Evidence map›Paper›PMID 35200154›Full record

ArticleJMIR medical informatics2022

Identification of Prediabetes Discussions in Unstructured Clinical Documentation: Validation of a Natural Language Processing Algorithm.

Jessica L Schwartz, Eva Tseng, Nisa M Maruthur, Masoud Rouhizadeh

Abstract read
In one paragraph

Article in JMIR medical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

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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

4 authors.

Jessica L Schwartz *Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, United States.ORCID https://orcid.org/0000-0003-3326-8989
Eva Tseng *Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, United States.ORCID https://orcid.org/0000-0003-4001-2869
Nisa M Maruthur *Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, United States.ORCID https://orcid.org/0000-0002-5799-104X
Masoud Rouhizadeh *Department of Pharmaceutical Outcomes and Policy, University of Florida College of Pharmacy, Gainesville, FL, United States.ORCID https://orcid.org/0000-0002-9006-6112

Funding

BEHAVIORAL RESEARCH IN HEART &VASCULAR DISEASET32HL007180 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MARUTHUR, NISA M · 1985 to 2020
$11.4M
Design and Implementation of An Intervention to Improve Prediabetes Management in Primary CareK23DK118205 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI TSENG, EVA · 2019 to 2023
$1.0M
NHLBI NIH HHS T32 HL007180NIDDK NIH HHS K23 DK118205
6 · The paper itself

Abstract

backgroundPrediabetes affects 1 in 3 US adults. Most are not receiving evidence-based interventions, so understanding how providers discuss prediabetes with patients will inform how to improve their care.

objectiveThis study aimed to develop a natural language processing (NLP) algorithm using machine learning techniques to identify discussions of prediabetes in narrative documentation.

methodsWe developed and applied a keyword search strategy to identify discussions of prediabetes in clinical documentation for patients with prediabetes. We manually reviewed matching notes to determine which represented actual prediabetes discussions. We applied 7 machine learning models against our manual annotation.

resultsMachine learning classifiers were able to achieve classification results that were close to human performance with up to 98% precision and recall to identify prediabetes discussions in clinical documentation.

conclusionsWe demonstrated that prediabetes discussions can be accurately identified using an NLP algorithm. This approach can be used to understand and identify prediabetes management practices in primary care, thereby informing interventions to improve guideline-concordant care.

Indexed as

chronic disease managementmachine learningnatural language processingphysician-patient communicationprediabetesprediabetes discussionsprediabetes management

Identifiers

PMID35200154
PMCPMC8914791

What OpenQuestion holds

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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.