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Wieland-Jorna Y, van Kooten D, Verheij RA, de Man Y, Francke AL, Oosterveld-Vlug MG. Natural language processing systems for extracting information from electronic health records about activities of daily living. A systematic review. JAMIA Open 2024; 7:ooae044. [PMID: 38798774 PMCID: PMC11126158 DOI: 10.1093/jamiaopen/ooae044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 03/21/2024] [Accepted: 05/07/2024] [Indexed: 05/29/2024] Open
Abstract
Objective Natural language processing (NLP) can enhance research on activities of daily living (ADL) by extracting structured information from unstructured electronic health records (EHRs) notes. This review aims to give insight into the state-of-the-art, usability, and performance of NLP systems to extract information on ADL from EHRs. Materials and Methods A systematic review was conducted based on searches in Pubmed, Embase, Cinahl, Web of Science, and Scopus. Studies published between 2017 and 2022 were selected based on predefined eligibility criteria. Results The review identified 22 studies. Most studies (65%) used NLP for classifying unstructured EHR data on 1 or 2 ADL. Deep learning, combined with a ruled-based method or machine learning, was the approach most commonly used. NLP systems varied widely in terms of the pre-processing and algorithms. Common performance evaluation methods were cross-validation and train/test datasets, with F1, precision, and sensitivity as the most frequently reported evaluation metrics. Most studies reported relativity high overall scores on the evaluation metrics. Discussion NLP systems are valuable for the extraction of unstructured EHR data on ADL. However, comparing the performance of NLP systems is difficult due to the diversity of the studies and challenges related to the dataset, including restricted access to EHR data, inadequate documentation, lack of granularity, and small datasets. Conclusion This systematic review indicates that NLP is promising for deriving information on ADL from unstructured EHR notes. However, what the best-performing NLP system is, depends on characteristics of the dataset, research question, and type of ADL.
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Affiliation(s)
- Yvonne Wieland-Jorna
- Netherlands Institute for Health Services Research (Nivel), Utrecht, Postbus 1568, 3500 BN, The Netherlands
- Tranzo, School of Social Sciences and Behavioural Research, Tilburg University, Tilburg, Postbus 90153, 5000 LE, The Netherlands
| | - Daan van Kooten
- Netherlands Institute for Health Services Research (Nivel), Utrecht, Postbus 1568, 3500 BN, The Netherlands
| | - Robert A Verheij
- Netherlands Institute for Health Services Research (Nivel), Utrecht, Postbus 1568, 3500 BN, The Netherlands
- Tranzo, School of Social Sciences and Behavioural Research, Tilburg University, Tilburg, Postbus 90153, 5000 LE, The Netherlands
| | - Yvonne de Man
- Netherlands Institute for Health Services Research (Nivel), Utrecht, Postbus 1568, 3500 BN, The Netherlands
| | - Anneke L Francke
- Netherlands Institute for Health Services Research (Nivel), Utrecht, Postbus 1568, 3500 BN, The Netherlands
- Department of Public and Occupational Health, Location Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, Postbus 7057, 1007 MB, The Netherlands
| | - Mariska G Oosterveld-Vlug
- Netherlands Institute for Health Services Research (Nivel), Utrecht, Postbus 1568, 3500 BN, The Netherlands
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Calley DQ, Fu S, Hamilton MD, Kalla AW, Lee CK, Rasmussen VA, Hollman JH, Liu H. Assessment of Gender Differences in Letters of Recommendation for Physical Therapy Residency Applications. JOURNAL, PHYSICAL THERAPY EDUCATION 2024:00001416-990000000-00105. [PMID: 38640081 DOI: 10.1097/jte.0000000000000337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Accepted: 12/27/2023] [Indexed: 04/21/2024]
Abstract
INTRODUCTION Letters of recommendation (LOR) are an integral component of physical therapy residency applications. Identifying the influence of applicant and writer gender in LOR will help identify whether potential implicit gender bias exists in physical therapy residency application processes. REVIEW OF LITERATURE Several medical and surgical residency education programs have reported positive, neutral, or negative LOR female gender bias among applicants and writers. Little research exists on gender differences in LOR to physical therapy education programs or physical therapy residency programs. SUBJECTS Seven hundred sixty-eight LOR were analyzed from 256 applications to 3 physical therapy residency programs (neurologic, orthopaedic, sports) at one institution from 2014 to 2020. METHODS Thematic categories were developed to identify themes in a sample of LOR. Associations between writer and applicant