Evidence map›Paper›PMID 35673051›Full record

ArticleStudies in health technology and informatics2022

Natural Language Processing to Identify Abnormal Breast, Lung, and Cervical Cancer Screening Test Results from Unstructured Reports to Support Timely Follow-up.

Courtney J Diamond, John Laurentiev, Jie Yang, Amy Wint, Kimberly A Harris, Tin H Dang, Amrita Mecker, Emily B Carpenter, Anna N Tosteson, Adam Wright and 3 more

Abstract read
In one paragraph

Article in Studies in health technology and informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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  5. Review
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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

13 authors.

Courtney J DiamondDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
John LaurentievDepartment of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Jie YangDepartment of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Amy WintDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Kimberly A HarrisDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Tin H DangDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Amrita MeckerDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Emily B CarpenterDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Anna N TostesonThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, United States.
Adam WrightDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, United States.
Jennifer S HaasDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Steven J AtlasDepartment of General Internal Medicine, Massachusetts General Hospital, Boston, MA, United States.
Li ZhouDepartment of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, United States.

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
PROSPR METRICS CISNET Collaboration Investigating Impact of Structural Racism/Discrimination on Cervical Screening Moonshot SupplementUM1CA221940 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI CHUBAK, JESSICA, HAAS, JENNIFER S · 2018 to 2023
$15.9M
Promoting follow-up of abnormal cancer screening tests using population-basedsystems to support stepped care multilevel interventionU01CA225451 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI ATLAS, STEVEN J, HAAS, JENNIFER S · 2018 to 2022
$4.2M
NCI NIH HHS P30 CA023108NCI NIH HHS U01 CA225451NCI NIH HHS UM1 CA221940
6 · The paper itself

Abstract

Cancer screening and timely follow-up of abnormal results can reduce mortality. One barrier to follow-up is the failure to identify abnormal results. While EHRs have coded results for certain tests, cancer screening results are often stored in free-text reports, which limit capabilities for automated decision support. As part of the multilevel Follow-up of Cancer Screening (mFOCUS) trial, we developed and implemented a natural language processing (NLP) tool to assist with real-time detection of abnormal cancer screening test results (including mammograms, low-dose chest CT scans, and Pap smears) and identification of gynecological follow-up for higher risk abnormalities (i.e. colposcopy) from free-text reports. We demonstrate the integration and implementation of NLP, within the mFOCUS system, to improve the follow-up of abnormal cancer screening results in a large integrated healthcare system. The NLP pipelines have detected scenarios when guideline-recommended care was not delivered, in part because the provider mis-identified the text-based result reports.

Indexed as

Natural Language ProcessingUterine Cervical NeoplasmsEarly Detection of CancerFemaleFollow-Up StudiesHumansLungClinical decision supportEarly detection of cancerNatural language processing

Identifiers

PMID35673051
PMCPMC10792587

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Registered trials

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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.