Evidence map›Paper›PMID 36512578›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2023

Combining text mining with clinical decision support in clinical practice: a scoping review.

Britt W M van de Burgt, Arthur T M Wasylewicz, Bjorn Dullemond, Rene J E Grouls, Toine C G Egberts, Arthur Bouwman, Erik M M Korsten

Open access · bronzeAbstract readScoping Review
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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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

7 authors at 3 institutions in 1 country.

Britt W M van de BurgtDepartment Healthcare Intelligence, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.ORCID 0000-0002-6882-3586
Arthur T M WasylewiczDepartment Healthcare Intelligence, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.ORCID 0000-0002-7900-3583
Bjorn DullemondDepartment of Mathematics and Computer Science, Technical University of Eindhoven, Eindhoven, The Netherlands.
Rene J E GroulsDepartment of Clinical Pharmacy, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Toine C G EgbertsDepartment of Clinical Pharmacy, University Medical Centre Utrecht, Utrecht, the Netherlands.
Arthur BouwmanDepartment of Electrical Engineering, Signal Processing Group, Technical University Eindhoven, Eindhoven, The Netherlands.
Erik M M KorstenDepartment Healthcare Intelligence, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
Radboud University Nijmegen · NLEindhoven University of Technology · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCombining text mining (TM) and clinical decision support (CDS) could improve diagnostic and therapeutic processes in clinical practice. This review summarizes current knowledge of the TM-CDS combination in clinical practice, including their intended purpose, implementation in clinical practice, and barriers to such implementation. MATERIALS AND

methodsA search was conducted in PubMed, EMBASE, and Cochrane Library databases to identify full-text English language studies published before January 2022 with TM-CDS combination in clinical practice.

resultsOf 714 identified and screened unique publications, 39 were included. The majority of the included studies are related to diagnosis (n = 26) or prognosis (n = 11) and used a method that was developed for a specific clinical domain, document type, or application. Most of the studies selected text containing parts of the electronic health record (EHR), such as reports (41%, n = 16) and free-text narratives (36%, n = 14), and 23 studies utilized a tool that had software "developed for the study". In 15 studies, the software source was openly available. In 79% of studies, the tool was not implemented in clinical practice. Barriers to implement these tools included the complexity of natural language, EHR incompleteness, validation and performance of the tool, lack of input from an expert team, and the adoption rate among professionals. DISCUSSION/

conclusionsThe available evidence indicates that the TM-CDS combination may improve diagnostic and therapeutic processes, contributing to increased patient safety. However, further research is needed to identify barriers to implementation and the impact of such tools in clinical practice.

Indexed as

Decision Support Systems, ClinicalData MiningElectronic Health RecordsHumansNatural Language ProcessingSoftwareCDSelectronic health recordfree-textNLPtext mining

Identifiers

PMID36512578
PMCPMC9933076
OpenAlexW4311280716

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.