Evidence map›Paper›PMID 38598532›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2024

PresRecST: a novel herbal prescription recommendation algorithm for real-world patients with integration of syndrome differentiation and treatment planning.

Xin Dong, Chenxi Zhao, Xinpeng Song, Lei Zhang, Yu Liu, Jun Wu, Yiran Xu, Ning Xu, Jialing Liu, Haibin Yu and 2 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Xin DongBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.ORCID 0000-0002-1414-9354
Chenxi ZhaoBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.
Xinpeng SongBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.
Lei ZhangNational Data Center of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Yu LiuBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.
Jun WuBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.
Yiran XuDepartment of Computer Science, Cornell University, New York, NY 14853, United States.
Ning XuNational Data Center of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Jialing LiuBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.
Haibin YuThe First Affiliated Hospital, Henan University of Chinese Medicine, Zhengzhou 450000, China.
Kuo YangBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.
Xuezhong ZhouBeijing Key Lab of Traffic Data Analysis and Mining, Institute of Medical Intelligence, School of Computer Science & Technology, Beijing Jiaotong University, Beijing 100044, China.

Funding

Key R&D Program Project of Ningxia Hui Autonomous Region 2022BEG02036National Key Research and Development Program 2023YFC3502604National Natural Science Foundation of China 82374302Natural Science Foundation of Beijing L232033Sanming Project of Medicine in Shenzhen SZZYSM202311002
6 · The paper itself

Abstract

objectivesHerbal prescription recommendation (HPR) is a hot topic and challenging issue in field of clinical decision support of traditional Chinese medicine (TCM). However, almost all previous HPR methods have not adhered to the clinical principles of syndrome differentiation and treatment planning of TCM, which has resulted in suboptimal performance and difficulties in application to real-world clinical scenarios. MATERIALS AND

methodsWe emphasize the synergy among diagnosis and treatment procedure in real-world TCM clinical settings to propose the PresRecST model, which effectively combines the key components of symptom collection, syndrome differentiation, treatment method determination, and herb recommendation. This model integrates a self-curated TCM knowledge graph to learn the high-quality representations of TCM biomedical entities and performs 3 stages of clinical predictions to meet the principle of systematic sequential procedure of TCM decision making.

resultsTo address the limitations of previous datasets, we constructed the TCM-Lung dataset, which is suitable for the simultaneous training of the syndrome differentiation, treatment method determination, and herb recommendation. Overall experimental results on 2 datasets demonstrate that the proposed PresRecST outperforms the state-of-the-art algorithm by significant improvements (eg, improvements of P@5 by 4.70%, P@10 by 5.37%, P@20 by 3.08% compared with the best baseline). DISCUSSION: The workflow of PresRecST effectively integrates the embedding vectors of the knowledge graph for progressive recommendation tasks, and it closely aligns with the actual diagnostic and treatment procedures followed by TCM doctors. A series of ablation experiments and case study show the availability and interpretability of PresRecST, indicating the proposed PresRecST can be beneficial for assisting the diagnosis and treatment in real-world TCM clinical settings.

conclusionOur technology can be applied in a progressive recommendation scenario, providing recommendations for related items in a progressive manner, which can assist in providing more reliable diagnoses and herbal therapies for TCM clinical task.

Indexed as

AlgorithmsDrugs, Chinese HerbalMedicine, Chinese TraditionalDatasets as TopicDecision Support Systems, ClinicalDiagnosis, DifferentialDrug PrescriptionsHumansSyndromeDrugs, Chinese Herbaldeep neural networkprogressive herbal recommendationreal-world clinical decision supportsyndrome differentiationtreatment method determination

Identifiers

PMID38598532
PMCPMC11105127

What OpenQuestion holds

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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.