Evidence map›Paper›PMID 36268128›Full record

ArticleProceedings of COLING. International Conference on Computational Linguistics2022

Summarizing Patients' Problems from Hospital Progress Notes Using Pre-trained Sequence-to-Sequence Models.

Yanjun Gao, Timothy Miller, Dongfang Xu, Dmitriy Dligach, Matthew M Churpek, Majid Afshar

Abstract read
In one paragraph

Article in Proceedings of COLING. International Conference on Computational Linguistics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Toward Complete Hospital Discharge Summarization with Abstract Meaning Representation.Proceedings. IEEE International Conference on Healthcare Informatics · 2026
    Article
  4. Large Language Models with Temporal Reasoning for Longitudinal Clinical Summarization and Prediction.Findings of ACL. EMNLP. Conference on Empirical Methods in Natural Language Processing · 2025
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  6. Evaluating the effectiveness of biomedical fine-tuning for large language models on clinical tasks.Journal of the American Medical Informatics Association : JAMIA · 2025
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  12. Article
  13. Potential of Large Language Models in Health Care: Delphi Study.Journal of medical Internet research · 2024
    Article
  14. The Future Role of Generative Artificial Intelligence (AI) in Medicine.Journal of clinical practice and research · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. A method to automate the discharge summary hospital course for neurology patients.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  20. 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

6 authors.

Yanjun GaoICU Data Science Lab, School of Medicine and Public Health, University of Wisconsin-Madison.
Timothy MillerBoston Children's Hospital, and Harvard Medical School.
Dongfang XuBoston Children's Hospital, and Harvard Medical School.
Dmitriy DligachLoyola University Chicago.
Matthew M ChurpekICU Data Science Lab, School of Medicine and Public Health, University of Wisconsin-Madison.
Majid AfsharICU Data Science Lab, School of Medicine and Public Health, University of Wisconsin-Madison.

Funding

Temporal relation discovery for clinical textR01LM010090 · NLM · BOSTON CHILDREN'S HOSPITAL · PI MARTIN, JAMES H., SAVOVA, GUERGANA K. · 2010 to 2022
$7.1M
Data Driven Strategies for Substance Misuse Identification in Hospitalized PatientsR01DA051464 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI Majid Afshar · 2020 to 2026
$4.5M
Learning Universal Patient Representations with Hierarchical TransformersR01LM012973 · NLM · BOSTON CHILDREN'S HOSPITAL · PI Timothy A Miller · 2019 to 2026
$3.5M
Using causal machine learning for personalized treatment recommendations in critically ill patientsR01HL157262 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI Matthew Michael Churpek · 2021 to 2026
$3.1M
Sepsis Early Prediction and Subphenotype Illumination Study (SEPSIS)R35GM145330 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Matthew Michael Churpek · 2022 to 2026
$1.9M
Automated domain adaptation for clinical natural language processingR01LM012918 · NLM · BOSTON CHILDREN'S HOSPITAL · PI MILLER, TIMOTHY A · 2018 to 2020
$1.2M
NHLBI NIH HHS R01 HL157262NIDA NIH HHS R01 DA051464NIGMS NIH HHS R35 GM145330NLM NIH HHS R01 LM010090NLM NIH HHS R01 LM012918NLM NIH HHS R01 LM012973
6 · The paper itself

Abstract

Automatically summarizing patients' main problems from daily progress notes using natural language processing methods helps to battle against information and cognitive overload in hospital settings and potentially assists providers with computerized diagnostic decision support. Problem list summarization requires a model to understand, abstract, and generate clinical documentation. In this work, we propose a new NLP task that aims to generate a list of problems in a patient's daily care plan using input from the provider's progress notes during hospitalization. We investigate the performance of T5 and BART, two state-of-the-art seq2seq transformer architectures, in solving this problem. We provide a corpus built on top of progress notes from publicly available electronic health record progress notes in the Medical Information Mart for Intensive Care (MIMIC)-III. T5 and BART are trained on general domain text, and we experiment with a data augmentation method and a domain adaptation pre-training method to increase exposure to medical vocabulary and knowledge. Evaluation methods include ROUGE, BERTScore, cosine similarity on sentence embedding, and F-score on medical concepts. Results show that T5 with domain adaptive pre-training achieves significant performance gains compared to a rule-based system and general domain pre-trained language models, indicating a promising direction for tackling the problem summarization task.

Identifiers

PMID36268128
PMCPMC9581107

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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.