Detecting Adverse Drug Events with Rapidly Trained Classification Models.

Introduction: Identifying occurrences of medication side effects and adverse drug events (ADEs) is an important and challenging task because they are frequently only mentioned in clinical narrative and are not formally reported.Methods: We developed a natural language processing (NLP) system that ai...

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Publicado en:Drug Safety Vol. 42; no. 1; pp. 147 - 157
Autores principales: Chapman, Alec B., Peterson, Kelly S., Alba, Patrick R., DuVall, Scott L., Patterson, Olga V.
Formato: research Journal Article
Publicado: Springer Nature Jan2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2019
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      pub: Springer Nature
      place: New York, New York
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        atl: Detecting Adverse Drug Events with Rapidly Trained Classification Models.
      aug:
        au:
          Chapman, Alec B.
          Peterson, Kelly S.
          Alba, Patrick R.
          DuVall, Scott L.
          Patterson, Olga V.
        affil: Health Fidelity, San Mateo, CA, USA
      sug:
        subj:
          Adverse Drug Event Trends
          Adverse Drug Event Epidemiology
          Natural Language Processing
          Human
          Adverse Drug Event
          Adverse Drug Event Standards
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Arthritis Impact Measurement Scales
          Scales
      ab: Introduction: Identifying occurrences of medication side effects and adverse drug events (ADEs) is an important and challenging task because they are frequently only mentioned in clinical narrative and are not formally reported.Methods: We developed a natural language processing (NLP) system that aims to identify mentions of symptoms and drugs in clinical notes and label the relationship between the mentions as indications or ADEs. The system leverages an existing word embeddings model with induced word clusters for dimensionality reduction. It employs a conditional random field (CRF) model for named entity recognition (NER) and a random forest model for relation extraction (RE).Results: Final performance of each model was evaluated separately and then combined on a manually annotated evaluation set. The micro-averaged F1 score was 80.9% for NER, 88.1% for RE, and 61.2% for the integrated systems. Outputs from our systems were submitted to the NLP Challenges for Detecting Medication and Adverse Drug Events from Electronic Health Records (MADE 1.0) competition (Yu et al. in http://bio-nlp.org/index.php/projects/39-nlp-challenges , 2018). System performance was evaluated in three tasks (NER, RE, and complete system) with multiple teams submitting output from their systems for each task. Our RE system placed first in Task 2 of the challenge and our integrated system achieved third place in Task 3.Conclusion: Adding to the growing number of publications that utilize NLP to detect occurrences of ADEs, our study illustrates the benefits of employing innovative feature engineering.
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    language: English
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