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You searched for +publisher:"Vanderbilt University" +contributor:("Pierre Massion, M.D."). One record found.

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Vanderbilt University

1. Osterman, Travis John. Extracting Detailed Tobacco Exposure From The Electronic Health Record.

Degree: MS, Biomedical Informatics, 2017, Vanderbilt University

Lung cancer is the leading cause of cancer-related death in the United States and worldwide. Natural language processing (NLP) tools exist to determine smoking status (ever-smoker vs. never-smoker) from electronic health record data, but no system to date extracts detailed smoking data needed to assess a patient’s eligibility for lung cancer screening. Here we describe the Smoking History And Pack-year Extraction System (SHAPES), a rules-based, NLP system to quantify tobacco exposure from electronic clinical notes. SHAPES was developed based on 261 patient records with 9,573 clinical notes and validated on 352 randomly selected patient records with 4,040 notes. F-measures for never-smoking status, ever-smoking status, rate of smoking, duration of smoking, quantity of cigarettes, and years quit were 0.86, 0.82, 0.79, 0.62, 0.64, and 0.61, respectively. Sixteen of 22 individuals eligible for lung cancer screening were identified (precision = 0.94, recall = 0.73). SHAPES was compared to a previously validated smoking classification system using a phenome wide association study (PheWAS). SHAPES predicted similar significant associations with 66% less sample size (10,000 vs. 35,788), and detected 411 (268%) more associations in the full dataset than when using just ever/never smoking status. Using smoking data from SHAPES, a smoking genome by environment interaction study found 57 statistically significant interactions between smoking and diseases including previously describes interactions between ischemic heart disease and rs1746537, obesity and rs10871777, and type 2 diabetes and rs2943641. These studies support the use of SHAPES for lung cancer screening and other research requiring quantitative smoking history. External validation needs to be performed prior to implementation at other medical centers. Advisors/Committee Members: Mia Levy, M.D., Ph.D. (committee member), Pierre Massion, M.D. (committee member), Josh Denny, M.D., M.S. (Committee Chair).

Subjects/Keywords: data extraction; lung cancer screening; phewas; gxe; smoking; natural language processing

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Osterman, T. J. (2017). Extracting Detailed Tobacco Exposure From The Electronic Health Record. (Thesis). Vanderbilt University. Retrieved from http://hdl.handle.net/1803/13004

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Osterman, Travis John. “Extracting Detailed Tobacco Exposure From The Electronic Health Record.” 2017. Thesis, Vanderbilt University. Accessed April 15, 2021. http://hdl.handle.net/1803/13004.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Osterman, Travis John. “Extracting Detailed Tobacco Exposure From The Electronic Health Record.” 2017. Web. 15 Apr 2021.

Vancouver:

Osterman TJ. Extracting Detailed Tobacco Exposure From The Electronic Health Record. [Internet] [Thesis]. Vanderbilt University; 2017. [cited 2021 Apr 15]. Available from: http://hdl.handle.net/1803/13004.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Osterman TJ. Extracting Detailed Tobacco Exposure From The Electronic Health Record. [Thesis]. Vanderbilt University; 2017. Available from: http://hdl.handle.net/1803/13004

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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