4.7 Article

Assessment of Natural Language Processing of Electronic Health Records to Measure Goals-of-Care Discussions as a Clinical Trial Outcome

相关参考文献

注意:仅列出部分参考文献,下载原文获取全部文献信息。
Article Health Care Sciences & Services

Predictors of Documented Goals-of-Care Discussion for Hospitalized Patients With Chronic Illness

Alison M. Uyeda et al.

Summary: This retrospective cohort study used natural language processing to examine the occurrence, predictors, and timing of electronic health record-documented goals-of-care discussions for hospitalized patients with serious illness. The study found that these discussions were more common among older patients, patients with comorbidities, and patients with cancer or dementia. However, racially or ethnically minoritized patients were less likely to have documented goals-of-care discussions.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2023)

Article Mathematical & Computational Biology

Surrogate-guided sampling designs for classification of rare outcomes from electronic medical records data

W. Katherine Tan et al.

Summary: This article discusses the application of machine learning to electronic medical record systems for scalable and accurate identification of specific clinical outcomes. The authors propose a class of enrichment sampling designs that stratify the selection for abstraction based on auxiliary variables related to the true outcome, resulting in improved model discrimination and statistical learning performance. The impact of the proposed sampling on both model training and validation is also discussed, with illustration using radiology report text data.

BIOSTATISTICS (2022)

Article Computer Science, Artificial Intelligence

Explainable Deep Learning: A Field Guide for the Uninitiated

Gabrielle Ras et al.

JOURNAL OF ARTIFICIAL INTELLIGENCE RESEARCH (2022)

Article Health Care Sciences & Services

A Race-Conscious Approach Toward Research on Racial Inequities in Palliative Care

Crystal E. Brown et al.

Summary: Racial inequities in palliative and end-of-life care have been well-documented but often overlooked due to a lack of consideration for the effects of race and everyday racism. Public Health Critical Race Praxis provides a new approach for researchers to address racial disparities by broadening research priorities and developing race-conscious interventions.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2022)

Article Health Care Sciences & Services

Mixed-methods evaluation of three natural language processing modeling approaches for measuring documented goals-of-care discussions in the electronic health record

Alison M. Uyeda et al.

Summary: This study compares three natural language processing (NLP) modeling approaches for identifying documentation of goals-of-care discussions in electronic health records (EHR). The results show that NLP holds promise for identifying EHR-documented goals-of-care discussions, although the rarity of such content limits the performance. The study also identifies opportunities to optimize NLP modeling approaches.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2022)

Article Oncology

Randomized Trial of a Palliative Care Intervention to Improve End-of-Life Care Discussions in Patients With Metastatic Breast Cancer

Joseph A. Greer et al.

Summary: This PC intervention improves rates of discussion and documentation regarding end-of-life (EoL) care and delivery of hospice services among patients with metastatic breast cancer (MBC), highlighting its importance in addressing the supportive care needs of patients with longer disease trajectories.

JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK (2022)

Article Medicine, General & Internal

Video Images about Decisions for Ethical Outcomes in Kidney Disease (VIDEO-KD): the study protocol for a multi-centre randomised controlled trial

Nwamaka D. Eneanya et al.

Summary: This study aims to test the effectiveness of a video intervention on advance care planning, treatment preferences, and other patient-reported outcomes in older patients with advanced chronic kidney disease.

BMJ OPEN (2022)

Article Medicine, General & Internal

Efficacy of a Communication-Priming Intervention on Documented Goals-of-Care Discussions in Hospitalized Patients With Serious Illness A Randomized Clinical Trial

Robert Y. Lee et al.

Summary: In this study, a communication-priming intervention for hospitalized patients with serious illness effectively increased the documentation of goals-of-care discussions before discharge, indicating the potential effectiveness and feasibility of such interventions in promoting goal-oriented communication between patients and clinicians.

JAMA NETWORK OPEN (2022)

Article Medicine, General & Internal

Association of an Advance Care Planning Video and Communication Intervention With Documentation of Advance Care Planning Among Older Adults A Nonrandomized Controlled Trial

Angelo E. Volandes et al.

Summary: Using video decision aids and clinician communication intervention can improve the rate of ACP documentation during the COVID-19 pandemic, especially for African American and Hispanic patients.

JAMA NETWORK OPEN (2022)

Article Medicine, Research & Experimental

Improving communication about goals of care for hospitalized patients with serious illness: Study protocol for two complementary randomized trials

J. Randall Curtis et al.

Summary: This study aims to improve the quality and value of care for hospitalized older adults with serious illness through two complementary randomized trials and a hybrid effectiveness-implementation approach. Trial 1 assesses outcomes with the electronic health records, while Trial 2 examines patient or family-reported outcomes.

CONTEMPORARY CLINICAL TRIALS (2022)

Article Health Care Sciences & Services

Identifying Goals of Care Conversations in the Electronic Health Record Using Natural Language Processing and Machine Learning

Robert Y. Lee et al.

Summary: This study aimed to develop an automated approach to identifying goals-of-care discussions in the electronic health record using natural language processing and machine learning techniques. The results showed that the NLP/ML program had high accuracy in identifying goals-of-care discussions, indicating potential applications in research outcomes and quality metrics.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2021)

Article Health Care Sciences & Services

Applying Human-Centered Design to Refinement of the Jumpstart Guide, a Clinician- and Patient-Facing Goals-of-Care Discussion Priming Tool

Nauzley C. Abedini et al.

