Learning multimorbidity patterns from electronic health records using Non-negative Matrix Factorisation

Multimorbidity, or the presence of several medical conditions in the same individual, has been increasing in the population — both in absolute and relative terms. Nevertheless, multimorbidity remains poorly understood, and the evidence from existing research to describe its burden, determinants and...

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Auteurs principaux: Hassaine, A, Canoy, D, Solares, JRA, Zhu, Y, Rao, S, Li, Y, Zottoli, M, Rahimi, K, Salimi-Khorshidi, G
Format: Journal article
Langue:English
Publié: Elsevier 2020
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author Hassaine, A
Canoy, D
Solares, JRA
Zhu, Y
Rao, S
Li, Y
Zottoli, M
Rahimi, K
Salimi-Khorshidi, G
author_facet Hassaine, A
Canoy, D
Solares, JRA
Zhu, Y
Rao, S
Li, Y
Zottoli, M
Rahimi, K
Salimi-Khorshidi, G
author_sort Hassaine, A
collection OXFORD
description Multimorbidity, or the presence of several medical conditions in the same individual, has been increasing in the population — both in absolute and relative terms. Nevertheless, multimorbidity remains poorly understood, and the evidence from existing research to describe its burden, determinants and consequences has been limited. Previous studies attempting to understand multimorbidity patterns are often cross-sectional and do not explicitly account for multimorbidity patterns’ evolution over time; some of them are based on small datasets and/or use arbitrary and narrow age ranges; and those that employed advanced models, usually lack appropriate benchmarking and validations. In this study, we (1) introduce a novel approach for using Non-negative Matrix Factorisation (NMF) for temporal phenotyping (i.e., simultaneously mining disease clusters and their trajectories); (2) provide quantitative metrics for the evaluation of these clusters and trajectories; and (3) demonstrate how the temporal characteristics of the disease clusters that result from our model can help mine multimorbidity networks and generate new hypotheses for the emergence of various multimorbidity patterns over time. We trained and evaluated our models on one of the world’s largest electronic health records (EHR) datasets, containing more than 7 million patients, from which over 2 million where relevant to, and hence included in this study.
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spelling oxford-uuid:a6fa5061-e053-4bec-ae1c-1720c01700892022-03-27T02:51:18ZLearning multimorbidity patterns from electronic health records using Non-negative Matrix FactorisationJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:a6fa5061-e053-4bec-ae1c-1720c0170089EnglishSymplectic ElementsElsevier2020Hassaine, ACanoy, DSolares, JRAZhu, YRao, SLi, YZottoli, MRahimi, KSalimi-Khorshidi, GMultimorbidity, or the presence of several medical conditions in the same individual, has been increasing in the population — both in absolute and relative terms. Nevertheless, multimorbidity remains poorly understood, and the evidence from existing research to describe its burden, determinants and consequences has been limited. Previous studies attempting to understand multimorbidity patterns are often cross-sectional and do not explicitly account for multimorbidity patterns’ evolution over time; some of them are based on small datasets and/or use arbitrary and narrow age ranges; and those that employed advanced models, usually lack appropriate benchmarking and validations. In this study, we (1) introduce a novel approach for using Non-negative Matrix Factorisation (NMF) for temporal phenotyping (i.e., simultaneously mining disease clusters and their trajectories); (2) provide quantitative metrics for the evaluation of these clusters and trajectories; and (3) demonstrate how the temporal characteristics of the disease clusters that result from our model can help mine multimorbidity networks and generate new hypotheses for the emergence of various multimorbidity patterns over time. We trained and evaluated our models on one of the world’s largest electronic health records (EHR) datasets, containing more than 7 million patients, from which over 2 million where relevant to, and hence included in this study.
spellingShingle Hassaine, A
Canoy, D
Solares, JRA
Zhu, Y
Rao, S
Li, Y
Zottoli, M
Rahimi, K
Salimi-Khorshidi, G
Learning multimorbidity patterns from electronic health records using Non-negative Matrix Factorisation
title Learning multimorbidity patterns from electronic health records using Non-negative Matrix Factorisation
title_full Learning multimorbidity patterns from electronic health records using Non-negative Matrix Factorisation
title_fullStr Learning multimorbidity patterns from electronic health records using Non-negative Matrix Factorisation
title_full_unstemmed Learning multimorbidity patterns from electronic health records using Non-negative Matrix Factorisation
title_short Learning multimorbidity patterns from electronic health records using Non-negative Matrix Factorisation
title_sort learning multimorbidity patterns from electronic health records using non negative matrix factorisation
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