Evidence map›Paper›PMID 36460656›Full record

ArticleNature communications2022

Deciphering clinical abbreviations with a privacy protecting machine learning system.

Alvin Rajkomar, Eric Loreaux, Yuchen Liu, Jonas Kemp, Benny Li, Ming-Jun Chen, Yi Zhang, Afroz Mohiuddin, Juraj Gottweis

Abstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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.

Alvin Rajkomar *Google, Mountain View, CA, USA. alvinrajkomar@google.com.ORCID 0000-0001-5750-5016
Eric Loreaux *Google, Mountain View, CA, USA.
Yuchen LiuGoogle, Mountain View, CA, USA.
Jonas KempGoogle, Mountain View, CA, USA.
Benny LiGoogle, Mountain View, CA, USA.
Ming-Jun ChenGoogle, Mountain View, CA, USA.
Yi ZhangGoogle, Mountain View, CA, USA.
Afroz MohiuddinGoogle, Mountain View, CA, USA.ORCID 0000-0002-6310-7660
Juraj GottweisGoogle, Mountain View, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physicians write clinical notes with abbreviations and shorthand that are difficult to decipher. Abbreviations can be clinical jargon (writing "HIT" for "heparin induced thrombocytopenia"), ambiguous terms that require expertise to disambiguate (using "MS" for "multiple sclerosis" or "mental status"), or domain-specific vernacular ("cb" for "complicated by"). Here we train machine learning models on public web data to decode such text by replacing abbreviations with their meanings. We report a single translation model that simultaneously detects and expands thousands of abbreviations in real clinical notes with accuracies ranging from 92.1%-97.1% on multiple external test datasets. The model equals or exceeds the performance of board-certified physicians (97.6% vs 88.7% total accuracy). Our results demonstrate a general method to contextually decipher abbreviations and shorthand that is built without any privacy-compromising data.

Indexed as

Multiple SclerosisPhysiciansThrombocytopeniaHumansMachine LearningPrivacyWriting

Identifiers

PMID36460656
PMCPMC9718734

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.