Patient journey through cases of depression from claims database using machine learning algorithms

Autor: Masakazu Fujiwara, Yoshitake Kitanishi, Bruce Binkowitz
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Computer science
Physiology
Disease
computer.software_genre
Medical care
Inflammatory bowel disease
Machine Learning
Database and Informatics Methods
0302 clinical medicine
Medicine and Health Sciences
030212 general & internal medicine
Claims database
Medical diagnosis
Precision Medicine
Depression (differential diagnoses)
Data Management
Multidisciplinary
Depression
Prognosis
Gastritis
Medicine
Algorithms
Research Article
Computer and Information Sciences
Drug Research and Development
Science
MEDLINE
Gastroenterology and Hepatology
Machine learning
Research and Analysis Methods
03 medical and health sciences
Artificial Intelligence
Mental Health and Psychiatry
medicine
Humans
Structure (mathematical logic)
Pharmacology
business.industry
Mood Disorders
Inflammatory Bowel Disease
Biology and Life Sciences
medicine.disease
Precision medicine
030104 developmental biology
Artificial intelligence
business
Physiological Processes
Sleep
computer
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 2, p e0247059 (2021)
ISSN: 1932-6203
Popis: Health insurance and acute hospital-based claims have recently become available as real-world data after marketing in Japan and, thus, classification and prediction using the machine learning approach can be applied to them. However, the methodology used for the analysis of real-world data has been hitherto under debate and research on visualizing the patient journey is still inconclusive. So far, to classify diseases based on medical histories and patient demographic background and to predict the patient prognosis for each disease, the correlation structure of real-world data has been estimated by machine learning. Therefore, we applied association analysis to real-world data to consider a combination of disease events as the patient journey for depression diagnoses. However, association analysis makes it difficult to interpret multiple outcome measures simultaneously and comprehensively. To address this issue, we applied the Topological Data Analysis (TDA) Mapper to sequentially interpret multiple indices, thus obtaining a visual classification of the diseases commonly associated with depression. Under this approach, the visual and continuous classification of related diseases may contribute to precision medicine research and can help pharmaceutical companies provide appropriate personalized medical care.
Databáze: OpenAIRE