElectronic health recordsLongitudinal k-means clusteringOpioidsPatient subtypesTrajectory analysis

Identifiers

PMID34411708
PMCPMC9035269
OpenAlexW3193534298

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.