Abstract
If Electronic Health Records contain a large amount of information about the patient’s condition and response to treatment, which can potentially revolutionize the clinical practice, such information is seldom considered due to the complexity of its extraction and analysis. We here report on a first integration of an NLP framework for the analysis of clinical records of lung cancer patients making use of a telephone assistance service of a major Spanish hospital. We specifically show how some relevant data, about patient demographics and health condition, can be extracted; and how some relevant analyses can be performed, aimed at improving the usefulness of the service. We thus demonstrate that the use of EHR texts, and their integration inside a data analysis framework, is technically feasible and worth of further study.
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European Commission, “1 in 4 deaths caused by cancer in the EU28.” [Online]. Available: http://ec.europa.eu/eurostat/web/products-press-releases/-/3-25112014-BP. Accessed 21 Feb 2018.
Luengo-Fernandez, R., Leal, J., Gray, A., and Sullivan, R., Economic burden of cancer across the European Union: a population-based cost analysis. Lancet Oncol. 14(12):1165–1174, 2013.
Skinner, K. E., Fernandes, A. W., Walker, M. S., Pavilack, M., and VanderWalde, A., Healthcare costs in patients with advanced non-small cell lung cancer and disease progression during targeted therapy: a real-world observational study. J. Med. Econ. 21(2):192–200, 2018.
Jara González, E., Gonzalez de Pedro, C., Pérez Callejo, D., Cantos, B., and Provencio, M., Can quality care of the oncology patient be improved? Results of the introduction of a healthcare help line in Oncological Nursing. Aten. Primaria 46(9):524–525, 2014.
Menasalvas-Ruiz, E., et al., OncoCall: Analyzing the Outcomes of the Oncology Telephone Patient Assistance. In: 2017 IEEE 30th International Symposium on Computer-Based Medical Systems (CBMS), 2017, pp. 624–629.
Menasalvas, E., Rodriguez-Gonzalez, A., Costumero, R., Ambit, H., and Gonzalo, C., Clinical Narrative Analytics Challenges. In: Rough Sets, 2016, pp. 23–32.
Oken, M. M. et al., Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am. J. Clin. Oncol. 5(6):649–655, 1982.
Cornfield, J., Haenszel, W., Hammond, E. C., Lilienfeld, A. M., Shimkin, M. B., and Wynder, E. L., Smoking and lung cancer: recent evidence and a discussion of some questions. Int. J. Epidemiol. 38(5):1175–1191, 2009.
Doll, R., and Hill, A. B., Lung Cancer and Other Causes of Death in Relation to Smoking. Br. Med. J. 2(5001):1071–1081, 1956.
Pao, W. et al., EGF receptor gene mutations are common in lung cancers from ‘never smokers’ and are associated with sensitivity of tumors to gefitinib and erlotinib. Proc. Natl. Acad. Sci. 101(36):13306–13311, 2004.
Fu, J. B., Kau, T. Y., Severson, R. K., and Kalemkerian, G. P., Lung cancer in women: analysis of the national Surveillance, Epidemiology, and End Results database. Chest 127(3):768–777, 2005.
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This paper is supported by European Union’s Horizon 2020 research and innovation programme under grant agreement No. 727658, project IASIS (Integration and analysis of heterogeneous big data for precision medicine and suggested treatments for different types of patients).
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This article is part of the Topical Collection on Patient Facing Systems
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Menasalvas Ruiz, E., Tuñas, J.M., Bermejo, G. et al. Profiling Lung Cancer Patients Using Electronic Health Records. J Med Syst 42, 126 (2018). https://doi.org/10.1007/s10916-018-0975-9
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DOI: https://doi.org/10.1007/s10916-018-0975-9