Evidence map›Paper›PMID 40789734›Full record

ArticleAnnual review of biomedical data science2025

Leveraging Unstructured Data in Electronic Health Records to Detect Adverse Events from Pediatric Drug Use: A Scoping Review.

Su Golder, Karen O'Connor, Guillermo Lopez-Garcia, Nicholas P Tatonetti, Graciela Gonzalez-Hernandez

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Annual review of biomedical data science, 2025. 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
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Su GolderDepartment of Health Sciences, University of York, York, United Kingdom; email: su.golder@york.ac.uk.
Karen O'ConnorDepartment of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Guillermo Lopez-GarciaDepartment of Computational Biomedicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Nicholas P TatonettiDepartment of Computational Biomedicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Graciela Gonzalez-HernandezDepartment of Computational Biomedicine, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Funding

Social Media Mining for PharmacovigilanceR01LM011176 · NLM · UNIVERSITY OF PENNSYLVANIA · PI GONZALEZ HERNANDEZ, GRACIELA, SHEN, LI · 2012 to 2021
$4.5M
Comprehensive Pediatric Phenotyping for Evidence-Based Diagnosis in Genetic DiseaseK08HD111688 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Ian Morgan Campbell · 2023 to 2026
$595k
NICHD NIH HHS K08 HD111688NLM NIH HHS R01 LM011176
6 · The paper itself

Abstract

Adverse drug events (ADEs) in pediatric populations pose significant public health challenges, yet research on their detection and monitoring remains limited. This scoping review evaluates the use of unstructured data from electronic health records (EHRs) to identify ADEs in children. We searched six databases, including MEDLINE, Embase, and IEEE Xplore, in September 2024. From 984 records, only nine studies met our inclusion criteria, indicating a significant gap in research toward identifying ADEs in children. We found that unstructured data in EHRs can indeed be of value and enhance pediatric pharmacovigilance, although their use has been so far very limited. Traditional natural language processing methods have been employed to extract ADEs, but the approaches utilized face challenges in generalizability and context interpretation. These challenges could be addressed with recent advances in transformer-based models and large language models, unlocking the use of EHR data at scale for pediatric pharmacovigilance.

Indexed as

Drug-Related Side Effects and Adverse ReactionsElectronic Health RecordsPharmacovigilanceAdverse Drug Reaction Reporting SystemsChildHumansNatural Language Processingadverse eventselectronic health recordspediatricsunstructured data

What OpenQuestion holds

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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.