gender were analyzed using summary statistics, word counts, thematic and psycholinguistic extraction, and rule-based and deep learning Natural Language Processing . RESULTS No significant difference in LOR word counts were found based on writer or applicant gender. Increased word counts were seen in sports residency LOR compared with the orthopaedic residency. Thematic analysis showed LOR gender differences with male applicants receiving more positive generalized recommendations and female applicants receiving more comments regarding interpersonal relationship skills. No thematic or psycholinguistic gender differences were seen by LOR writer. Male applicants were 1.9 times more likely to select all male LOR writers, whereas female applicants were 2.1 times more likely to choose all female LOR writers. DISCUSSION AND CONCLUSION Gender differences in LORs for physical therapy residencies were found using a comprehensive Natural Language Processing approach that identified both a positive recommendation male applicant gender bias and a positive interpersonal relationship skill female applicant gender bias. Applicants were not harmed nor helped by selecting LOR writers of the opposite gender. Admissions committees and LOR writers should be mindful of potential implicit gender biases in LOR submitted to physical therapy residency programs.
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Affiliation(s)
- Darren Q Calley
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
| | - Sunyang Fu
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
| | - Marissa D Hamilton
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
| | - Austin W Kalla
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
| | - Christopher K Lee
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
| | - Veronica A Rasmussen
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
| | - John H Hollman
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
| | - Hongfang Liu
- Darren Q. Calley is the residency director for the Mayo Clinic Physical Therapy Neurologic, Orthopaedic, & Sports Residency Programs in the Mayo Clinic School of Health Sciences, and is an assistant professor of Physical Therapy at the Mayo Clinic College of Medicine and Science, and is a faculty member in the Physical Therapy Doctoral Education Program at the Mayo Clinic, Siebens 7-57, 200 First Street SW, Rochester, MN, 55905 . Please address all correspondence to Darren Calley
- Sunyang Fu is an assistant professor of Biomedical Informatics, and is an associate director of Team Science at the Center for Translational AI Excellence and Applications in Medicine (TEAM-AI) at the University of Texas Health Science Center
- Marissa D. Hamilton is a physical therapist at Mayo Clinic
- Austin W. Kalla is a physical therapist graduate at Mayo Clinic
- Christopher K. Lee is a physical therapist at Mayo Clinic
- Veronica A. Rasmussen is a physical therapist at the Hennepin County Medical Center
- John H. Hollman is the program director of the Physical Therapy Doctoral Education Program, and is an associate dean for Academic Affairs in the Mayo Clinic School of Health Sciences, and is a professor of Physical Therapy in the Mayo Clinic College of Medicine and Science
- Hongfang Liu is a professor in the Biomedical Informatics, and is a director of Translational AI Excellence and Applications in Medicine (TEAM-AI), University of Texas Health Science Center
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Evidence-Informed, Interdisciplinary, Multidimensional Action Plan to Advance Overactive Bladder Research and Treatment Initiatives: Directives From State-of-the-Science Conference on Overactive Bladder and Cognitive Impairment. UROGYNECOLOGY (HAGERSTOWN, MD.) 2023; 29:S20-S39. [PMID: 36548637 DOI: 10.1097/spv.0000000000001274] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
ABSTRACT This article outlines an evidence-informed, interdisciplinary, multidimensional, comprehensive action plan for the American Urogynecologic Society to improve care of women with overactive bladder (OAB) while minimizing treatment-related adverse events, including cognitive impairment. It is a "call to action" to advance basic, translational, and clinical research and summarizes initiatives developed at the State-of-the-Science Conference on OAB and Cognitive Impairment to (1) develop framework for a new OAB treatment approach in women, (2) define research gaps and future research priorities, (3) champion health equity and diversity considerations in OAB treatment, (4) foster community and promote education to remove stigma surrounding OAB and urinary incontinence, and (5) elevate visibility and impact of OAB, by creating partnerships through education and engagement with health care professionals, industry, private and public payers, funding agencies, and policymakers.
