Diabetes complications

Identifying Diabetes Related-Complications in a Real-World Free-Text Electronic Medical Records in Hebrew Using Natural Language Processing Techniques

J Diabetes Sci TechnolPublished Diagnostic accuracy study

Authors' conclusion

NLP algorithms and machine learning processes may enable more accurate identification of diabetes complications in EMR data.

Study context

Population
Patients with diabetes aged ≥35 years, Leumit Health Services members, 2012–2017; 2.3 million records2.3 million records
Participants
41,469 patients
Comparison
Natural language processing (NLP) algorithm vs International Classification of Diseases (ICD) codes, each against reviewers
Outcome
Precision, recall and F-score for identification of diabetes-related complications (CVD, neuropathy, nephropathy, retinopathy, diabetic foot, cognitive impairments, mood disorders, hypoglycemia)
Methodological detailsrule-based and machine learning NLP, validation against independent nurse reviewers (gold standard)
  • Rule-based and machine learning NLP
  • Validation against independent nurse reviewers (gold standard)

Performance

As reported in the abstract

Mean F-score vs reviewers (gold standard)
OutcomeNLP algorithmICD codes
Mean F-score86%51%

Original publication

Identifying Diabetes Related-Complications in a Real-World Free-Text Electronic Medical Records in Hebrew Using Natural Language Processing Techniques. J Diabetes Sci Technol. Published 30 January 2024. doi:10.1177/19322968241228555

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