Evidence map›Paper›PMID 36180844›Full record

Trial reportThe journal of headache and pain2022

Using natural language processing to automatically classify written self-reported narratives by patients with migraine or cluster headache.

Nicolas Vandenbussche, Cynthia Van Hee, Véronique Hoste, Koen Paemeleire

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in The journal of headache and pain, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05377437 (Natural Language Processing for Headache Medicine), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% 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.

NCT05377437 nacompletednot on this map

Natural Language Processing for Headache Medicine

TypeinterventionalSponsorUniversity Hospital, GhentRan2020 to 2023Enrolled187ConditionsMigraine, Headache DisordersArmsNatural Language Processing
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Capturing Patients' Lived Experiences with Chronic Pain through Motivational Interviewing and Information Extraction.Proceedings of the ... Workshop on Patient-Oriented Language Processing · 2025
    Article
  5. Review
  6. Application of Artificial Intelligence in the Headache Field.Current pain and headache reports · 2024
    Review
  7. Review
  8. Article
  9. Clinical Applications of Machine Learning.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

4 authors at 2 institutions in 1 country.

Nicolas VandenbusscheDepartment of Neurology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium. nicolas.vandenbussche@ugent.be.
Cynthia Van HeeLT3 - Language and Translation Technology Team, Department of Translation, Interpreting and Communication, Faculty of Arts and Philosophy, Ghent University, Groot-Brittanniëlaan 45, B-9000, Ghent, Belgium.
Véronique HosteLT3 - Language and Translation Technology Team, Department of Translation, Interpreting and Communication, Faculty of Arts and Philosophy, Ghent University, Groot-Brittanniëlaan 45, B-9000, Ghent, Belgium.
Koen PaemeleireDepartment of Neurology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Ghent University · BEGhent University Hospital · BE

Funding

Universitair Ziekenhuis Gent Fonds voor innovatie en klinisch onderzoek/2019/Vandenbussche
6 · The paper itself

Abstract

backgroundHeadache medicine is largely based on detailed history taking by physicians analysing patients' descriptions of headache. Natural language processing (NLP) structures and processes linguistic data into quantifiable units. In this study, we apply these digital techniques on self-reported narratives by patients with headache disorders to research the potential of analysing and automatically classifying human-generated text and information extraction in clinical contexts.

methodsA prospective cross-sectional clinical trial collected self-reported narratives on headache disorders from participants with either migraine or cluster headache. NLP was applied for the analysis of lexical, semantic and thematic properties of the texts. Machine learning (ML) algorithms were applied to classify the descriptions of headache attacks from individual participants into their correct group (migraine versus cluster headache).

resultsOne-hundred and twenty-one patients (81 participants with migraine and 40 participants with cluster headache) provided a self-reported narrative on their headache disorder. Lexical analysis of this text corpus resulted in several specific key words per diagnostic group (cluster headache: Dutch (nl): "oog" | English (en): "eye", nl: "pijn" | en: "pain" and nl: "terug" | en: "back/to come back"; migraine: nl: "hoofdpijn" | en: "headache", nl: "stress" | en: "stress" and nl: "misselijkheid" | en: "nausea"). Thematic and sentiment analysis of text revealed largely negative sentiment in texts by both patients with migraine and cluster headache. Logistic regression and support vector machine algorithms with different feature groups performed best for the classification of attack descriptions (with F1-scores for detecting cluster headache varying between 0.82 and 0.86) compared to naïve Bayes classifiers.

conclusionsDifferences in lexical choices between patients with migraine and cluster headache are detected with NLP and are congruent with domain expert knowledge of the disorders. Our research shows that ML algorithms have potential to classify patients' self-reported narratives of migraine or cluster headache with good performance. NLP shows its capability to discern relevant linguistic aspects in narratives from patients with different headache disorders and demonstrates relevance in clinical information extraction. The potential benefits on the classification performance of larger datasets and neural NLP methods can be investigated in the future.

trial registrationThis study was registered with clinicaltrials.gov with ID NCT05377437.

Indexed as

Cluster HeadacheMigraine DisordersBayes TheoremCross-Sectional StudiesHeadacheHumansNatural Language ProcessingProspective StudiesSelf ReportCluster headacheMachine learningMigraineNatural language processing

Identifiers

PMID36180844
PMCPMC9524092
OpenAlexW4298144341

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.