J Am Med Inform Assoc - Automated identification of patients with a diagnosis of binge eating disorder from narrative electronic health records.

Tópicos

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Resumo

Binge eating disorder (BED) does not have an International Classification of Diseases, 9th or 10th edition code, but is included under 'eating disorder not otherwise specified' (EDNOS). This historical cohort study identified patients with clinician-diagnosed BED from electronic health records (EHR) in the Department of Veterans Affairs between 2000 and 2011 using natural language processing (NLP) and compared their characteristics to patients identified by EDNOS diagnosis codes. NLP identified 1487 BED patients with classification accuracy of 91.8% and sensitivity of 96.2% compared to human review. After applying study inclusion criteria, 525 patients had NLP-identified BED only, 1354 had EDNOS only, and 68 had both BED and EDNOS. Patient characteristics were similar between the groups. This is the first study to use NLP as a method to identify BED patients from EHR data and will allow further epidemiological study of patients with BED in systems with adequate clinical notes.

Resumo Limpo

bing eat disord bed intern classif diseas th th edit code includ eat disord otherwis specifi edno histor cohort studi identifi patient cliniciandiagnos bed electron health record ehr depart veteran affair use natur languag process nlp compar characterist patient identifi edno diagnosi code nlp identifi bed patient classif accuraci sensit compar human review appli studi inclus criteria patient nlpidentifi bed edno bed edno patient characterist similar group first studi use nlp method identifi bed patient ehr data will allow epidemiolog studi patient bed system adequ clinic note

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