Evidence map›Paper›PMID 31499185›Full record

ArticleJournal of biomedical informatics2019

Symptom-based patient stratification in mental illness using clinical notes.

Qi Liu, Myung Woo, Xue Zou, Avee Champaneria, Cecilia Lau, Mohammad Imtiaz Mubbashar, Charlotte Schwarz, Jane P Gagliardi, Jessica D Tenenbaum

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. A Traumatic Brain Injury Prescreening Tool for Intimate Partner Violence Patients Using Initial Clinical Reports and Machine Learning.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
  6. Machine learning approaches for electronic health records phenotyping: a methodical review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
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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

9 authors.

Qi LiuDepartment of Statistics, Duke University School of Medicine, United States.
Myung WooDepartment of Medicine, Duke University School of Medicine, United States.
Xue ZouComputational Biology and Bioinformatics Program, Duke University School of Medicine, United States.
Avee ChampaneriaDepartment of Psychiatry, Duke University School of Medicine, United States.
Cecilia LauDepartment of Psychiatry, Duke University School of Medicine, United States.
Mohammad Imtiaz MubbasharDepartment of Psychiatry, Duke University School of Medicine, United States.
Charlotte SchwarzDepartment of Psychiatry, Duke University School of Medicine, United States.
Jane P GagliardiDepartment of Medicine, Duke University School of Medicine, United States; Department of Psychiatry, Duke University School of Medicine, United States.
Jessica D TenenbaumDepartment of Biostatistics & Bioinformatics, Duke University School of Medicine, United States. Electronic address: jessie.tenenbaum@duke.edu.

Funding

Improved Disease Stratification Using Electronic Health RecordsK01LM012529 · NLM · DUKE UNIVERSITY · PI TENENBAUM, JESSICA D · 2017 to 2018
$377k
NLM NIH HHS K01 LM012529
6 · The paper itself

Abstract

Mental illnesses are highly heterogeneous with diagnoses based on symptoms that are generally qualitative, subjective, and documented in free text clinical notes rather than as structured data. Moreover, there exists significant variation in symptoms within diagnostic categories as well as substantial overlap in symptoms between diagnostic categories. These factors pose extra challenges for phenotyping patients with mental illness, a task that has proven challenging even for seemingly well characterized diseases. The ability to identify more homogeneous patient groups could both increase our ability to apply a precision medicine approach to psychiatric disorders and enable elucidation of underlying biological mechanism of pathology. We describe a novel approach to deep phenotyping in mental illness in which contextual term extraction is used to identify constellations of symptoms in a cohort of patients diagnosed with schizophrenia and related disorders. We applied topic modeling and dimensionality reduction to identify similar groups of patients and evaluate the resulting clusters through visualization and interrogation of clinically interpretable weighted features. Our findings show that patients diagnosed with schizophrenia may be meaningfully stratified using symptom-based clustering.

Indexed as

AdultAlgorithmsCluster AnalysisElectronic Health RecordsFemaleHumansMaleMedical InformaticsMental DisordersMiddle AgedNatural Language ProcessingPhenotypePrecision MedicineSchizophreniaStochastic ProcessesSymptom AssessmentDisease stratificationNatural language processingPrecision medicineSchizophreniaSymptoms

Identifiers

PMID31499185
PMCPMC6783390

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

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 Socratic graph.