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Fu S, Ibrahim OA, Wang Y, Vassilaki M, Petersen RC, Mielke MM, St Sauver J, Sohn S. Prediction of Incident Dementia Using Patient Temporal Health Status. Stud Health Technol Inform 2022; 290:757-761. [PMID: 35673119 PMCID: PMC9754075 DOI: 10.3233/shti220180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Dementia is one of the most prevalent health problems in the aging population. Despite the significant number of people affected, dementia diagnoses are often significantly delayed, missing opportunities to maximize life quality. Early identification of older adults at high risk for dementia may help to maximize current quality of life and to improve planning for future health needs in dementia patients. However, most existing risk prediction models predominantly use static variables, not considering temporal patterns of health status. This study used an attention-based time-aware model to predict incident dementia that incorporated longitudinal temporal health conditions. The predictive performance of the time-aware model was compared with three traditional models using static variables and demonstrated higher predictive power.
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Affiliation(s)
- Sunyang Fu
- Department of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, Minnesota, USA
| | - Omar A. Ibrahim
- Department of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, Minnesota, USA
| | - Yanshan Wang
- Department of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, Minnesota, USA
| | - Maria Vassilaki
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
| | - Ronald C. Petersen
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
- Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA
| | - Michelle M. Mielke
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
- Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA
| | - Jennifer St Sauver
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
| | - Sunghwan Sohn
- Department of Artificial Intelligence and Informatics Research, Mayo Clinic, Rochester, Minnesota, USA
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Ibrahim OA, Fu S, Vassilaki M, Mielke MM, St Sauver J, Petersen RC, Sohn S. Detection of Dementia Signals from Longitudinal Clinical Visits Using One-Class Classification. IEEE INTERNATIONAL CONFERENCE ON HEALTHCARE INFORMATICS. IEEE INTERNATIONAL CONFERENCE ON HEALTHCARE INFORMATICS 2022; 2022:211-216. [PMID: 36484060 PMCID: PMC9728104 DOI: 10.1109/ichi54592.2022.00040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Dementia is one of the major health challenges in aging populations, with 50 million people diagnosed worldwide. However, dementia is often underdiagnosed or delayed resulting in missed opportunities for appropriate care plans. Identifying early signs of dementia is essential for better life quality of aging populations. Monitoring early signs of individual health changes could help clinicians diagnose dementia in its early stages with more effective treatment plans. However, rare data for dementia cases compared to the normal (i.e., imbalance class distribution) make it challenging to develop robust supervised learning models. In order to alleviate this issue, we investigated one-class classification (OCC) techniques, which use only majority class (i.e., normal cases) in model development to detect dementia signals from older adult clinical visits. The OCC models identify abnormality of older adults' longitudinal health conditions to predict incident dementia. The predictive performance of the OCC was compared with a recent streaming clustering-based technique and demonstrated higher predictive power. Our analysis showed that OCC has a promising potential to increase power in predicting dementia.
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Affiliation(s)
- Omar A. Ibrahim
- Department of Artificial Intelligence and Informatics Mayo Clinic Rochester, MN, USA
| | - Sunyang Fu
- Department of Artificial Intelligence and Informatics Mayo Clininc Rochester, MN, USA
| | - Maria Vassilaki
- Department of Quantitative Health Sciences Mayo Clinic Rochester, MN, USA
| | - Michelle M. Mielke
- Department of Quantitative Health Sciences / Neurology Mayo Clinic Rochester, MN, USA
| | - Jennifer St Sauver
- Department of Quantitative Health Sciences Mayo Clinic Rochester, MN, USA
| | | | - Sunghwan Sohn
- Department of Artificial Intelligence and Informatics Mayo Clinic Rochester, MN, USA
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Similarity-based second chance autoencoders for textual data. APPL INTELL 2022. [DOI: 10.1007/s10489-021-03100-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Ibrahim OA, Fu S, Vassilaki M, Petersen RC, Mielke MM, St Sauver J, Sohn S. Early Alert of Elderly Cognitive Impairment using Temporal Streaming Clustering. PROCEEDINGS. IEEE INTERNATIONAL CONFERENCE ON BIOINFORMATICS AND BIOMEDICINE 2021; 2021:905-912. [PMID: 35237461 PMCID: PMC8883577 DOI: 10.1109/bibm52615.2021.9669672] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
more than 44 million people have been diagnosed with dementia worldwide, and this number is estimated to triple by next three decades. Given this increasing trend of older adults with cognitive impairment (CI; dementia and mild cognitive impairment) and its significant underdiagnosis, early identification of CI and understanding its progression is a critical step towards a better quality of life for the aging population. Early alert of individual health changes could facilitate better ways for clinicians to diagnose CI in its early stages and come up with more effective treatment plans. However, there is a lack of approaches to characterize patient health conditions accounting for temporal information in an unsupervised manner. Limited CI cases and its costly ascertainment in clinical settings also make unsupervised learning more promising in CI research. In this paper, a streaming clustering model was used to determine distinct patterns of older adults' health changes from their clinical visits in Mayo Clinic Study of Aging. The streaming clustering was also examined to study its ability to generate early alerts for potential incidents of CI. Our analysis demonstrated that temporal characteristics incorporated in a streaming clustering model has a promising potential to increase power in predicting CI.
