Evidence map›Paper›PMID 35937421›Full record

ArticleFrontiers in digital health2022

A method to advance adolescent sexual health research: Automated algorithm finds sexual history documentation.

Caryn Robertson, Gargi Mukherjee, Holly Gooding, Swaminathan Kandaswamy, Evan Orenstein

Abstract read
In one paragraph

Article in Frontiers in digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Caryn RobertsonDepartment of Pediatrics, Emory University, Atlanta, GA, United States.
Gargi MukherjeeDepartment of Pediatrics, Emory University, Atlanta, GA, United States.
Holly GoodingDepartment of Pediatrics, Emory University, Atlanta, GA, United States.
Swaminathan KandaswamyDepartment of Pediatrics, Emory University, Atlanta, GA, United States.
Evan OrensteinDepartment of Pediatrics, Emory University, Atlanta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We aimed to develop and validate a rule-based Natural Language Processing (NLP) algorithm to detect sexual history documentation and its five key components [partners, practices, past history of sexually transmitted infections (STIs), protection from STIs, and prevention of pregnancy] among adolescent encounters in the pediatric emergency and inpatient settings. Methods: We iteratively designed a NLP algorithm using pediatric emergency department (ED) provider notes from adolescent ED visits with specific abdominal or genitourinary (GU) chief complaints. The algorithm is composed of regular expressions identifying commonly used phrases in sexual history documentation. We validated this algorithm with inpatient admission notes for adolescents. We calculated the sensitivity, specificity, negative predictive value, positive predictive value, and F1 score of the tool in each environment using manual chart review as the gold standard. Results: In the ED test cohort with abdominal or GU complaints, 97/179 (54%) provider notes had a sexual history documented, and the NLP algorithm correctly classified each note. In the inpatient validation cohort, 97/321 (30%) admission notes included a sexual history, and the NLP algorithm had 100% sensitivity and 98.2% specificity. The algorithm demonstrated >97% sensitivity and specificity in both settings for detection of elements of a high quality sexual history including protection used and contraception. Type of sexual practice and STI testing offered were also detected with >97% sensitivity and specificity in the ED test cohort with slightly lower performance in the inpatient validation cohort. Conclusion: This NLP algorithm automatically detects the presence of sexual history documentation and its key components in ED and inpatient settings.

Indexed as

adolescentfree textnatural language processing (computer science)regular expression (regex)sexual healthsexually transmitted infections

Identifiers

PMID35937421
PMCPMC9354080

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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.