Evidence map›Paper›PMID 35579348›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

dPQL: a lossless distributed algorithm for generalized linear mixed model with application to privacy-preserving hospital profiling.

Chongliang Luo, Md Nazmul Islam, Natalie E Sheils, John Buresh, Martijn J Schuemie, Jalpa A Doshi, Rachel M Werner, David A Asch, Yong Chen

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Article
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  8. Centralized and Federated Models for the Analysis of Clinical Data.Annual review of biomedical data science · 2024
    Review
  9. Article
  10. Article
  11. A Review of Privacy Enhancement Methods for Federated Learning in Healthcare Systems.International journal of environmental research and public health · 2023
    Review
  12. Article
  13. Article
  14. The imperative of applying ethical perspectives to biomedical and health informatics.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  15. Article
  16. Article
  17. 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.

Chongliang LuoDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Md Nazmul IslamOptumLabs, Minnetonka, Minnesota, USA.
Natalie E SheilsOptumLabs, Minnetonka, Minnesota, USA.
John BureshOptumLabs, Minnetonka, Minnesota, USA.
Martijn J SchuemieJanssen Research and Development LLC, Titusville, New Jersey, USA.
Jalpa A DoshiDivision of General Internal Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Rachel M WernerDivision of General Internal Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
David A AschDivision of General Internal Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Yong ChenDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-0835-0788

Funding

Patient-Centered Outcomes Research InstitutePatient-Centered Outcomes Research Institute (PCORI) Project Program Award ME-2019C3-18315PCORI, its Board of Governors or Methodology Committee
6 · The paper itself

Abstract

objectiveTo develop a lossless distributed algorithm for generalized linear mixed model (GLMM) with application to privacy-preserving hospital profiling. MATERIALS AND

methodsThe GLMM is often fitted to implement hospital profiling, using clinical or administrative claims data. Due to individual patient data (IPD) privacy regulations and the computational complexity of GLMM, a distributed algorithm for hospital profiling is needed. We develop a novel distributed penalized quasi-likelihood (dPQL) algorithm to fit GLMM when only aggregated data, rather than IPD, can be shared across hospitals. We also show that the standardized mortality rates, which are often reported as the results of hospital profiling, can also be calculated distributively without sharing IPD. We demonstrate the applicability of the proposed dPQL algorithm by ranking 929 hospitals for coronavirus disease 2019 (COVID-19) mortality or referral to hospice that have been previously studied.

resultsThe proposed dPQL algorithm is mathematically proven to be lossless, that is, it obtains identical results as if IPD were pooled from all hospitals. In the example of hospital profiling regarding COVID-19 mortality, the dPQL algorithm reached convergence with only 5 iterations, and the estimation of fixed effects, random effects, and mortality rates were identical to that of the PQL from pooled data.

conclusionThe dPQL algorithm is lossless, privacy-preserving and fast-converging for fitting GLMM. It provides an extremely suitable and convenient distributed approach for hospital profiling.

Indexed as

COVID-19PrivacyAlgorithmsHospitalsHumansLikelihood Functionsdistributed penalized quasi-likelihood algorithmfederated learninggeneralized linear mixed modelhospital profilingprivacy-preserving

Identifiers

PMID35579348
PMCPMC9277633

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.