The DERMACLEAR study: Verification results of a natural language processing system in dermatology

Abstract Background Accurately determining the epidemiology of dermatological diseases such as hidradenitis suppurativa (HS), psoriasis (PsO), chronic urticaria (CU) and/or atopic dermatitis (AD) is challenging due to variations in prevalence and disease severity in the reported literature. Objectiv...

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Main Authors: Francisco J. Ortiz de Frutos, Ana M. Giménez‐Arnau, Lluís Puig, Juan F. Silvestre, Esther Serra, Laura Salgado‐Boquete, Vicente García‐Patos, Jose L. L. Estebaranz, Jaime Notario, Ana Martin‐Santiago, Gabriel M. Pontevia, Víctor Martín, Guillermo Guinea, Pau Terradas, Esteban Daudén
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:JEADV Clinical Practice
Subjects:
Online Access:https://doi.org/10.1002/jvc2.217
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author Francisco J. Ortiz de Frutos
Ana M. Giménez‐Arnau
Lluís Puig
Juan F. Silvestre
Esther Serra
Laura Salgado‐Boquete
Vicente García‐Patos
Jose L. L. Estebaranz
Jaime Notario
Ana Martin‐Santiago
Gabriel M. Pontevia
Víctor Martín
Guillermo Guinea
Pau Terradas
Esteban Daudén
author_facet Francisco J. Ortiz de Frutos
Ana M. Giménez‐Arnau
Lluís Puig
Juan F. Silvestre
Esther Serra
Laura Salgado‐Boquete
Vicente García‐Patos
Jose L. L. Estebaranz
Jaime Notario
Ana Martin‐Santiago
Gabriel M. Pontevia
Víctor Martín
Guillermo Guinea
Pau Terradas
Esteban Daudén
author_sort Francisco J. Ortiz de Frutos
collection DOAJ
description Abstract Background Accurately determining the epidemiology of dermatological diseases such as hidradenitis suppurativa (HS), psoriasis (PsO), chronic urticaria (CU) and/or atopic dermatitis (AD) is challenging due to variations in prevalence and disease severity in the reported literature. Objectives The DERMACLEAR study aims to use natural language processing (NLP) to assess the proportions of patients with HS, PsO, CU and/or AD, and obtain information on patient profiles, patient journeys, and disease and healthcare burden in Spain. Here, the study design and objectives of the DERMACLEAR study are described and the precision of the NLP system used is assessed. Methods This study will retrospectively collect patient information from electronic health records (EHRs) at dermatology departments from seven tertiary hospitals in Spain. The NLP system was developed by IOMED Medical Solutions and was verified internally (IOMED scientific team) and externally (principal investigators of each hospital) to determine its precision in identifying patients with HS, PsO, CU and/or AD. Furthermore, internal verification was performed on other medical variables relevant to the study. Results To date, the DERMACLEAR study has retrospectively collected data from 54,458 patients with HS, PsO, CU and/or AD (HS: 5045; PsO: 32,559; CU: 8397; AD: 12,492). The average precision of the NLP system to identify patients diagnosed with HS, PsO, CU, and/or AD across all hospitals exceeded 95% via external and internal verification. Conclusions Results from the DERMACLEAR study will increase the real‐world evidence of clinical practice, obtaining a large amount of information on patients with the studied diseases. The NLP system used is precise in identifying patients diagnosed with HS, PsO, CU and/or AD, and other medical variables from EHRs, highlighting that it is a valid system to use in the DERMACLEAR study.
