Evidence map›Paper›PMID 40324164›Full record

ArticleJournal of medical Internet research2025

Systematic Identification of Caregivers of Patients Living With Dementia in the Electronic Health Record: Known Contacts and Natural Language Processing Cohort Study.

Daniel Martin, Jason Lyons, J David Powers, Andrea E Daddato, Rebecca S Boxer, Elizabeth Bayliss, Jennifer Dickman Portz

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Daniel MartinInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, United States.ORCID 0009-0000-9666-5071
Jason LyonsInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, United States.ORCID 0009-0006-1354-7103
J David PowersInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, United States.ORCID 0000-0003-2779-3402
Andrea E DaddatoInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, United States.ORCID 0000-0001-6421-4217
Rebecca S BoxerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, United States.ORCID 0000-0002-3715-616X
Elizabeth BaylissInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, United States.ORCID 0000-0002-5264-0670
Jennifer Dickman PortzInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, United States.ORCID 0000-0003-3107-3598

Funding

Technology Identification and Training CoreP30AG073105 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KARLAWISH, JASON H · 2021 to 2025
$21.2M
Social Convoy Palliative Care (Convoy-Pal) Mobile Health for Older Adults with Advanced Heart FailureK76AG059934 · NIA · UNIVERSITY OF COLORADO DENVER · PI PORTZ, JENNIFER · 2018 to 2022
$892k
NIA NIH HHS K76 AG059934NIA NIH HHS P30 AG073105
6 · The paper itself

Abstract

backgroundSystemically identifying caregivers in the electronic health record (EHR) is a critical step for delivering patient-centered care, enhancing care coordination, and advancing research and population health efforts in caregiving. Despite EHRs being effective in identifying patients through standardized data fields like demographics, laboratory results, medications, and diagnoses, identifying caregivers through the EHR is challenging in the absence of specific caregiver fields.

objectiveRecognizing the complexity of identifying caregiving networks of people living with dementia, this study aims to systematically capture caregiver information by combining EHR structured fields, unstructured notes, and free text.

methodsAmong a cohort of people living with dementia aged 60 years and older from Kaiser Permanente Colorado, caregiver names were identified by combining structured patient contact fields, that is, known contacts, with name-matching and natural language processing techniques of unstructured notes and patient portal messages containing caregiver terms.

resultsAmong the cohort of 789 people living with dementia, 95% (n=749) had at least 1 caregiver name listed in structured fields (mean 2.1 SD 1.1). Over 95% of the cohort had caregiver terms mentioned near a known contact name in unstructured encounter notes, with 35% having a full name match in unstructured patient portal messages. The natural language processing model identified 7556 "new" names in the unstructured EHR text containing caregiver terms among 99% of the cohort with high accuracy and reliability (F

conclusionsPatterns in caregiver-related information were distributed across structured and unstructured EHR fields, emphasizing the importance of integrating both data sources for a comprehensive understanding of caregiving networks. A framework was developed to systematically identify potential caregivers across caregiving networks using structured and unstructured EHR data. This approach has the potential to improve health services for people living with dementia and their caregivers.

Indexed as

CaregiversDementiaElectronic Health RecordsNatural Language ProcessingAgedAged, 80 and overCohort StudiesColoradoFemaleHumansMaleMiddle Agedcaregiversdementiaelectronic health recordnatural language processingpatient-centered carepatient portal

Identifiers

PMID40324164
PMCPMC12089870

What Socratic holds

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LicenceCC BY
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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 Socratic graph.