Evidence map›Paper›PMID 41476299›Full record

ArticleBMC medical informatics and decision making2025

Harmonizing self-reported and free text medication data: a reproducible pipeline for gerontological research.

Ramkrishna K Singh, Chen Chen, Semere Bekena, David C Brown, Kaylin Taylor, Matthew Blake, Yiqi Zhu, Kebede Beyene, David B Carr, Ganesh M Babulal

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2025. 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

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

1 citing paper in PubMed.

  1. 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

10 authors.

Ramkrishna K SinghDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA. ramkrishnakumar@wustl.edu.
Chen ChenDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.
Semere BekenaDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.
David C BrownDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.
Kaylin TaylorDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.
Matthew BlakeDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.
Yiqi ZhuDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.
Kebede BeyeneEvernorth Health Services, St. Louis, MO, USA.
David B CarrDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.
Ganesh M BabulalDepartment of Neurology, Washington University School of Medicine in St. Louis, 600 S. Taylor Avenue, Suite 111Z, St. Louis, MO, 63110, USA.

Funding

Naturalistic driving as a functional neurobehavioral marker of preclinical and symptomatic Alzheimer diseaseR01AG068183 · NIA · WASHINGTON UNIVERSITY · PI BABULAL, GANESH M · 2020 to 2024
$6.7M
NIA NIH HHS R01 AG068183NIH National Institutes of Health and NIA National Institute on Aging R01-AG067428NIH National Institutes of Health and NIA National Institute on Aging R01-AG074302
6 · The paper itself

Abstract

backgroundSelf-reported medication data collected as free text in gerontological and dementia research is often unstructured with inconsistent formatting. These circumstances pose a challenge for standardization and classification when preparing effective, reproducible analyses. Spelling variations, naming conventions, and reporting drug combinations can hinder mapping to standard pharmacologic vocabularies and compromise medication exposure assessments. We aimed to develop and implement a transparent, reproducible, and scalable data harmonization pipeline that ingests free-text medication records and classifies them according to American Hospital Formulary Service (AHFS) therapeutic categories.

methodsA four-phase curation pipeline processed 30,062 Research Electronic Data Capture (REDCap) medication records collected over nearly a decade of annual visits in The Driving Real-world In-Vehicle Evaluation System (DRIVES)Project. In Phase 1, the pipeline standardized medication names using deterministic and fuzzy matching techniques, incorporating Drug-Named-Entity Recognition (DER), the thefuzz Python library, and expert review. Phase 2 mapped drugs to AHFS categories via DrugBank and RxNorm. Phase 3 generated a wide-format dataset with binary class-level exposure indicators. Phase 4 involved a final quality review with auditable documentation.

resultsOut of 30,062 entries, 16,902 eligible prescription entries remained after the removal of vitamins, supplements, and over-the-counter (OTC) drugs. Of these, automated or semi-automated processes successfully standardized 94.2% of entries, with only 5.8% requiring further expert review. A total of 444 unique medications were successfully mapped to AHFS classifications. The curated dataset enables efficient integration into analytical models and supports reproducible assessment of medication exposure.

conclusionsThis pipeline addresses a key methodological challenge in clinical research by providing a reproducible, scalable solution for harmonizing unstructured medication data and enhancing its analytical utility.

Indexed as

Biomedical ResearchElectronic Health RecordsGeriatricsSelf ReportHumansData curationDementiaElectronic health recordsGerontologyMedicationsNatural language processing

Identifiers

PMID41476299
PMCPMC12865965

What Socratic holds

Textmetadata
LicenceCC BY
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.