Summary: This study demonstrates the application of human-centered design in the development and refinement of inpatient goals-of-care discussion guides. Through four phases, the research team identified and addressed problems, ultimately reaching consensus on solutions.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2021)

Article Clinical Neurology

Natural Language Processing to Identify Advance Care Planning Documentation in a Multisite Pragmatic Clinical Trial

Charlotta Lindvall et al.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2021)

Article Biochemical Research Methods

BioBERT: a pre-trained biomedical language representation model for biomedical text mining

Jinhyuk Lee et al.

BIOINFORMATICS (2020)

Review Health Care Sciences & Services

Use and Meaning of Goals of Care in the Healthcare Literature: a Systematic Review and Qualitative Discourse Analysis

Katharine Secunda et al.

JOURNAL OF GENERAL INTERNAL MEDICINE (2020)

Article Health Care Sciences & Services

Deep Natural Language Processing Identifies Variation in Care Preference Documentation

Brooks Udelsman et al.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2020)

Review Computer Science, Information Systems

Deep learning in clinical natural language processing: a methodical review

Stephen Wu et al.

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION (2020)

Review Critical Care Medicine

Aligning use of intensive care with patient values in the USA: past, present, and future

Alison E. Turnbull et al.

LANCET RESPIRATORY MEDICINE (2019)

Article Social Sciences, Mathematical Methods

parallel: A command for parallel computing

George G. Vega Yon et al.

STATA JOURNAL (2019)

Article Health Care Sciences & Services

Natural Language Processing to Assess End-of-Life Quality Indicators in Cancer Patients Receiving Palliative Surgery

Charlotta Lindvall et al.

JOURNAL OF PALLIATIVE MEDICINE (2019)

Article Computer Science, Information Systems

Mining 100 million notes to find homelessness and adverse childhood experiences: 2 case studies of rare and severe social determinants of health in electronic health records

Cosmin A. Bejan et al.

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION (2018)

Review Health Care Sciences & Services

Measurement error is often neglected in medical literature: a systematic review

Timo B. Brakenhoff et al.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2018)

Article Health Care Sciences & Services

Using Electronic Health Records for Quality Measurement and Accountability in Care of the Seriously Ill: Opportunities and Challenges

J. Randall Curtis et al.

JOURNAL OF PALLIATIVE MEDICINE (2018)

Article Medicine, General & Internal

Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data

Milena A. Gianfrancesco et al.

JAMA INTERNAL MEDICINE (2018)

Article Medicine, General & Internal

Barriers and facilitators for goals of care discussions between residents and hospitalised patients

Kalpa Shah et al.

POSTGRADUATE MEDICAL JOURNAL (2017)

Review Medicine, General & Internal

A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness

James A. Tulsky et al.

JAMA INTERNAL MEDICINE (2017)

Article Critical Care Medicine

Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU

Judy E. Davidson et al.

CRITICAL CARE MEDICINE (2017)

Article Respiratory System

An Integrated Framework for Effective and Efficient Communication with Families in the Adult Intensive Care Unit

Jennifer B. Seaman et al.

ANNALS OF THE AMERICAN THORACIC SOCIETY (2017)

Review Public, Environmental & Occupational Health

Natural Language Processing for EHR-Based Pharmacovigilance: A Structured Review

Yuan Luo et al.

DRUG SAFETY (2017)

Article Critical Care Medicine

Shared Decision-Making in Intensive Care Units. Executive Summary of the American College of Critical Care Medicine and American Thoracic Society Policy Statement

Alexander A. Kon et al.

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE (2016)

Article Multidisciplinary Sciences

Can we open the black box of AI?

Davide Castelvecchi

NATURE (2016)

Article Multidisciplinary Sciences

MIMIC-III, a freely accessible critical care database

Alistair E. W. Johnson et al.

SCIENTIFIC DATA (2016)

Review Oncology

Natural Language Processing in Oncology A Review

Wen-wai Yim et al.

JAMA ONCOLOGY (2016)

Article Health Care Sciences & Services

Transparent Reporting of a Multivariable Prediction Model for Individual Prognosis Or Diagnosis (TRIPOD): the TRIPOD statement

Gary S. Collins et al.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2015)

Article Health Care Sciences & Services

Improving End-of-Life Communication and Decision Making: The Development of a Conceptual Framework and Quality Indicators

Tasnim Sinuff et al.

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT (2015)

Review Medicine, General & Internal

Communication About Serious Illness Care Goals A Review and Synthesis of Best Practices

Rachelle E. Bernacki et al.

JAMA INTERNAL MEDICINE (2014)

Article Public, Environmental & Occupational Health

Accounting for Misclassified Outcomes in Binary Regression Models Using Multiple Imputation With Internal Validation Data

Jessie K. Edwards et al.

AMERICAN JOURNAL OF EPIDEMIOLOGY (2013)

Article Health Care Sciences & Services

Multiple Locations of Advance Care Planning Documentation in an Electronic Health Record: Are They Easy to Find?

Caroline J. Wilson et al.

JOURNAL OF PALLIATIVE MEDICINE (2013)

Article Medicine, General & Internal

Failure to Engage Hospitalized Elderly Patients and Their Families in Advance Care Planning

Daren K. Heyland et al.

JAMA INTERNAL MEDICINE (2013)

Article Health Care Sciences & Services

The impact of ignoring measurement error when estimating sample size for epidemiologic studies

O Devine

EVALUATION & THE HEALTH PROFESSIONS (2003)

Article Oncology

Teaching communication skills to medical oncology fellows

AL Back et al.

JOURNAL OF CLINICAL ONCOLOGY (2003)