Evidence map›Paper›PMID 42518718›Full record

ArticleESMO real world data and digital oncology2026

Applying clinical natural language processing to lung cancer in Spain: a terminology-based panel approach.

A Ospina-Serrano, A Azkárate, S Ramírez-Peinado, A Rashid, H-K Vollan, S Jones, S Menke, R Martín, F González, M Posso and 1 more

Abstract read
In one paragraph

Article in ESMO real world data and digital oncology, 2026. 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

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

A Ospina-SerranoDepartment of Medical Oncology, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
A AzkárateDepartment of Oncology, University Hospital Son Espases, Palma de Mallorca, Spain.
S Ramírez-PeinadoOncology Digital Precision Healthcare, AstraZeneca, Barcelona, Spain.
A RashidOncology Medical, AstraZeneca, Baar, Switzerland.
H-K VollanOncology Medical, AstraZeneca, Baar, Switzerland.
S JonesOncology Medical, AstraZeneca, Baar, Switzerland.
S MenkeSavana Research S.L., Madrid, Spain.
R MartínSavana Research S.L., Madrid, Spain.
F GonzálezSavana Research S.L., Madrid, Spain.
M PossoSavana Research S.L., Madrid, Spain.
M TabernaSavana Research S.L., Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We present a novel methodological framework for developing and validating a terminology-based Disease Panel to identify and characterize patients with metastatic non-small-cell lung cancer (mNSCLC) in a Spanish cohort by applying clinical natural language processing (cNLP) to electronic health records (EHRs). Materials and methods: The mNSCLC Disease Panel was built from standardized vocabularies (Systematized Nomenclature of Medicine-Clinical Terms and Anatomical Therapeutic Chemical) enriched with curated alternative expressions such as synonyms, acronyms, and abbreviations. Terms were organized by clinical relevance and refined through clinical expert annotation. Using EHRead® (Medsavana S.L., Madrid, Spain), a cNLP pipeline, clinical concepts from the Disease Panel were extracted from Spanish EHRs. Performance was validated by clinical experts through the assessment of precision, recall, and F1 scores. Results: The Disease Panel comprised 268 terms (mean of alternative expressions 8.4, range 1-41), including 125 (46.6%) demographic and clinical characteristics, 115 (42.9%) treatments, and 28 (10.5%) outcomes. The mean ± standard deviation (SD) precision across all terms was 0.97 ± 0.04, with values of 0.98 ± 0.04 for characteristics, 0.97 ± 0.04 for treatments, and 0.96 ± 0.06 for outcomes. For key terms, the mean ± SD precision, recall, and F1 score were 0.94 ± 0.05, 0.91 ± 0.08, and 0.92 ± 0.05, respectively. Conclusions: This is the first validated terminology-based Disease Panel specifically designed for mNSCLC and integrated into a cNLP pipeline. It reliably identifies key clinical features with excellent extraction performance, supporting scalable real-world evidence generation. This approach offers a robust alternative to manual chart review or 'International Classification of Diseases' data/claims data in oncology research.

Indexed as

clinical natural language processingdisease panelelectronic health recordsnon-small-cell lung canceroncology researchreal-world evidence

Identifiers

PMID42518718
PMCPMC13383231

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LicenceCC BY-NC-ND
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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.