Elizabeth Chen

Aaron S. Eisman, Nishant R. Shah, Carsten Eickhoff et al.

Anginal symptoms can connote increased cardiac risk and a need for change in cardiovascular management. This study evaluated the potential to extract these symptoms from physician notes using the Bidirectional Encoder from Transformers language model fine-tuned on a domain-specific corpus. The history of present illness section of 459 expert annotated primary care physician notes from consecutive patients referred for cardiac testing without known atherosclerotic cardiovascular disease were included. Notes were annotated for positive and negative mentions of chest pain and shortness of breath characterization. The results demonstrate high sensitivity and specificity for the detection of chest pain or discomfort, substernal chest pain, shortness of breath, and dyspnea on exertion. Small sample size limited extracting factors related to provocation and palliation of chest pain. This study provides a promising starting point for the natural language processing of physician notes to characterize clinically actionable anginal symptoms.

Cindy Li, Elizabeth Chen, Guergana Savova et al.

Diagnostic errors can pose a serious threat to patient safety, leading to serious harm and even death. Efforts are being made to develop interventions that allow physicians to reassess for errors and improve diagnostic accuracy. Our study presents an exploration of misdiagnosis patterns mined from PubMed abstracts. Article titles containing certain phrases indicating misdiagnosis were selected and frequencies of these misdiagnoses calculated. We present the resulting patterns in the form of a directed graph with frequency-weighted misdiagnosis edges connecting diagnosis vertices. We find that the most commonly misdiagnosed diseases were often misdiagnosed as many different diseases, with each misdiagnosis having a relatively low frequency, rather than as a single disease with greater probability. Additionally, while a misdiagnosis relationship may generally exist, the relationship was often found to be one-sided.