Journal ArticleBrain Inj · November 9, 2024
The purpose of this study was to develop and validate an algorithm for identifying Veterans with a history of traumatic brain injury (TBI) in the Veterans Affairs (VA) electronic health record using VA Million Veteran Program (MVP) data. Manual chart revie ...
Full textLink to itemCite
Journal ArticleJ Med Internet Res · October 3, 2024
BACKGROUND: Medical texts present significant domain-specific challenges, and manually curating these texts is a time-consuming and labor-intensive process. To address this, natural language processing (NLP) algorithms have been developed to automate text ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · August 2024
OBJECTIVE: Pneumothorax is an acute thoracic disease caused by abnormal air collection between the lungs and chest wall. Recently, artificial intelligence (AI), especially deep learning (DL), has been increasingly employed for automating the diagnostic pro ...
Full textLink to itemCite
Journal ArticleSci Rep · April 5, 2024
The Phenome-Wide Association Study (PheWAS) is increasingly used to broadly screen for potential treatment effects, e.g., IL6R variant as a proxy for IL6R antagonists. This approach offers an opportunity to address the limited power in clinical trials to s ...
Full textLink to itemCite
Journal ArticlePLOS Digit Health · April 2024
Few studies examining the patient outcomes of concurrent neurological manifestations during acute COVID-19 leveraged multinational cohorts of adults and children or distinguished between central and peripheral nervous system (CNS vs. PNS) involvement. Usin ...
Full textLink to itemCite
Journal ArticleJ Am Med Inform Assoc · February 16, 2024
OBJECTIVE: High-throughput phenotyping will accelerate the use of electronic health records (EHRs) for translational research. A critical roadblock is the extensive medical supervision required for phenotyping algorithm (PA) estimation and evaluation. To a ...
Full textLink to itemCite
Journal ArticlePatterns (N Y) · January 12, 2024
Electronic health record (EHR) data are increasingly used to support real-world evidence studies but are limited by the lack of precise timings of clinical events. Here, we propose a label-efficient incident phenotyping (LATTE) algorithm to accurately anno ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · January 2024
INTRODUCTION: Risk prediction, including early disease detection, prevention, and intervention, is essential to precision medicine. However, systematic bias in risk estimation caused by heterogeneity across different demographic groups can lead to inapprop ...
Full textLink to itemCite
Journal ArticleJ Am Med Inform Assoc · November 17, 2023
OBJECTIVES: Federated learning (FL) has gained popularity in clinical research in recent years to facilitate privacy-preserving collaboration. Structured data, one of the most prevalent forms of clinical data, has experienced significant growth in volume c ...
Full textLink to itemCite
Journal ArticleCirc Cardiovasc Qual Outcomes · November 2023
BACKGROUND: High-quality research in cardiovascular prevention, as in other fields, requires inclusion of a broad range of data sets from different sources. Integrating and harmonizing different data sources are essential to increase generalizability, samp ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · October 2023
OBJECTIVE: We propose FedScore, a privacy-preserving federated learning framework for scoring system generation across multiple sites to facilitate cross-institutional collaborations. MATERIALS AND METHODS: The FedScore framework includes five modules: fed ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · August 2023
OBJECTIVE: Electronic health records (EHR), containing detailed longitudinal clinical information on a large number of patients and covering broad patient populations, open opportunities for comprehensive predictive modeling of disease progression and trea ...
Full textLink to itemCite
Journal ArticleEBioMedicine · June 2023
BACKGROUND: Rheumatoid arthritis (RA) shares genetic variants with other autoimmune conditions, but existing studies test the association between RA variants with a pre-defined set of phenotypes. The objective of this study was to perform a large-scale, sy ...
Full textLink to itemCite
Journal ArticleJ Med Internet Res · May 25, 2023
Although randomized controlled trials (RCTs) are the gold standard for establishing the efficacy and safety of a medical treatment, real-world evidence (RWE) generated from real-world data has been vital in postapproval monitoring and is being promoted for ...
