Evidence map›Paper›PMID 36921288›Full record

Trial reportJournal of the American Medical Informatics Association : JAMIA2023

EvidenceMap: a three-level knowledge representation for medical evidence computation and comprehension.

Tian Kang, Yingcheng Sun, Jae Hyun Kim, Casey Ta, Adler Perotte, Kayla Schiffer, Mutong Wu, Yang Zhao, Nour Moustafa-Fahmy, Yifan Peng and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. A span-based model for extracting overlapping PICO entities from randomized controlled trial publications.Journal of the American Medical Informatics Association : JAMIA · 2024
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

11 authors at 2 institutions in 1 country.

Tian KangDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Yingcheng SunDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.ORCID 0000-0002-8693-5768
Jae Hyun KimDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Casey TaDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.ORCID 0000-0002-4679-805X
Adler PerotteDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.ORCID 0000-0002-6695-0282
Kayla SchifferDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Mutong WuDepartment of Statistics, Columbia University, New York, New York, USA.
Yang ZhaoDepartment of Statistics, Columbia University, New York, New York, USA.
Nour Moustafa-FahmyDepartment of Statistics, Columbia University, New York, New York, USA.
Yifan PengDepartment of Population Health Sciences, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0001-9309-8331
Chunhua WengDepartment of Biomedical Informatics, Columbia University, New York, New York, USA.
Columbia University · USCornell University · US

Funding

Bridging the Semantic Gap Between Research Eligibility Criteria and Clinical DataR01LM009886 · NLM · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WENG, CHUNHUA · 2009 to 2020
$5.3M
A framework to enhance radiology structured report by invoking NLP and DL: Models and ApplicationsR00LM013001 · NLM · WEILL MEDICAL COLL OF CORNELL UNIV · PI PENG, YIFAN · 2020 to 2022
$710k
NIH HHS 5R01LM009886-11NLM NIH HHS R00 LM013001NLM NIH HHS R01 LM009886
6 · The paper itself

Abstract

objectiveTo develop a computable representation for medical evidence and to contribute a gold standard dataset of annotated randomized controlled trial (RCT) abstracts, along with a natural language processing (NLP) pipeline for transforming free-text RCT evidence in PubMed into the structured representation. MATERIALS AND

methodsOur representation, EvidenceMap, consists of 3 levels of abstraction: Medical Evidence Entity, Proposition and Map, to represent the hierarchical structure of medical evidence composition. Randomly selected RCT abstracts were annotated following EvidenceMap based on the consensus of 2 independent annotators to train an NLP pipeline. Via a user study, we measured how the EvidenceMap improved evidence comprehension and analyzed its representative capacity by comparing the evidence annotation with EvidenceMap representation and without following any specific guidelines.

resultsTwo corpora including 229 disease-agnostic and 80 COVID-19 RCT abstracts were annotated, yielding 12 725 entities and 1602 propositions. EvidenceMap saves users 51.9% of the time compared to reading raw-text abstracts. Most evidence elements identified during the freeform annotation were successfully represented by EvidenceMap, and users gave the enrollment, study design, and study Results sections mean 5-scale Likert ratings of 4.85, 4.70, and 4.20, respectively. The end-to-end evaluations of the pipeline show that the evidence proposition formulation achieves F1 scores of 0.84 and 0.86 in the adjusted random index score.

conclusionsEvidenceMap extends the participant, intervention, comparator, and outcome framework into 3 levels of abstraction for transforming free-text evidence from the clinical literature into a computable structure. It can be used as an interoperable format for better evidence retrieval and synthesis and an interpretable representation to efficiently comprehend RCT findings.

Indexed as

ComprehensionCOVID-19HumansNatural Language ProcessingPubMedcorpus annotationevidence-based medicineknowledge representationmedical literature analysis and retrieval systemnatural language processingrandomized controlled trial

Identifiers

PMID36921288
PMCPMC10198523
OpenAlexW4324321244

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.