Network-medicine framework for studying disease trajectories in U.S. veterans

Abstract A better understanding of the sequential and temporal aspects in which diseases occur in patient’s lives is essential for developing improved intervention strategies that reduce burden and increase the quality of health services. Here we present a network-based framework to study disease re...

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Main Authors: Italo Faria do Valle, Brian Ferolito, Hanna Gerlovin, Lauren Costa, Serkalem Demissie, Franciel Linares, Jeremy Cohen, David R. Gagnon, J. Michael Gaziano, Edmon Begoli, Kelly Cho, Albert-László Barabási
Format: Article
Language:English
Published: Nature Portfolio 2022-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-15764-9
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author Italo Faria do Valle
Brian Ferolito
Hanna Gerlovin
Lauren Costa
Serkalem Demissie
Franciel Linares
Jeremy Cohen
David R. Gagnon
J. Michael Gaziano
Edmon Begoli
Kelly Cho
Albert-László Barabási
author_facet Italo Faria do Valle
Brian Ferolito
Hanna Gerlovin
Lauren Costa
Serkalem Demissie
Franciel Linares
Jeremy Cohen
David R. Gagnon
J. Michael Gaziano
Edmon Begoli
Kelly Cho
Albert-László Barabási
author_sort Italo Faria do Valle
collection DOAJ
description Abstract A better understanding of the sequential and temporal aspects in which diseases occur in patient’s lives is essential for developing improved intervention strategies that reduce burden and increase the quality of health services. Here we present a network-based framework to study disease relationships using Electronic Health Records from > 9 million patients in the United States Veterans Health Administration (VHA) system. We create the Temporal Disease Network, which maps the sequential aspects of disease co-occurrence among patients and demonstrate that network properties reflect clinical aspects of the respective diseases. We use the Temporal Disease Network to identify disease groups that reflect patterns of disease co-occurrence and the flow of patients among diagnoses. Finally, we define a strategy for the identification of trajectories that lead from one disease to another. The framework presented here has the potential to offer new insights for disease treatment and prevention in large health care systems.
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spelling doaj.art-d1a1df5fcb16439eb4d791e2f8c0f53e2022-12-22T03:42:45ZengNature PortfolioScientific Reports2045-23222022-07-0112111010.1038/s41598-022-15764-9Network-medicine framework for studying disease trajectories in U.S. veteransItalo Faria do Valle0Brian Ferolito1Hanna Gerlovin2Lauren Costa3Serkalem Demissie4Franciel Linares5Jeremy Cohen6David R. Gagnon7J. Michael Gaziano8Edmon Begoli9Kelly Cho10Albert-László Barabási11Center for Complex Network Research, Department of Physics, Northeastern UniversityMassachusetts Veterans Epidemiology and Research Information Center (MAVERIC), VA Boston Healthcare SystemMassachusetts Veterans Epidemiology and Research Information Center (MAVERIC), VA Boston Healthcare SystemMassachusetts Veterans Epidemiology and Research Information Center (MAVERIC), VA Boston Healthcare SystemMassachusetts Veterans Epidemiology and Research Information Center (MAVERIC), VA Boston Healthcare SystemOak Ridge National LaboratoryOak Ridge National LaboratoryMassachusetts Veterans Epidemiology and Research Information Center (MAVERIC), VA Boston Healthcare SystemMassachusetts Veterans Epidemiology and Research Information Center (MAVERIC), VA Boston Healthcare SystemOak Ridge National LaboratoryMassachusetts Veterans Epidemiology and Research Information Center (MAVERIC), VA Boston Healthcare SystemCenter for Complex Network Research, Department of Physics, Northeastern UniversityAbstract A better understanding of the sequential and temporal aspects in which diseases occur in patient’s lives is essential for developing improved intervention strategies that reduce burden and increase the quality of health services. Here we present a network-based framework to study disease relationships using Electronic Health Records from > 9 million patients in the United States Veterans Health Administration (VHA) system. We create the Temporal Disease Network, which maps the sequential aspects of disease co-occurrence among patients and demonstrate that network properties reflect clinical aspects of the respective diseases. We use the Temporal Disease Network to identify disease groups that reflect patterns of disease co-occurrence and the flow of patients among diagnoses. Finally, we define a strategy for the identification of trajectories that lead from one disease to another. The framework presented here has the potential to offer new insights for disease treatment and prevention in large health care systems.https://doi.org/10.1038/s41598-022-15764-9
spellingShingle Italo Faria do Valle
Brian Ferolito
Hanna Gerlovin
Lauren Costa
Serkalem Demissie
Franciel Linares
Jeremy Cohen
David R. Gagnon
J. Michael Gaziano
Edmon Begoli
Kelly Cho
Albert-László Barabási
Network-medicine framework for studying disease trajectories in U.S. veterans
Scientific Reports
title Network-medicine framework for studying disease trajectories in U.S. veterans
title_full Network-medicine framework for studying disease trajectories in U.S. veterans
title_fullStr Network-medicine framework for studying disease trajectories in U.S. veterans
title_full_unstemmed Network-medicine framework for studying disease trajectories in U.S. veterans
title_short Network-medicine framework for studying disease trajectories in U.S. veterans
title_sort network medicine framework for studying disease trajectories in u s veterans
url https://doi.org/10.1038/s41598-022-15764-9
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