Identifying Acute Low Back Pain Episodes in Primary Care Practice From Clinical Notes: Observational Study

JMIR Medical Informatics
Riccardo MiottoIsmail Nabeel

Abstract

Acute and chronic low back pain (LBP) are different conditions with different treatments. However, they are coded in electronic health records with the same International Classification of Diseases, 10th revision (ICD-10) code (M54.5) and can be differentiated only by retrospective chart reviews. This prevents an efficient definition of data-driven guidelines for billing and therapy recommendations, such as return-to-work options. The objective of this study was to evaluate the feasibility of automatically distinguishing acute LBP episodes by analyzing free-text clinical notes. We used a dataset of 17,409 clinical notes from different primary care practices; of these, 891 documents were manually annotated as acute LBP and 2973 were generally associated with LBP via the recorded ICD-10 code. We compared different supervised and unsupervised strategies for automated identification: keyword search, topic modeling, logistic regression with bag of n-grams and manual features, and deep learning (a convolutional neural network-based architecture [ConvNet]). We trained the supervised models using either manual annotations or ICD-10 codes as positive labels. ConvNet trained using manual annotations obtained the best results with an area...Continue Reading

References

Feb 9, 1995·The New England Journal of Medicine·A MalmivaaraV Vaaranen
Aug 21, 2001·Annals of Internal Medicine·R C KesslerD M Eisenberg
Jul 19, 2002·Journal of Biomedical Informatics·W W ChapmanB G Buchanan
Jan 30, 2004·The Spine Journal : Official Journal of the North American Spine Society·Michael FeuersteinGrant D Huang
Feb 13, 2004·The New England Journal of Medicine·Richard A DeyoSohail K Mirza
Feb 8, 2006·Clinical Orthopaedics and Related Research·Richard A Deyo, Sohail K Mirza
Apr 26, 2006·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Debra K WeinerTracy Wang
Feb 14, 2008·JAMA : the Journal of the American Medical Association·Brook I MartinSean D Sullivan
Feb 11, 2009·Archives of Internal Medicine·Janet K FreburgerTimothy S Carey
Oct 5, 2011·Spine·Jeremy FairbankGunnar Andersson
May 3, 2012·Nature Reviews. Genetics·Peter B JensenSøren Brunak
Feb 20, 2014·PloS One·Raphael CohenNoémie Elhadad
Mar 15, 2015·Journal of the American Medical Informatics Association : JAMIA·Riccardo Miotto, Chunhua Weng
May 29, 2015·Nature·Yann LeCunGeoffrey Hinton
Nov 5, 2016·BMC Medical Informatics and Decision Making·Gustavo SaposnikPhilippe N Tobler
May 6, 2017·IEEE Journal of Biomedical and Health Informatics·John X QiuGeorgia D Tourassi
May 10, 2017·Briefings in Bioinformatics·Riccardo MiottoJoel T Dudley
May 14, 2017·BMC Musculoskeletal Disorders·Tom PetersenCarsten Juhl
Aug 24, 2017·BMC Medical Informatics and Decision Making·Clayton A TurnerJihad S Obeid
Jun 13, 2018·Journal of the American Medical Informatics Association : JAMIA·Cao XiaoJimeng Sun
Sep 16, 2018·Journal of Biomedical Informatics·Yanshan WangHongfang Liu
Jan 8, 2019·Journal of Family Medicine and Primary Care·Lisanne C CruzIsmail Nabeel
May 9, 2019·JMIR Medical Informatics·Seyedmostafa SheikhalishahiVenet Osmani
May 15, 2019·Annals of Internal Medicine·Sara E LuckhauptBrian W Ward
Jun 6, 2019·Journal of Occupational and Environmental Medicine·James D OwensAndrew L Phillips
May 8, 2018·NPJ Digital Medicine·Alvin RajkomarJeffrey Dean

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Citations

Sep 2, 2021·Annual Review of Biomedical Data Science·Bethany Percha

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Software Mentioned

WordSearch
BoN
word2vec
TopicModel
RTW
FeatEng
LASSO
ConvNet
LR
XLNet

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