Disparities in cannabis use and documentation in electronic health records among children and young adults
Abstract The legalizations of medical and recreational cannabis have generated a great deal of interest in studying the health impacts of cannabis products. Despite increases in cannabis use, its documentation during clinical visits is not yet mainstream. This lack of information hampers efforts to...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-08-01
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| Series: | npj Digital Medicine |
| Online Access: | https://doi.org/10.1038/s41746-023-00885-w |
| _version_ | 1797556272571088896 |
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| author | Nazgol Tavabi Marium Raza Mallika Singh Shahriar Golchin Harsev Singh Grant D. Hogue Ata M. Kiapour |
| author_facet | Nazgol Tavabi Marium Raza Mallika Singh Shahriar Golchin Harsev Singh Grant D. Hogue Ata M. Kiapour |
| author_sort | Nazgol Tavabi |
| collection | DOAJ |
| description | Abstract The legalizations of medical and recreational cannabis have generated a great deal of interest in studying the health impacts of cannabis products. Despite increases in cannabis use, its documentation during clinical visits is not yet mainstream. This lack of information hampers efforts to study cannabis’s effects on health outcomes. A clear and in-depth understanding of current trends in cannabis use documentation is necessary to develop proper guidelines to screen and document cannabis use. Here we have developed and used a natural language processing pipeline to evaluate the trends and disparities in cannabis documentation. The pipeline includes a screening step to identify clinical notes with cannabis use documentation which is then fed into a BERT-based classifier to confirm positive use. This pipeline is applied to more than 23 million notes from a large cohort of 370,087 patients seen in a high-volume multi-site pediatric and young adult clinic over a period of 21 years. Our findings show a very low but growing rate of cannabis use documentation (<2%) in electronic health records with significant demographic and socioeconomic disparities in both documentation and positive use, which requires further attention. |
| first_indexed | 2024-03-10T17:00:28Z |
| format | Article |
| id | doaj.art-fd363539785f427dabbc27a6d22ae9f3 |
| institution | Directory Open Access Journal |
| issn | 2398-6352 |
| language | English |
| last_indexed | 2024-03-10T17:00:28Z |
| publishDate | 2023-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Digital Medicine |
| spelling | doaj.art-fd363539785f427dabbc27a6d22ae9f32023-11-20T11:00:50ZengNature Portfolionpj Digital Medicine2398-63522023-08-016111010.1038/s41746-023-00885-wDisparities in cannabis use and documentation in electronic health records among children and young adultsNazgol Tavabi0Marium Raza1Mallika Singh2Shahriar Golchin3Harsev Singh4Grant D. Hogue5Ata M. Kiapour6Department of Orthopaedic Surgery and Sports Medicine, Boston Children’s HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Boston Children’s HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Boston Children’s HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Boston Children’s HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Boston Children’s HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Boston Children’s HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Boston Children’s HospitalAbstract The legalizations of medical and recreational cannabis have generated a great deal of interest in studying the health impacts of cannabis products. Despite increases in cannabis use, its documentation during clinical visits is not yet mainstream. This lack of information hampers efforts to study cannabis’s effects on health outcomes. A clear and in-depth understanding of current trends in cannabis use documentation is necessary to develop proper guidelines to screen and document cannabis use. Here we have developed and used a natural language processing pipeline to evaluate the trends and disparities in cannabis documentation. The pipeline includes a screening step to identify clinical notes with cannabis use documentation which is then fed into a BERT-based classifier to confirm positive use. This pipeline is applied to more than 23 million notes from a large cohort of 370,087 patients seen in a high-volume multi-site pediatric and young adult clinic over a period of 21 years. Our findings show a very low but growing rate of cannabis use documentation (<2%) in electronic health records with significant demographic and socioeconomic disparities in both documentation and positive use, which requires further attention.https://doi.org/10.1038/s41746-023-00885-w |
| spellingShingle | Nazgol Tavabi Marium Raza Mallika Singh Shahriar Golchin Harsev Singh Grant D. Hogue Ata M. Kiapour Disparities in cannabis use and documentation in electronic health records among children and young adults npj Digital Medicine |
| title | Disparities in cannabis use and documentation in electronic health records among children and young adults |
| title_full | Disparities in cannabis use and documentation in electronic health records among children and young adults |
| title_fullStr | Disparities in cannabis use and documentation in electronic health records among children and young adults |
| title_full_unstemmed | Disparities in cannabis use and documentation in electronic health records among children and young adults |
| title_short | Disparities in cannabis use and documentation in electronic health records among children and young adults |
| title_sort | disparities in cannabis use and documentation in electronic health records among children and young adults |
| url | https://doi.org/10.1038/s41746-023-00885-w |
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