Full textLink to itemCite
Journal ArticleArthritis Care Res (Hoboken) · May 2023
OBJECTIVE: In rheumatoid arthritis (RA), there are limited data on risk factors for the clinical heart failure (HF) subtypes of HF with reduced ejection fraction (HFrEF) and HF with preserved ejection fraction (HFpEF). This study examined the association b ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · March 2023
BACKGROUND: In electronic health records, patterns of missing laboratory test results could capture patients' course of disease as well as reflect clinician's concerns or worries for possible conditions. These patterns are often understudied and overlook ...
Full textLink to itemCite
Journal ArticleBioinformatics · February 3, 2023
MOTIVATION: Predicting molecule-disease indications and side effects is important for drug development and pharmacovigilance. Comprehensively mining molecule-molecule, molecule-disease and disease-disease semantic dependencies can potentially improve predi ...
Full textLink to itemCite
Journal ArticleEClinicalMedicine · January 2023
BACKGROUND: While acute kidney injury (AKI) is a common complication in COVID-19, data on post-AKI kidney function recovery and the clinical factors associated with poor kidney function recovery is lacking. METHODS: A retrospective multi-centre observation ...
Full textLink to itemCite
Journal ArticleJAMA · January 2023
ImportanceStroke is the fifth-highest cause of death in the US and a leading cause of serious long-term disability with particularly high risk in Black individuals. Quality risk prediction algorithms, free of bias, are key for comprehensive preven ...
Full textCite
Journal ArticleSci Rep · October 22, 2022
While there exist numerous methods to identify binary phenotypes (i.e. COPD) using electronic health record (EHR) data, few exist to ascertain the timings of phenotype events (i.e. COPD onset or exacerbations). Estimating event times could enable more powe ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · October 2022
OBJECTIVE: Electronic Health Record (EHR) based phenotyping is a crucial yet challenging problem in the biomedical field. Though clinicians typically determine patient-level diagnoses via manual chart review, the sheer volume and heterogeneity of EHR data ...
Full textLink to itemCite
Journal ArticleJournal of Biomedical Informatics · October 1, 2022
Objective: For multi-center heterogeneous Real-World Data (RWD) with time-to-event outcomes and high-dimensional features, we propose the SurvMaximin algorithm to estimate Cox model feature coefficients for a target population by borrowing summary informat ...
Full textCite
Journal ArticleSyst Rev · September 2, 2022
BACKGROUND: The mutant allele (*2) of aldehyde dehydrogenase type 2 (ALDH2) caused by a single nucleotide variant (rs671) inhibits enzymatic activity and is associated with multiple diseases. In recent years, an explosive number of original studies and met ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · September 2022
OBJECTIVE: The growing availability of electronic health records (EHR) data opens opportunities for integrative analysis of multi-institutional EHR to produce generalizable knowledge. A key barrier to such integrative analyses is the lack of semantic inter ...
Full textLink to itemCite
Journal ArticleStat Med · August 15, 2022
In research synthesis, publication bias (PB) refers to the phenomenon that the publication of a study is associated with the direction and statistical significance of its results. Consequently, it may lead to biased (commonly optimistic) estimates of treat ...
Full textLink to itemCite
Journal ArticleJ Biomed Inform · August 2022
OBJECTIVE: Accurately assigning phenotype information to individual patients via computational phenotyping using Electronic Health Records (EHRs) has been seen as the first step towards enabling EHRs for precision medicine research. Chart review labels ann ...
Full textLink to itemCite
Journal ArticleNPJ Digit Med · June 29, 2022
The risk profiles of post-acute sequelae of COVID-19 (PASC) have not been well characterized in multi-national settings with appropriate controls. We leveraged electronic health record (EHR) data from 277 international hospitals representing 414,602 patien ...
Full textLink to itemCite
Journal ArticleBMJ Open · June 23, 2022
OBJECTIVE: To assess changes in international mortality rates and laboratory recovery rates during hospitalisation for patients hospitalised with SARS-CoV-2 between the first wave (1 March to 30 June 2020) and the second wave (1 July 2020 to 31 January 202 ...
Full textLink to itemCite
Journal ArticleNPJ Digit Med · June 13, 2022
Given the growing number of prediction algorithms developed to predict COVID-19 mortality, we evaluated the transportability of a mortality prediction algorithm using a multi-national network of healthcare systems. We predicted COVID-19 mortality using bas ...
