Evidence map›Paper›PMID 35576579›Full record

ReviewJMIR diabetes2022

Identifying Patients With Hypoglycemia Using Natural Language Processing: Systematic Literature Review.

Yaguang Zheng, Victoria Vaughan Dickson, Saul Blecker, Jason M Ng, Brynne Campbell Rice, Gail D'Eramo Melkus, Liat Shenkar, Marie Claire R Mortejo, Stephen B Johnson

Open access · goldAbstract readReview
In one paragraph

Review in JMIR diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. AI Quality Standards in Health Care: Rapid Umbrella Review.Journal of medical Internet research · 2024
    Pooled it
  2. Article
  3. Exploring Natural Language Processing through an Exemplar Using YouTube.International journal of environmental research and public health · 2024
    Article
  4. 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

9 authors at 3 institutions in 1 country.

Yaguang Zheng *Rory Meyers College of Nursing, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0002-8400-1398
Victoria Vaughan DicksonRory Meyers College of Nursing, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0002-6673-1960
Saul BleckerDepartment of Population Health, Grossman School of Medicine, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0003-4460-1046
Jason M NgDivision of Endocrinology and Metabolism, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.ORCID https://orcid.org/0000-0001-6733-0176
Brynne Campbell RiceDivision of Libraries, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0002-4396-9378
Gail D'Eramo MelkusRory Meyers College of Nursing, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0002-5859-4118
Liat ShenkarLehigh Valley Health Network, Lehigh Valley Reilly Children's Hospital, Allentown, PA, United States.ORCID https://orcid.org/0000-0002-4717-7239
Marie Claire R MortejoRory Meyers College of Nursing, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0003-2439-9135
Stephen B JohnsonDepartment of Population Health, Grossman School of Medicine, New York University, New York, NY, United States.ORCID https://orcid.org/0000-0002-7663-4355
New York University · USLehigh Valley Hospital-Pocono · USUniversity of Pittsburgh · US

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

backgroundAccurately identifying patients with hypoglycemia is key to preventing adverse events and mortality. Natural language processing (NLP), a form of artificial intelligence, uses computational algorithms to extract information from text data. NLP is a scalable, efficient, and quick method to extract hypoglycemia-related information when using electronic health record data sources from a large population.

objectiveThe objective of this systematic review was to synthesize the literature on the application of NLP to extract hypoglycemia from electronic health record clinical notes.

methodsLiterature searches were conducted electronically in PubMed, Web of Science Core Collection, CINAHL (EBSCO), PsycINFO (Ovid), IEEE Xplore, Google Scholar, and ACL Anthology. Keywords included hypoglycemia, low blood glucose, NLP, and machine learning. Inclusion criteria included studies that applied NLP to identify hypoglycemia, reported the outcomes related to hypoglycemia, and were published in English as full papers.

resultsThis review (n=8 studies) revealed heterogeneity of the reported results related to hypoglycemia. Of the 8 included studies, 4 (50%) reported that the prevalence rate of any level of hypoglycemia was 3.4% to 46.2%. The use of NLP to analyze clinical notes improved the capture of undocumented or missed hypoglycemic events using International Classification of Diseases, Ninth Revision (ICD-9), and International Classification of Diseases, Tenth Revision (ICD-10), and laboratory testing. The combination of NLP and ICD-9 or ICD-10 codes significantly increased the identification of hypoglycemic events compared with individual methods; for example, the prevalence rates of hypoglycemia were 12.4% for International Classification of Diseases codes, 25.1% for an NLP algorithm, and 32.2% for combined algorithms. All the reviewed studies applied rule-based NLP algorithms to identify hypoglycemia.

conclusionsThe findings provided evidence that the application of NLP to analyze clinical notes improved the capture of hypoglycemic events, particularly when combined with the ICD-9 or ICD-10 codes and laboratory testing.

Indexed as

diabeteselectronic health recordshypoglycemianatural language processing

Identifiers

PMID35576579
PMCPMC9152713
OpenAlexW4226069305

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.