Evidence map›Paper›PMID 37293237›Full record

ArticleFrontiers in artificial intelligence2023

Assessing longitudinal housing status using Electronic Health Record data: a comparison of natural language processing, structured data, and patient-reported history.

Alec B Chapman, Kristina Cordasco, Stephanie Chassman, Talia Panadero, Dylan Agans, Nicholas Jackson, Kimberly Clair, Richard Nelson, Ann Elizabeth Montgomery, Jack Tsai and 2 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in artificial intelligence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  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

12 authors at 5 institutions in 1 country.

Alec B ChapmanInformatics, Decision-Enhancement and Analytic Sciences (IDEAS) Center, Salt Lake City Veterans Affairs Healthcare System, Salt Lake City, UT, United States.
Kristina CordascoCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, United States.
Stephanie ChassmanCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, United States.
Talia PanaderoCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, United States.
Dylan AgansCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, United States.
Nicholas JacksonCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, United States.
Kimberly ClairCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, United States.
Richard NelsonInformatics, Decision-Enhancement and Analytic Sciences (IDEAS) Center, Salt Lake City Veterans Affairs Healthcare System, Salt Lake City, UT, United States.
Ann Elizabeth MontgomeryUnited States Department of Veteran Affairs, Birmingham Veterans Affairs Health Care System, Birmingham, AL, United States.
Jack TsaiNational Homeless Programs Office, United States Department of Veterans Affairs, Washington, DC, United States.
Erin FinleyUnited States Department of Veteran Affairs, Birmingham Veterans Affairs Health Care System, Birmingham, AL, United States.
Sonya GabrielianCenter for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA, United States.
Center for the Study of Healthcare Provider Behavior · USBirmingham VA Medical Center · USUniversity of Utah · USUnited States Department of Veterans Affairs · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Measuring long-term housing outcomes is important for evaluating the impacts of services for individuals with homeless experience. However, assessing long-term housing status using traditional methods is challenging. The Veterans Affairs (VA) Electronic Health Record (EHR) provides detailed data for a large population of patients with homeless experiences and contains several indicators of housing instability, including structured data elements (e.g., diagnosis codes) and free-text clinical narratives. However, the validity of each of these data elements for measuring housing stability over time is not well-studied. Methods: We compared VA EHR indicators of housing instability, including information extracted from clinical notes using natural language processing (NLP), with patient-reported housing outcomes in a cohort of homeless-experienced Veterans. Results: NLP achieved higher sensitivity and specificity than standard diagnosis codes for detecting episodes of unstable housing. Other structured data elements in the VA EHR showed promising performance, particularly when combined with NLP. Discussion: Evaluation efforts and research studies assessing longitudinal housing outcomes should incorporate multiple data sources of documentation to achieve optimal performance.

Indexed as

electronic health recordshomelessnessnatural language processingsocial determinants of healthveterans affairs

Identifiers

PMID37293237
PMCPMC10244644
OpenAlexW4377942467

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.