Literature DB >> 28815144

A Clinical Decision Support System for Monitoring Post-Colonoscopy Patient Follow-Up and Scheduling.

Roxanne Wadia1,2, Mark Shifman1,2, Forrest L Levin1, Luis Marenco1,2, Cynthia A Brandt1,2, Kei-Hoi Cheung1,2, Tamar Taddei1,2, Michael Krauthammer2.   

Abstract

This paper describes a natural language processing (NLP)-based clinical decision support (CDS) system that is geared towards colon cancer care coordinators as the end users. The system is implemented using a metadata- driven Structured Query Language (SQL) function (discriminant function). For our pilot study, we have developed a training corpus consisting of 2,085 pathology reports from the VA Connecticut Health Care System (VACHS). We categorized reports as "actionable"- requiring close follow up, or "non-actionable"- requiring standard or no follow up. We then used 600 distinct pathology reports from 6 different VA sites as our test corpus. Analysis of our test corpus shows that our NLP approach yields 98.5% accuracy in identifying cases that required close clinical follow up. By integrating this into our cancer care tracking system, our goal is to ensure that patients with worrisome pathology receive appropriate and timely follow-up and care.

Entities:  

Year:  2017        PMID: 28815144      PMCID: PMC5543375     

Source DB:  PubMed          Journal:  AMIA Jt Summits Transl Sci Proc


  18 in total

1.  caTIES: a grid based system for coding and retrieval of surgical pathology reports and tissue specimens in support of translational research.

Authors:  Rebecca S Crowley; Melissa Castine; Kevin Mitchell; Girish Chavan; Tara McSherry; Michael Feldman
Journal:  J Am Med Inform Assoc       Date:  2010 May-Jun       Impact factor: 4.497

2.  Increase in body size is associated with an increased incidence of advanced adenomatous colon polyps in male veteran patients.

Authors:  Ali Siddiqui; Mimi Chang; Amar Mahgoub; Helene N Pena Sahdala
Journal:  Digestion       Date:  2011-02-01       Impact factor: 3.216

3.  The Yale cTAKES extensions for document classification: architecture and application.

Authors:  Vijay Garla; Vincent Lo Re; Zachariah Dorey-Stein; Farah Kidwai; Matthew Scotch; Julie Womack; Amy Justice; Cynthia Brandt
Journal:  J Am Med Inform Assoc       Date:  2011-05-27       Impact factor: 4.497

4.  Implementation of an electronic clinical reminder to improve rates of lung cancer screening.

Authors:  Daniel G Federman; Jeffrey D Kravetz; Kathryn A Lerz; Kathleen M Akgun; Christopher Ruser; Hilary Cain; Esterina F Anderson; Caroline Taylor
Journal:  Am J Med       Date:  2014-04-24       Impact factor: 4.965

5.  Higher prevalence of proximal colon polyps and villous histology in African-Americans undergoing colonoscopy at a single equal access center.

Authors:  Christian S Jackson; Kenneth J Vega
Journal:  J Gastrointest Oncol       Date:  2015-12

6.  Physician Non-adherence to Colonoscopy Interval Guidelines in the Veterans Affairs Healthcare System.

Authors:  Marcus R Johnson; Janet Grubber; Steven C Grambow; Matthew L Maciejewski; Tyra Dunn-Thomas; Dawn Provenzale; Deborah A Fisher
Journal:  Gastroenterology       Date:  2015-06-26       Impact factor: 22.682

7.  Clinical decision support with natural language processing facilitates determination of colonoscopy surveillance intervals.

Authors:  Timothy D Imler; Justin Morea; Thomas F Imperiale
Journal:  Clin Gastroenterol Hepatol       Date:  2013-12-04       Impact factor: 11.382

8.  Natural language processing improves identification of colorectal cancer testing in the electronic medical record.

Authors:  Joshua C Denny; Neesha N Choma; Josh F Peterson; Randolph A Miller; Lisa Bastarache; Ming Li; Neeraja B Peterson
Journal:  Med Decis Making       Date:  2011-03-10       Impact factor: 2.583

9.  Electronic alerts to prevent venous thromboembolism among hospitalized patients.

Authors:  Nils Kucher; Sophia Koo; Rene Quiroz; Joshua M Cooper; Marilyn D Paterno; Boris Soukonnikov; Samuel Z Goldhaber
Journal:  N Engl J Med       Date:  2005-03-10       Impact factor: 91.245

10.  High-priority topics for cancer quality measure development: results of the 2012 American Society of Clinical Oncology Collaborative Cancer Measure Summit.

Authors:  Michael J Hassett; Kristen K McNiff; Adam P Dicker; Timothy Gilligan; Carolyn B Hendricks; Inga Lennes; Thomas Murray; Monika K Krzyzanowska
Journal:  J Oncol Pract       Date:  2014-02-18       Impact factor: 3.840

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  3 in total

1.  Impact of Community Referral on Colonoscopy Quality Metrics in a Veterans Affairs Medical Center.

Authors:  Vincent Petros; Erin Tsambikos; Mohammad Madhoun; William M Tierney
Journal:  Clin Transl Gastroenterol       Date:  2022-01-01       Impact factor: 4.396

Review 2.  Assessment of Electronic Health Record for Cancer Research and Patient Care Through a Scoping Review of Cancer Natural Language Processing.

Authors:  Liwei Wang; Sunyang Fu; Andrew Wen; Xiaoyang Ruan; Huan He; Sijia Liu; Sungrim Moon; Michelle Mai; Irbaz B Riaz; Nan Wang; Ping Yang; Hua Xu; Jeremy L Warner; Hongfang Liu
Journal:  JCO Clin Cancer Inform       Date:  2022-07

Review 3.  Conceptual Model for the Hepatocellular Carcinoma Screening Continuum: Current Status and Research Agenda.

Authors:  Amit G Singal; Anna S Lok; Ziding Feng; Fasiha Kanwal; Neehar D Parikh
Journal:  Clin Gastroenterol Hepatol       Date:  2020-09-19       Impact factor: 11.382

  3 in total

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