Evidence map›Paper›PMID 34707226›Full record

ArticleNPJ digital medicine2021

Clinical knowledge extraction via sparse embedding regression (KESER) with multi-center large scale electronic health record data.

Chuan Hong, Everett Rush, Molei Liu, Doudou Zhou, Jiehuan Sun, Aaron Sonabend, Victor M Castro, Petra Schubert, Vidul A Panickan, Tianrun Cai and 14 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Inference of dependency knowledge graph for Electronic Health Records.Journal of the Royal Statistical Society. Series B, Statistical methodology · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. A Survey on Unifying Large Language Models and Knowledge Graphs for Biomedicine and Healthcare.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2025
    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

24 authors.

Chuan HongHarvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7056-9559
Everett RushDepartment of Energy, Oak Ridge National Lab, Oak Ridge, TN, USA.ORCID http://orcid.org/0000-0002-5632-5723
Molei LiuHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Doudou ZhouUniversity of California, Davis, CA, USA.
Jiehuan SunUniversity of Illinois at Chicago, Chicago, IL, USA.
Aaron SonabendHarvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6165-9082
Victor M CastroMass General Brigham, Boston, MA, USA.ORCID http://orcid.org/0000-0001-7390-6354
Petra SchubertVA Boston Healthcare System, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6135-0173
Vidul A PanickanHarvard Medical School, Boston, MA, USA.
Tianrun CaiVA Boston Healthcare System, Boston, MA, USA.
Lauren CostaVA Boston Healthcare System, Boston, MA, USA.
Zeling HeMass General Brigham, Boston, MA, USA.
Nicholas LinkVA Boston Healthcare System, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4078-4842
Ronald HauserWest Haven VA Medical Center, West Haven, CT, USA.
J Michael GazianoHarvard Medical School, Boston, MA, USA.
Shawn N MurphyMass General Brigham, Boston, MA, USA.ORCID http://orcid.org/0000-0002-1905-8806
George OstrouchovDepartment of Energy, Oak Ridge National Lab, Oak Ridge, TN, USA.ORCID http://orcid.org/0000-0002-2043-6026
Yuk-Lam HoVA Boston Healthcare System, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3305-3830
Edmon BegoliDepartment of Energy, Oak Ridge National Lab, Oak Ridge, TN, USA.
Junwei LuVA Boston Healthcare System, Boston, MA, USA.
Kelly ChoHarvard Medical School, Boston, MA, USA.
Katherine P Liao *Harvard Medical School, Boston, MA, USA.
Tianxi Cai *Harvard Medical School, Boston, MA, USA. tcai@hsph.harvard.edu.ORCID http://orcid.org/0000-0002-5379-2502
VA Million Veteran Program

Funding

VERITY: Value and Evidence in Rheumatology using bioInformaTics, and advanced analYticsP30AR072577 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Daniel Hal Solomon · 2017 to 2026
$9.8M
NIAMS NIH HHS P30 AR072577
6 · The paper itself

Abstract

The increasing availability of electronic health record (EHR) systems has created enormous potential for translational research. However, it is difficult to know all the relevant codes related to a phenotype due to the large number of codes available. Traditional data mining approaches often require the use of patient-level data, which hinders the ability to share data across institutions. In this project, we demonstrate that multi-center large-scale code embeddings can be used to efficiently identify relevant features related to a disease of interest. We constructed large-scale code embeddings for a wide range of codified concepts from EHRs from two large medical centers. We developed knowledge extraction via sparse embedding regression (KESER) for feature selection and integrative network analysis. We evaluated the quality of the code embeddings and assessed the performance of KESER in feature selection for eight diseases. Besides, we developed an integrated clinical knowledge map combining embedding data from both institutions. The features selected by KESER were comprehensive compared to lists of codified data generated by domain experts. Features identified via KESER resulted in comparable performance to those built upon features selected manually or with patient-level data. The knowledge map created using an integrative analysis identified disease-disease and disease-drug pairs more accurately compared to those identified using single institution data. Analysis of code embeddings via KESER can effectively reveal clinical knowledge and infer relatedness among codified concepts. KESER bypasses the need for patient-level data in individual analyses providing a significant advance in enabling multi-center studies using EHR data.

Identifiers

PMID34707226
PMCPMC8551205

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.