Evidence map›Paper›PMID 41040680›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Epidemiologic Method Review at Scale: Assessing Charlson Comorbidity Versioning Using a Large Language Model.

Joshua T Fuchs, Cara Johnson, Nathan Foster, Peter J Leese

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Joshua T FuchsUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0003-2775-3304
Cara JohnsonUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Nathan FosterUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Peter J LeeseUniversity of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0001-9730-1675

Funding

North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
NCATS NIH HHS UM1 TR004406
6 · The paper itself

Abstract

The Charlson Comorbidity Index (CCI) is widely used in epidemiologic studies. However, many versions of the CCI have been developed since the original method was published in 1987, and it is unclear which version is used most frequently and how version utilization in research has changed over time. We present an approach using a large language model to extract data from articles by detecting which specific CCI version is employed. We analyzed 31,767 articles published since 2012 to evaluate the landscape of CCI implementation. We show that 63% of articles that cite a single method version cite only the original CCI publication, which cannot be applied in the modern real-world data era, leading to ambiguity in actual CCI implementation. More generally, this paper introduces a generalizable approach to scaling methods literature review beyond typical human-review, which we validate and demonstrate through application to the CCI.

Identifiers

PMID41040680
PMCPMC12485990

What OpenQuestion holds

Textmetadata
LicenceCC BY-ND
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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.