Full textLink to itemCite
Journal ArticleBiostatistics · April 13, 2022
Divide-and-conquer (DAC) is a commonly used strategy to overcome the challenges of extraordinarily large data, by first breaking the dataset into series of data blocks, then combining results from individual data blocks to obtain a final estimation. Variou ...
Full textLink to itemCite
Journal ArticleInt J Med Inform · April 1, 2022
OBJECTIVE: The use of electronic health records (EHR) systems has grown over the past decade, and with it, the need to extract information from unstructured clinical narratives. Clinical notes, however, frequently contain acronyms with several potential se ...
Full textLink to itemCite
Journal Articlenpj Digital Medicine · December 1, 2021
The increasing availability of electronic health record (EHR) systems has created enormous potential for translational research. However, it is difficult to know all the relevant codes related to a phenotype due to the large number of codes available. Trad ...
Full textCite
Journal ArticleJournal of Medical Internet Research · November 1, 2021
In “International Changes in COVID-19 Clinical Trajectories Across 315 Hospitals and 6 Countries: Retrospective Cohort Study” (J Med Internet Res 2021 Oct 11;23(10):e31400), two errors were noted. In the originally published paper, equal contribution of th ...
Full textCite
Journal ArticleSci Rep · October 12, 2021
Neurological complications worsen outcomes in COVID-19. To define the prevalence of neurological conditions among hospitalized patients with a positive SARS-CoV-2 reverse transcription polymerase chain reaction test in geographically diverse multinational ...
Full textLink to itemCite
Journal ArticleJ Med Internet Res · October 11, 2021
BACKGROUND: Many countries have experienced 2 predominant waves of COVID-19-related hospitalizations. Comparing the clinical trajectories of patients hospitalized in separate waves of the pandemic enables further understanding of the evolving epidemiology, ...
Full textLink to itemCite
Journal ArticleBMC Med · September 27, 2021
BACKGROUND: For some SARS-CoV-2 survivors, recovery from the acute phase of the infection has been grueling with lingering effects. Many of the symptoms characterized as the post-acute sequelae of COVID-19 (PASC) could have multiple causes or are similarly ...
Full textLink to itemCite
Journal ArticleACR Open Rheumatology · September 1, 2021
Objective: Efficiently identifying eligible patients is a crucial first step for a successful clinical trial. The objective of this study was to test whether an approach using electronic health record (EHR) data and an ensemble machine learning algorithm i ...
Full textCite
Journal ArticleJ Am Med Inform Assoc · July 14, 2021
OBJECTIVE: The Consortium for Clinical Characterization of COVID-19 by EHR (4CE) is an international collaboration addressing coronavirus disease 2019 (COVID-19) with federated analyses of electronic health record (EHR) data. We sought to develop and valid ...
Full textLink to itemCite
Journal ArticleJAMA Netw Open · July 1, 2021
IMPORTANCE: Electronic health records (EHRs) provide a low-cost means of accessing detailed longitudinal clinical data for large populations. A lung cancer cohort assembled from EHR data would be a powerful platform for clinical outcome studies. OBJECTIVE: ...
Full textLink to itemCite
Journal ArticleJAMA Netw Open · June 1, 2021
IMPORTANCE: Additional sources of pediatric epidemiological and clinical data are needed to efficiently study COVID-19 in children and youth and inform infection prevention and clinical treatment of pediatric patients. OBJECTIVE: To describe international ...
Full textLink to itemCite
Journal ArticleBiostatistics · April 10, 2021
We propose a computationally and statistically efficient divide-and-conquer (DAC) algorithm to fit sparse Cox regression to massive datasets where the sample size $n_0$ is exceedingly large and the covariate dimension $p$ is not small but $n_0\gg p$. The p ...
Full textLink to itemCite
Journal ArticleJ Med Internet Res · March 2, 2021
Coincident with the tsunami of COVID-19-related publications, there has been a surge of studies using real-world data, including those obtained from the electronic health record (EHR). Unfortunately, several of these high-profile publications were retracte ...
Full textLink to itemCite
Journal ArticleArthritis Care Res (Hoboken) · March 2021
OBJECTIVE: Identifying pseudogout in large data sets is difficult due to its episodic nature and a lack of billing codes specific to this acute subtype of calcium pyrophosphate (CPP) deposition disease. The objective of this study was to evaluate a novel m ...
