Evidence map›Paper›PMID 35426943›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Combining human and machine intelligence for clinical trial eligibility querying.

Yilu Fang, Betina Idnay, Yingcheng Sun, Hao Liu, Zhehuan Chen, Karen Marder, Hua Xu, Rebecca Schnall, Chunhua Weng

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Illuminating the landscape of high-level clinical trial opportunities in the All of Us Research Program.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  8. Article
  9. Article
  10. Distilling large language models for matching patients to clinical trials.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. LeafAI: query generator for clinical cohort discovery rivaling a human programmer.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  15. Observational
  16. Article
  17. Principal Investigators' Perceptions on Factors Associated with Successful Recruitment in Clinical Trials.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023
    Article
  18. Review
  19. 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

9 authors.

Yilu FangDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.ORCID 0000-0002-2681-1931
Betina IdnaySchool of Nursing, Columbia University, New York, New York, USA.ORCID 0000-0002-4318-5987
Yingcheng SunDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Hao LiuDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.ORCID 0000-0002-1975-1272
Zhehuan ChenDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Karen MarderDepartment of Neurology, Columbia University, New York, New York, USA.
Hua XuSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, Texas, USA.ORCID 0000-0002-5274-4672
Rebecca SchnallSchool of Nursing, Columbia University, New York, New York, USA.ORCID 0000-0003-2184-4045
Chunhua WengDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.ORCID 0000-0002-9624-0214

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Bridging the Semantic Gap Between Research Eligibility Criteria and Clinical DataR01LM009886 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WENG, CHUNHUA · 2009 to 2020
$5.3M
Translator Red Knowledge (TReK)OT2TR003434 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DUMONTIER, MICHEL, TA, CASEY NGHIA · 2020 to 2024
$2.3M
Mentoring and Research in Self-Management for Health Promotion and Disease PreventionK24NR018621 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCHNALL, REBECCA · 2019 to 2022
$384k
Improving Eligibility Prescreening for Alzheimer's Disease and Related Dementias Clinical Trials with Natural Language ProcessingR36HS028752 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI IDNAY, BETINA ROSS SALDUA · 2022 to 2022
$21k
AHRQ HHS R36 HS028752NCATS NIH HHS OT2 TR003434NCATS NIH HHS UL1 TR001873NINR NIH HHS K24 NR018621NINR NIH HHS T32 NR007969NLM NIH HHS R01 LM009886
6 · The paper itself

Abstract

objectiveTo combine machine efficiency and human intelligence for converting complex clinical trial eligibility criteria text into cohort queries. MATERIALS AND

methodsCriteria2Query (C2Q) 2.0 was developed to enable real-time user intervention for criteria selection and simplification, parsing error correction, and concept mapping. The accuracy, precision, recall, and F1 score of enhanced modules for negation scope detection, temporal and value normalization were evaluated using a previously curated gold standard, the annotated eligibility criteria of 1010 COVID-19 clinical trials. The usability and usefulness were evaluated by 10 research coordinators in a task-oriented usability evaluation using 5 Alzheimer's disease trials. Data were collected by user interaction logging, a demographic questionnaire, the Health Information Technology Usability Evaluation Scale (Health-ITUES), and a feature-specific questionnaire.

resultsThe accuracies of negation scope detection, temporal and value normalization were 0.924, 0.916, and 0.966, respectively. C2Q 2.0 achieved a moderate usability score (3.84 out of 5) and a high learnability score (4.54 out of 5). On average, 9.9 modifications were made for a clinical study. Experienced researchers made more modifications than novice researchers. The most frequent modification was deletion (5.35 per study). Furthermore, the evaluators favored cohort queries resulting from modifications (score 4.1 out of 5) and the user engagement features (score 4.3 out of 5). DISCUSSION AND

conclusionFeatures to engage domain experts and to overcome the limitations in automated machine output are shown to be useful and user-friendly. We concluded that human-computer collaboration is key to improving the adoption and user-friendliness of natural language processing.

Indexed as

COVID-19Artificial IntelligenceEligibility DeterminationHumansNatural Language ProcessingPatient Selectioncohort identificationeligibility prescreeninghuman–computer collaborationinformatics

Identifiers

PMID35426943
PMCPMC9196697

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.