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spelling doaj.art-5fd09b7f16c4403ba7b16514dc4709a62023-12-01T10:43:26ZengWileyJEADV Clinical Practice2768-65662023-12-012477578510.1002/jvc2.217The DERMACLEAR study: Verification results of a natural language processing system in dermatologyFrancisco J. Ortiz de Frutos0Ana M. Giménez‐Arnau1Lluís Puig2Juan F. Silvestre3Esther Serra4Laura Salgado‐Boquete5Vicente García‐Patos6Jose L. L. Estebaranz7Jaime Notario8Ana Martin‐Santiago9Gabriel M. Pontevia10Víctor Martín11Guillermo Guinea12Pau Terradas13Esteban Daudén14Hospital Universitario 12 de Octubre Universidad Complutense Madrid SpainDepartment of Dermatology, Hospital del Mar‐IMIM Universitat Pompeu Fabra Barcelona SpainServicio de Dermatología, IIB SANT PAU Hospital de la Santa Creu i Sant Pau Barcelona SpainHospital General Universitario Dr Balmis Alicante SpainServicio de Dermatología, IIB SANT PAU Hospital de la Santa Creu i Sant Pau Barcelona SpainComplejo Hospitalario Universitario de Pontevedra Pontevedra SpainHospital Universitari Vall d'Hebron Barcelona SpainHospital Universitario Fundación Alcorcón Madrid SpainHospital de Bellvitge Barcelona SpainHospital Universitari Son Espases Palma de Mallorca SpainIOMED Medical Solutions Barcelona SpainNovartis Farmacéutica S.A Barcelona SpainNovartis Farmacéutica S.A Barcelona SpainNovartis Farmacéutica S.A Barcelona SpainDepartment of Dermatology, Hospital Universitario de la Princesa Instituto de Investigación Sanitaria (IIS‐HP) Madrid SpainAbstract Background Accurately determining the epidemiology of dermatological diseases such as hidradenitis suppurativa (HS), psoriasis (PsO), chronic urticaria (CU) and/or atopic dermatitis (AD) is challenging due to variations in prevalence and disease severity in the reported literature. Objectives The DERMACLEAR study aims to use natural language processing (NLP) to assess the proportions of patients with HS, PsO, CU and/or AD, and obtain information on patient profiles, patient journeys, and disease and healthcare burden in Spain. Here, the study design and objectives of the DERMACLEAR study are described and the precision of the NLP system used is assessed. Methods This study will retrospectively collect patient information from electronic health records (EHRs) at dermatology departments from seven tertiary hospitals in Spain. The NLP system was developed by IOMED Medical Solutions and was verified internally (IOMED scientific team) and externally (principal investigators of each hospital) to determine its precision in identifying patients with HS, PsO, CU and/or AD. Furthermore, internal verification was performed on other medical variables relevant to the study. Results To date, the DERMACLEAR study has retrospectively collected data from 54,458 patients with HS, PsO, CU and/or AD (HS: 5045; PsO: 32,559; CU: 8397; AD: 12,492). The average precision of the NLP system to identify patients diagnosed with HS, PsO, CU, and/or AD across all hospitals exceeded 95% via external and internal verification. Conclusions Results from the DERMACLEAR study will increase the real‐world evidence of clinical practice, obtaining a large amount of information on patients with the studied diseases. The NLP system used is precise in identifying patients diagnosed with HS, PsO, CU and/or AD, and other medical variables from EHRs, highlighting that it is a valid system to use in the DERMACLEAR study.https://doi.org/10.1002/jvc2.217deep learningdermatologymachine learningnatural language processingOMOP CSMreal world data
spellingShingle Francisco J. Ortiz de Frutos
Ana M. Giménez‐Arnau
Lluís Puig
Juan F. Silvestre
Esther Serra
Laura Salgado‐Boquete
Vicente García‐Patos
Jose L. L. Estebaranz
Jaime Notario
Ana Martin‐Santiago
Gabriel M. Pontevia
Víctor Martín
Guillermo Guinea
Pau Terradas
Esteban Daudén
The DERMACLEAR study: Verification results of a natural language processing system in dermatology
JEADV Clinical Practice
deep learning
dermatology
machine learning
natural language processing
OMOP CSM
real world data
title The DERMACLEAR study: Verification results of a natural language processing system in dermatology
title_full The DERMACLEAR study: Verification results of a natural language processing system in dermatology
title_fullStr The DERMACLEAR study: Verification results of a natural language processing system in dermatology
title_full_unstemmed The DERMACLEAR study: Verification results of a natural language processing system in dermatology
title_short The DERMACLEAR study: Verification results of a natural language processing system in dermatology
title_sort dermaclear study verification results of a natural language processing system in dermatology
topic deep learning
dermatology
machine learning
natural language processing
OMOP CSM
real world data
url https://doi.org/10.1002/jvc2.217
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