Evidence map›Paper›PMID 39521935›Full record

ArticleNPJ digital medicine2024

Post-marketing surveillance of anticancer drugs using natural language processing of electronic medical records.

Yoshimasa Kawazoe, Kiminori Shimamoto, Tomohisa Seki, Masami Tsuchiya, Emiko Shinohara, Shuntaro Yada, Shoko Wakamiya, Shungo Imai, Satoko Hori, Eiji Aramaki

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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.

Yoshimasa KawazoeArtificial Intelligence and Digital Twin in Healthcare, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. kawazoe@m.u-tokyo.ac.jp.ORCID http://orcid.org/0000-0002-7277-0827
Kiminori ShimamotoArtificial Intelligence and Digital Twin in Healthcare, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Tomohisa SekiDepartment of Healthcare Information Management, The University of Tokyo Hospital, Tokyo, Japan.
Masami TsuchiyaDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.ORCID http://orcid.org/0000-0003-3846-0435
Emiko ShinoharaArtificial Intelligence and Digital Twin in Healthcare, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Shuntaro YadaDivision of Information Science, Graduate School of Science and Technology, Nara Institute of Science and Technology, Nara, Japan.ORCID http://orcid.org/0000-0002-6209-1054
Shoko WakamiyaDivision of Information Science, Graduate School of Science and Technology, Nara Institute of Science and Technology, Nara, Japan.
Shungo ImaiDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.
Satoko HoriDivision of Drug Informatics, Keio University Faculty of Pharmacy, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4596-5418
Eiji AramakiDivision of Information Science, Graduate School of Science and Technology, Nara Institute of Science and Technology, Nara, Japan.

Funding

MEXT | Japan Society for the Promotion of Science (JSPS) 23H03492MEXT | JST | Core Research for Evolutional Science and Technology (CREST) JPMJCR22N1
6 · The paper itself

Abstract

This study demonstrates that adverse events (AEs) extracted using natural language processing (NLP) from clinical texts reflect the known frequencies of AEs associated with anticancer drugs. Using data from 44,502 cancer patients at a single hospital, we identified cases prescribed anticancer drugs (platinum, PLT; taxane, TAX; pyrimidine, PYA) and compared them to non-treatment (NTx) group using propensity score matching. Over 365 days, AEs (peripheral neuropathy, PN; oral mucositis, OM; taste abnormality, TA; appetite loss, AL) were extracted from clinical text using an NLP tool. The hazard ratios (HRs) for the anticancer drugs were: PN, 1.15-1.95; OM, 3.11-3.85; TA, 3.48-4.71; and AL, 1.98-3.84; the HRs were significantly higher than that of the NTx group. Sensitivity analysis revealed that the HR for TA may have been underestimated; however, the remaining three types of AEs extracted from clinical text by NLP were consistently associated with the three anticancer drugs.

Identifiers

PMID39521935
PMCPMC11550814

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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.