Leveraging Latent Dirichlet Allocation in processing free-text personal goals among patients undergoing bladder cancer surgery.

Purpose: As we begin to leverage Big Data in health care settings and particularly in assessing patient-reported outcomes, there is a need for novel analytics to address unique challenges. One such challenge is in coding transcribed interview data, typically free-text entries of statements made duri...

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Publicado en:Quality of Life Research Vol. 28; no. 6; pp. 1441 - 1456
Autores principales: Li, Yuelin, Rapkin, Bruce, Atkinson, Thomas M., Schofield, Elizabeth, Bochner, Bernard H.
Formato: Journal Article
Publicado: Springer Nature Jun2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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        atl: Leveraging Latent Dirichlet Allocation in processing free-text personal goals among patients undergoing bladder cancer surgery.
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          Li, Yuelin
          Rapkin, Bruce
          Atkinson, Thomas M.
          Schofield, Elizabeth
          Bochner, Bernard H.
        affil: Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA
      sug:
        subj:
          Algorithms
          Urinary Diversion Psychosocial Factors
          Bladder Neoplasms Psychosocial Factors
          Cystectomy Psychosocial Factors
          Quality of Life Psychosocial Factors
          Bladder Neoplasms Surgery
          Adult
          Neoplasm Recurrence, Local Pathology
          Aged
          Treatment Outcomes
          Prospective Studies
          Female
          Goals and Objectives
          Aged, 80 and Over
          Bladder Pathology
          Middle Age
          Coping Strategies Questionnaire
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
      ab: Purpose: As we begin to leverage Big Data in health care settings and particularly in assessing patient-reported outcomes, there is a need for novel analytics to address unique challenges. One such challenge is in coding transcribed interview data, typically free-text entries of statements made during a face-to-face interview. Latent Dirichlet Allocation (LDA) offers statistical rigor and consistency in automating the interpretation of patients' expressed concerns and coping strategies.Methods: LDA was applied to interview data collected as part of a prospective, longitudinal study of QOL in N = 211 patients undergoing radical cystectomy and urinary diversion for bladder cancer. LDA analyzed personal goal statements to extract the latent topics and themes, stratified by time, and on things patients wanted to accomplish and prevent. Model comparison metrics determined the number of topics to extract.Results: LDA extracted seven latent topics. Prior to surgery, patients' priorities were primarily in cancer surgery and recovery. Six months after the surgery, they were replaced by goals on regaining a sense of normalcy, to resume work, to enjoy life more fully, and to appreciate friends and family more. LDA model parameters showed changing priorities, e.g., immediate concerns on surgery and resuming employment decreased post-surgery and were replaced by concerns over cancer recurrence and a desire to remain healthy and strong.Conclusions: Novel Big Data analytics such as LDA offer the possibility of summarizing personal goals without the need for conventional fixed-length measures and resource-intensive qualitative data coding.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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