Evidence map›Paper›PMID 34679609›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Mining Primary Care Electronic Health Records for Automatic Disease Phenotyping: A Transparent Machine Learning Framework.

Fabiola Fernández-Gutiérrez, Jonathan I Kennedy, Roxanne Cooksey, Mark Atkinson, Ernest Choy, Sinead Brophy, Lin Huo, Shang-Ming Zhou

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. 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

8 authors.

Fabiola Fernández-GutiérrezSwansea University Medical School, Swansea University, Swansea SA2 8PP, UK.
Jonathan I KennedySwansea University Medical School, Swansea University, Swansea SA2 8PP, UK.
Roxanne CookseySwansea University Medical School, Swansea University, Swansea SA2 8PP, UK.
Mark AtkinsonSwansea University Medical School, Swansea University, Swansea SA2 8PP, UK.
Ernest ChoyArthritis Research UK CREATE Centre, Division Infection and Immunity, Cardiff University, Cardiff CF10 3NB, UK.
Sinead BrophySwansea University Medical School, Swansea University, Swansea SA2 8PP, UK.
Lin HuoChina-ASEAN Research Institute, Guangxi University, Nanning 530004, China.
Shang-Ming ZhouCentre for Health Technology, Faculty of Health, University of Plymouth, Plymouth PL4 8AA, UK.ORCID 0000-0002-0719-9353

Funding

Health Data Research UK NIWA1Major Project of National Social Science Foundation of China 16ZDA0092Medical Research Council MR/S004084/1
6 · The paper itself

Abstract

(1) Background: We aimed to develop a transparent machine-learning (ML) framework to automatically identify patients with a condition from electronic health records (EHRs) via a parsimonious set of features. (2) Methods: We linked multiple sources of EHRs, including 917,496,869 primary care records and 40,656,805 secondary care records and 694,954 records from specialist surgeries between 2002 and 2012, to generate a unique dataset. Then, we treated patient identification as a problem of text classification and proposed a transparent disease-phenotyping framework. This framework comprises a generation of patient representation, feature selection, and optimal phenotyping algorithm development to tackle the imbalanced nature of the data. This framework was extensively evaluated by identifying rheumatoid arthritis (RA) and ankylosing spondylitis (AS). (3) Results: Being applied to the linked dataset of 9657 patients with 1484 cases of rheumatoid arthritis (RA) and 204 cases of ankylosing spondylitis (AS), this framework achieved accuracy and positive predictive values of 86.19% and 88.46%, respectively, for RA and 99.23% and 97.75% for AS, comparable with expert knowledge-driven methods. (4) Conclusions: This framework could potentially be used as an efficient tool for identifying patients with a condition of interest from EHRs, helping clinicians in clinical decision-support process.

Indexed as

artificial intelligencebig datacohort identificationelectronic health recordsfeature selectionphenotypingrheumatologytext miningtransparent machine learning

Identifiers

PMID34679609
PMCPMC8534858

What OpenQuestion holds

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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.