Full textLink to itemCite
Journal ArticleRheumatology (Oxford) · December 1, 2020
OBJECTIVE: The objective of this study was to compare the performance of an RA algorithm developed and trained in 2010 utilizing natural language processing and machine learning, using updated data containing ICD10, new RA treatments, and a new electronic ...
Full textLink to itemCite
Journal ArticleBiometrics · December 2020
Small study effects occur when smaller studies show different, often larger, treatment effects than large ones, which may threaten the validity of systematic reviews and meta-analyses. The most well-known reasons for small study effects include publication ...
Full textLink to itemCite
Journal ArticleJ Am Med Inform Assoc · August 1, 2020
OBJECTIVE: A major bottleneck hindering utilization of electronic health record data for translational research is the lack of precise phenotype labels. Chart review as well as rule-based and supervised phenotyping approaches require laborious expert input ...
Full textLink to itemCite
Journal ArticleAm J Epidemiol · August 1, 2020
Funnel plots have been widely used to detect small-study effects in the results of univariate meta-analyses. However, there is no existing visualization tool that is the counterpart of the funnel plot in the multivariate setting. We propose a new visualiza ...
Full textLink to itemCite
Journal ArticleInt J Med Inform · July 2020
OBJECTIVE: Accurate coding is critical for medical billing and electronic medical record (EMR)-based research. Recent research has been focused on developing supervised methods to automatically assign International Classification of Diseases (ICD) codes fr ...
Full textLink to itemCite
Journal ArticleRheumatology (Oxford) · May 1, 2020
OBJECTIVES: To develop classification algorithms that accurately identify axial SpA (axSpA) patients in electronic health records, and compare the performance of algorithms incorporating free-text data against approaches using only International Classifica ...
Full textLink to itemCite
Journal ArticleStat Med · February 10, 2020
Meta-analysis allows for the aggregation of results from multiple studies to improve statistical inference for the parameter of interest. In recent years, random-effect meta-analysis has been employed to synthesize estimates of incidence rates of adverse e ...
Full textLink to itemCite
Journal ArticleEnviron Pollut · January 2020
BACKGROUND: The prevalence of asthma and allergic diseases has increased rapidly in urban China since 2000. There has been limited study of associations between home environmental and lifestyle factors with asthma and symptoms of allergic disease in China. ...
Full textLink to itemCite
Journal ArticleNat Protoc · December 2019
Phenotypes are the foundation for clinical and genetic studies of disease risk and outcomes. The growth of biobanks linked to electronic medical record (EMR) data has both facilitated and increased the demand for efficient, accurate, and robust approaches ...
Full textLink to itemCite
Journal ArticleJ Am Med Inform Assoc · November 1, 2019
OBJECTIVE: Electronic health records linked with biorepositories are a powerful platform for translational studies. A major bottleneck exists in the ability to phenotype patients accurately and efficiently. The objective of this study was to develop an aut ...
Full textLink to itemCite
Journal ArticleSemin Arthritis Rheum · August 2019
OBJECTIVE: To utilize electronic health records (EHRs) to study SLE, algorithms are needed to accurately identify these patients. We used machine learning to generate data-driven SLE EHR algorithms and assessed performance of existing rule-based algorithms ...
Full textLink to itemCite
Journal ArticleBiometrics · March 2019
The Electronic Medical Records (EMR) data linked with genomic data have facilitated efficient and large scale translational studies. One major challenge in using EMR for translational research is the difficulty in accurately and efficiently annotating dise ...
Full textLink to itemCite
Journal ArticleJ Am Med Inform Assoc · October 1, 2018
OBJECTIVE: Standard approaches for large scale phenotypic screens using electronic health record (EHR) data apply thresholds, such as ≥2 diagnosis codes, to define subjects as having a phenotype. However, the variation in the accuracy of diagnosis codes ca ...
Full textLink to itemCite
Journal ArticleJAMA Cardiol · September 1, 2018
IMPORTANCE: Electronic health record (EHR) biobanks containing clinical and genomic data on large numbers of individuals have great potential to inform drug discovery. Individuals with interleukin 6 receptor (IL6R) single-nucleotide polymorphisms (SNPs) wh ...