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Affiliation(s)
- Omar A. Ibrahim
- Department of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, Minnesota, USA
| | - Sunyang Fu
- Department of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, Minnesota, USA
| | - Maria Vassilaki
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
| | - Ronald C. Petersen
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
- Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA
| | - Michelle M. Mielke
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
- Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA
| | - Jennifer St Sauver
- Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA
| | - Sunghwan Sohn
- Department of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, Minnesota, USA
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Fouladvand S, Mielke MM, Vassilaki M, Sauver JS, Petersen RC, Sohn S. Deep Learning Prediction of Mild Cognitive Impairment using Electronic Health Records. PROCEEDINGS. IEEE INTERNATIONAL CONFERENCE ON BIOINFORMATICS AND BIOMEDICINE 2019; 2019:799-806. [PMID: 33194303 PMCID: PMC7665163 DOI: 10.1109/bibm47256.2019.8982955] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
About 44.4 million people have been diagnosed with dementia worldwide, and it is estimated that this number will be almost tripled by 2050. Predicting mild cognitive impairment (MCI), an intermediate state between normal cognition and dementia and an important risk factor for the development of dementia is crucial in aging populations. MCI is formally determined by health professionals through a comprehensive cognitive evaluation, together with a clinical examination, medical history and often the input of an informant (an individual that know the patient very well). However, this is not routinely performed in primary care visits, and could result in a significant delay in diagnosis. In this study, we used deep learning and machine learning techniques to predict the progression from cognitively unimpaired to MCI and also to analyze the potential for patient clustering using routinely-collected electronic health records (EHRs). Our analysis of EHRs indicates that temporal characteristics of patient data incorporated in a deep learning model provides increased power in predicting MCI.
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Affiliation(s)
- Sajjad Fouladvand
- Department of Computer Science, Institute for Biomedical Informatics, University of Kentucky, Lexington, KY, USA
| | - Michelle M. Mielke
- Division of Epidemiology, Department of Neurology, Mayo Clinic, Rochester, MN USA
| | | | | | | | - Sunghwan Sohn
- Division of Digital Health Sciences, Mayo Clinic, Rochester, MN USA
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He Z, Bian J, Tao C, Zhang R. Selected articles from the Third International Workshop on Semantics-Powered Data Analytics (SEPDA 2018). BMC Med Inform Decis Mak 2019; 19:148. [PMID: 31391050 PMCID: PMC6686213 DOI: 10.1186/s12911-019-0855-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
In this editorial, we first summarize the Third International Workshop on Semantics-Powered Data Analytics (SEPDA 2018) held on December 3, 2018 in conjunction with the 2018 IEEE International Conference on Bioinformatics and Biomedicine (BIBM 2018) in Madrid, Spain, and then briefly introduce five research articles included in this supplement issue, covering topics including Data Analytics, Data Visualization, Text Mining, and Ontology Evaluation.
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Affiliation(s)
- Zhe He
- School of Information, Florida State University, 142 Collegiate Loop, Tallahassee, FL, 32306, USA.
| | - Jiang Bian
- Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA
| | - Cui Tao
- School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Rui Zhang
- Institute for Health Informatics and College of Pharmacy, University of Minnesota, Minneapolis, MN, USA
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