Mining electronic health records for adverse drug effects using regression based methods

作者: Rave Harpaz , Krystl Haerian , Herbert S. Chase , Carol Friedman

DOI: 10.1145/1882992.1883008

关键词:

摘要: The identification of post-marketed adverse drug events (ADEs) is paramount to health care. Spontaneous reporting systems (SRS) are currently the mainstay in pharmacovigilance. Recently, electronic records (EHRs) have emerged as a promising and effective complementary resource SRS, they contain more complete record patient, do not suffer from biases inherent SRS. However, mining EHRs for potential ADEs, which typically involves statistical associations between drugs medical conditions, introduced several other challenges, main one being necessity techniques that account confounding. objective this paper present demonstrate feasibility method based on regression techniques, designed automated large scale ADEs EHR narratives. To best our knowledge first its kind approach combines both use data, methods order address confounding identify ADEs. Two separate experiments conducted. results, validated by clinical subject matter experts, great promise, well highlight additional challenges.

参考文章(25)
Carol Friedman, Lyudmila Shagina, Yves Lussier, George Hripcsak, Automated encoding of clinical documents based on natural language processing. Journal of the American Medical Informatics Association. ,vol. 11, pp. 392- 402 ,(2004) , 10.1197/JAMIA.M1552
Harry Seifert, Karol LaCroix, June Almenoff, Joseph M Tonning, A Lawrence Gould, Ana Szarfman, Manfred Hauben, Rita Ouellet-Hellstrom, Robert Ball, Ken Hornbuckle, Louisa Walsh, Chuen Yee, Susan T Sacks, Nancy Yuen, Vaishali Patadia, Michael Blum, Mike Johnston, Charles Gerrits, Perspectives on the Use of Data Mining in Pharmacovigilance Drug Safety. ,vol. 28, pp. 981- 1007 ,(2005) , 10.2165/00002018-200528110-00002
Stanley Lemeshow, David W. Hosmer, Applied Logistic Regression ,(1989)
David C Classen, Stanley L Pestotnik, R Scott Evans, James F Lloyd, John P Burke, Adverse Drug Events in Hospitalized PatientsExcess Length of Stay, Extra Costs, and Attributable Mortality JAMA: The Journal of the American Medical Association. ,vol. 277, pp. 301- 306 ,(1997) , 10.1001/JAMA.1997.03540280039031
S. J. W. Evans, P. C. Waller, S. Davis, Use of proportional reporting ratios (PRRs) for signal generation from spontaneous adverse drug reaction reports Pharmacoepidemiology and Drug Safety. ,vol. 10, pp. 483- 486 ,(2001) , 10.1002/PDS.677
Arthur E. Hoerl, Robert W. Kennard, Ridge Regression: Applications to Nonorthogonal Problems Technometrics. ,vol. 12, pp. 69- 82 ,(1970) , 10.1080/00401706.1970.10488635
A. Bate, M. Lindquist, I. R. Edwards, S. Olsson, R. Orre, A. Lansner, R. M. De Freitas, A Bayesian neural network method for adverse drug reaction signal generation European Journal of Clinical Pharmacology. ,vol. 54, pp. 315- 321 ,(1998) , 10.1007/S002280050466
Wendy P. Stephenson, Manfred Hauben, Data mining for signals in spontaneous reporting databases: proceed with caution. Pharmacoepidemiology and Drug Safety. ,vol. 16, pp. 359- 365 ,(2007) , 10.1002/PDS.1323