Evidence map›Paper›PMID 38717430›Full record

ArticleAmyotrophic lateral sclerosis & frontotemporal degeneration2024

What do you think caused your ALS? An analysis of the CDC national amyotrophic lateral sclerosis patient registry qualitative risk factor data using artificial intelligence and qualitative methodology.

Danielle Boyce, Jaime Raymond, Theodore C Larson, Eddie Kirkland, D Kevin Horton, Paul Mehta

Abstract read
In one paragraph

Article in Amyotrophic lateral sclerosis & frontotemporal degeneration, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Danielle BoyceCenter for Quantitative Methods and Data Science, Institute for Clinical Research and Health Policy Studies, Tufts University School of Medicine, Boston, MA, USA.
Jaime RaymondCenters for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry, Office of Innovation and Analytics, National ALS Registry (CDC/ATSDR), Atlanta, GA, USA, and.
Theodore C LarsonCenters for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry, Office of Innovation and Analytics, National ALS Registry (CDC/ATSDR), Atlanta, GA, USA, and.
Eddie KirklandICF, Inc., Atlanta, GA, USA.
D Kevin HortonCenters for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry, Office of Innovation and Analytics, National ALS Registry (CDC/ATSDR), Atlanta, GA, USA, and.
Paul MehtaCenters for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry, Office of Innovation and Analytics, National ALS Registry (CDC/ATSDR), Atlanta, GA, USA, and.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveAmyotrophic lateral sclerosis (ALS) is an incurable, progressive neurodegenerative disease with a significant health burden and poorly understood etiology. This analysis assessed the narrative responses from 3,061 participants in the Centers for Disease Control and Prevention's National ALS Registry who answered the question, "What do you think caused your ALS?"

methodsData analysis used qualitative methods and artificial intelligence (AI) using natural language processing (NLP), specifically, Bidirectional Encoder Representations from Transformers (BERT) to explore responses regarding participants' perceptions of the cause of their disease.

resultsBoth qualitative and AI analysis methods revealed several, often aligned themes, which pointed to perceived causes including genetic, environmental, and military exposures. However, the qualitative analysis revealed detailed themes and subthemes, providing a more comprehensive understanding of participants' perceptions. Although there were areas of alignment between AI and qualitative analysis, AI's broader categories did not capture the nuances discovered using the more traditional, qualitative approach. The qualitative analysis also revealed that the potential causes of ALS were described within narratives that sometimes indicate self-blame and other maladaptive coping mechanisms.

conclusionsThis analysis highlights the diverse range of factors that individuals with ALS consider as perceived causes for their disease. Understanding these perceptions can help clinicians to better support people living with ALS (PLWALS). The analysis highlights the benefits of using traditional qualitative methods to supplement or improve upon AI-based approaches. This rapidly evolving area of data science has the potential to remove barriers to accessing the rich narratives of people with lived experience.

Indexed as

Amyotrophic Lateral SclerosisArtificial IntelligenceRegistriesAdultAgedCenters for Disease Control and Prevention, U.S.FemaleHumansMaleMiddle AgedNatural Language ProcessingQualitative ResearchRisk FactorsUnited StatesAmyotrophic lateral sclerosisartificial intelligencelived experiencenatural language processingqualitative studyreal world evidence

Identifiers

PMID38717430
PMCPMC11299519

What OpenQuestion holds

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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.