Evidence map›Paper›PMID 34535116›Full record

ArticleBMC pregnancy and childbirth2021

Estimation of postpartum depression risk from electronic health records using machine learning.

Guy Amit, Irena Girshovitz, Karni Marcus, Yiye Zhang, Jyotishman Pathak, Vered Bar, Pinchas Akiva

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
8.8field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

7 authors at 4 institutions in 2 countries.

Guy AmitKI Research Institute, Kfar Malal, Israel. guy@kinstitute.org.il.
Irena GirshovitzKI Research Institute, Kfar Malal, Israel.
Karni MarcusKI Research Institute, Kfar Malal, Israel.
Yiye ZhangDivision of Health Informatics, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Jyotishman PathakDivision of Health Informatics, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Vered BarWomen's Mental Health, Sheba Medical Center, Ramat Gan, Israel.
Pinchas AkivaKI Research Institute, Kfar Malal, Israel.
IMI TAMI Institute for Research and Development · ILCornell University · USSheba Medical Center · ILWeill Cornell Medicine · US

Funding

National Infrastructure for Standardized and Portable EHR Phenotyping AlgorithmsR01GM105688 · NIGMS · WEILL MEDICAL COLL OF CORNELL UNIV · PI LUO, YUAN, PATHAK, JYOTISHMAN · 2013 to 2020
$5.7M
Using claims data to study the association between Alzheimer's disease and suicidal behaviorsR01MH119177 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI PATHAK, JYOTISHMAN · 2019 to 2022
$3.3M
4/4: Leveraging EHR-linked biobanks for deep phenotyping, polygenic risk score modeling, and outcomes analysis in psychiatric disordersR01MH121922 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI PATHAK, JYOTISHMAN · 2019 to 2023
$2.0M
Risk modeling and shared decision making for postpartum depressionR41MH124581 · NIMH · IRIS OB HEALTH INC. · PI LASKOFF, MICHAEL B., PATHAK, JYOTISHMAN · 2021 to 2022
$1.0M
NIGMS NIH HHS R01 GM105688NIMH NIH HHS R01 MH119177NIMH NIH HHS R01 MH121922NIMH NIH HHS R41 MH124581
6 · The paper itself

Abstract

backgroundPostpartum depression is a widespread disorder, adversely affecting the well-being of mothers and their newborns. We aim to utilize machine learning for predicting risk of postpartum depression (PPD) using primary care electronic health records (EHR) data, and to evaluate the potential value of EHR-based prediction in improving the accuracy of PPD screening and in early identification of women at risk.

methodsWe analyzed EHR data of 266,544 women from the UK who gave first live birth between 2000 and 2017. We extracted a multitude of socio-demographic and medical variables and constructed a machine learning model that predicts the risk of PPD during the year following childbirth. We evaluated the model's performance using multiple validation methodologies and measured its accuracy as a stand-alone tool and as an adjunct to the standard questionnaire-based screening by Edinburgh postnatal depression scale (EPDS).

resultsThe prevalence of PPD in the analyzed cohort was 13.4%. Combing EHR-based prediction with EPDS score increased the area under the receiver operator characteristics curve (AUC) from 0.805 to 0.844 and the sensitivity from 0.72 to 0.76, at specificity of 0.80. The AUC of the EHR-based prediction model alone varied from 0.72 to 0.74 and decreased by only 0.01-0.02 when applied as early as before the beginning of pregnancy.

conclusionsPPD risk prediction using EHR data may provide a complementary quantitative and objective tool for PPD screening, allowing earlier (pre-pregnancy) and more accurate identification of women at risk, timely interventions and potentially improved outcomes for the mother and child.

Indexed as

AdolescentAdultArea Under CurveCohort StudiesDepression, PostpartumElectronic Health RecordsFemaleHumansMachine LearningMiddle AgedPregnancyRisk AssessmentRisk FactorsUnited KingdomYoung AdultElectronic health recordsMachine learningPostpartum depression

Identifiers

PMID34535116
PMCPMC8447665
OpenAlexW3199453402

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.