Evidence map›Paper›PMID 37925519›Full record

ArticleCommunications medicine2023

Artificial intelligence exceeds humans in epidemiological job coding.

Mathijs A Langezaal, Egon L van den Broek, Susan Peters, Marcel Goldberg, Grégoire Rey, Melissa C Friesen, Sarah J Locke, Nathaniel Rothman, Qing Lan, Roel C H Vermeulen

Abstract read
In one paragraph

Article in Communications medicine, 2023. 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
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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

10 authors.

Mathijs A LangezaalPopulation-Based Epidemiological Cohorts Unit UMS11, INSERM, 16 Avenue Paul Vaillant Couturier, Paris, 94807, Villejuif, France. m.a.langezaal@uu.nl.ORCID http://orcid.org/0000-0001-9978-9598
Egon L van den BroekDepartment of Information and Computing Sciences, Utrecht University, Princetonplein 5, Utrecht, 3584CC, Utrecht, The Netherlands. vandenbroek@acm.org.ORCID http://orcid.org/0000-0002-2017-0141
Susan PetersInstitute for Risk Assessment Sciences, Utrecht University, Yalelaan 1, Utrecht, 3584CL, Utrecht, The Netherlands.
Marcel GoldbergPopulation-Based Epidemiological Cohorts Unit UMS11, INSERM, 16 Avenue Paul Vaillant Couturier, Paris, 94807, Villejuif, France.ORCID http://orcid.org/0000-0002-6161-5880
Grégoire ReyCenter for Epidemiology on Medical Causes of Death (CépiDc), INSERM, Le Kremlin-Bicêtre, France.ORCID http://orcid.org/0000-0001-7291-9444
Melissa C FriesenOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Sarah J LockeOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Nathaniel RothmanOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Qing LanOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-0888-8839
Roel C H VermeulenInstitute for Risk Assessment Sciences, Utrecht University, Yalelaan 1, Utrecht, 3584CL, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-4082-8163

Funding

Agence Nationale de la Recherche (French National Research Agency) ANR-11-INBS-0002Agence Nationale de Sécurité Sanitaire de l'Alimentation, de l'Environnement et du Travail (ANSES) PNR EST-2018/1/106EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 874703Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Netherlands Organisation for Scientific Research) 024.004.017ZonMw (Netherlands Organisation for Health Research and Development) 85200001ZonMw (Netherlands Organisation for Health Research and Development) 85500003
6 · The paper itself

Abstract

backgroundWork circumstances can substantially negatively impact health. To explore this, large occupational cohorts of free-text job descriptions are manually coded and linked to exposure. Although several automatic coding tools have been developed, accurate exposure assessment is only feasible with human intervention.

methodsWe developed OPERAS, a customizable decision support system for epidemiological job coding. Using 812,522 entries, we developed and tested classification models for the Professions et Catégories Socioprofessionnelles (PCS)2003, Nomenclature d'Activités Française (NAF)2008, International Standard Classifications of Occupation (ISCO)-88, and ISCO-68. Each code comes with an estimated correctness measure to identify instances potentially requiring expert review. Here, OPERAS' decision support enables an increase in efficiency and accuracy of the coding process through code suggestions. Using the Formaldehyde, Silica, ALOHA, and DOM job-exposure matrices, we assessed the classification models' exposure assessment accuracy.

resultsWe show that, using expert-coded job descriptions as gold standard, OPERAS realized a 0.66-0.84, 0.62-0.81, 0.60-0.79, and 0.57-0.78 inter-coder reliability (in Cohen's Kappa) on the first, second, third, and fourth coding levels, respectively. These exceed the respective inter-coder reliability of expert coders ranging 0.59-0.76, 0.56-0.71, 0.46-0.63, 0.40-0.56 on the same levels, enabling a 75.0-98.4% exposure assessment accuracy and an estimated 19.7-55.7% minimum workload reduction.

conclusionsOPERAS secures a high degree of accuracy in occupational classification and exposure assessment of free-text job descriptions, substantially reducing workload. As such, OPERAS significantly outperforms both expert coders and other current coding tools. This enables large-scale, efficient, and effective exposure assessment securing healthy work conditions.

Identifiers

PMID37925519
PMCPMC10625577

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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.