Full textLink to itemCite
Journal ArticleJ Gen Intern Med · August 2018
BACKGROUND: Decision makers rely on meta-analytic estimates to trade off benefits and harms. Publication bias impairs the validity and generalizability of such estimates. The performance of various statistical tests for publication bias has been largely co ...
Full textLink to itemCite
Journal ArticleRes Synth Methods · March 2018
Multivariate meta-analysis, which jointly analyzes multiple and possibly correlated outcomes in a single analysis, is becoming increasingly popular in recent years. An attractive feature of the multivariate meta-analysis is its ability to account for the d ...
Full textLink to itemCite
Journal ArticlePLoS One · 2018
We propose a nonparametric shrinkage estimator for the median survival times from several independent samples of right-censored data, which combines the samples and hypothesis information to improve the efficiency. We compare efficiency of the proposed shr ...
Full textLink to itemCite
Journal ArticleJournal of the American Statistical Association · October 2, 2017
Motivated by analyses of DNA methylation data, we propose a semiparametric mixture model, namely, the generalized exponential tilt mixture model, to account for heterogeneity between differentially methylated and nondifferentially methylated subjects in th ...
Full textCite
Journal ArticleStat Methods Med Res · August 2017
In comparative effectiveness studies of multicomponent, sequential interventions like blood product transfusion (plasma, platelets, red blood cells) for trauma and critical care patients, the timing and dynamics of treatment relative to the fragility of a ...
Full textLink to itemCite
Journal ArticleCanadian Journal of Statistics · June 1, 2017
Registry databases are increasingly being used for comparative effectiveness research in cancer. Such databases reflect the real-world patient population and physician practice, and thus are natural sources for comparing multiple treatment scenarios and th ...
Full textCite
Journal ArticleBiometrics · June 2017
Quantitative trait locus analysis has been used as an important tool to identify markers where the phenotype or quantitative trait is linked with the genotype. Most existing tests for single locus association with quantitative traits aim at the detection o ...
Full textLink to itemCite
Journal ArticleJ Clin Epidemiol · September 2016
OBJECTIVE: Transfusion research seeks to improve survival for severely injured and hemorrhaging patients using optimal plasma and platelet ratios over red blood cells (RBCs). However, most published studies comparing different ratios are plagued with serio ...
Full textLink to itemCite
Journal ArticleStat Med · April 30, 2016
Multivariate meta-analysis, which involves jointly analyzing multiple and correlated outcomes from separate studies, has received a great deal of attention. One reason to prefer the multivariate approach is its ability to account for the dependence between ...
Full textLink to itemCite
Journal ArticleStat Med · January 15, 2016
When conducting a meta-analysis of studies with bivariate binary outcomes, challenges arise when the within-study correlation and between-study heterogeneity should be taken into account. In this paper, we propose a marginal beta-binomial model for the met ...
Full textLink to itemCite
Journal ArticleStat Med · January 15, 2016
There is no clear classification rule to rapidly identify trauma patients who are severely hemorrhaging and may need substantial blood transfusions. Massive transfusion (MT), defined as the transfusion of at least 10 units of red blood cells within 24 h of ...
Full textLink to itemCite
Journal ArticleBMC Res Notes · October 24, 2015
BACKGROUND: In trauma research, "massive transfusion" (MT), historically defined as receiving ≥10 units of red blood cells (RBCs) within 24 h of admission, has been routinely used as a "gold standard" for quantifying bleeding severity. Due to early in-hosp ...
Full textLink to itemCite
Journal ArticleStat Med · February 10, 2015
Recently, multivariate random-effects meta-analysis models have received a great deal of attention, despite its greater complexity compared to univariate meta-analyses. One of its advantages is its ability to account for the within-study and between-study ...
Full textLink to itemCite
Journal ArticleCurr Mol Med · March 2014
Aberrant expression of a zinc transporter ZIP4 in pancreatic ductal adenocarcinoma (PDAC) has been shown to contribute to tumor progression and is a potential target for individualized therapy. The overall objective of this study was to determine whether Z ...
Full textLink to itemCite
Journal ArticleGenet Epidemiol · January 2014
DNA methylation plays an important role in the development of many types of cancer. Identifying differentially methylated loci between cancer and normal patients is one of the central tasks to understand the contributions of the methylation process on canc ...
Full textLink to itemCite