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Published in: Journal of Medical Systems 3/2019

01-03-2019 | Obesity | Transactional Processing Systems

Cluster Analysis of Obesity Disease Based on Comorbidities Extracted from Clinical Notes

Authors: Ruth Reátegui, Sylvie Ratté, Estefanía Bautista-Valarezo, Víctor Duque

Published in: Journal of Medical Systems | Issue 3/2019

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Abstract

Clinical notes provide a comprehensive and overall impression of the patient’s health. However, the automatic extraction of information within these notes is challenging due to their narrative style. In this context, our goal was to identify clusters of patients based on fourteen comorbidities related to obesity, automatically extracted with the cTAKES tool from the i2b2 Obesity Challenge data. Furthermore, results were compared with clusters obtained from experts’ annotated data. The sparse K-means algorithms were used in both experiment at two levels: at the first level, three clusters were found, and at the second, new clusters were found by applying the same algorithm to each of the clusters from the former level. The results show that three types of clusters could be identified based on the number of comorbidities and the percentage of patients suffering from them. Diabetes, hypercholesterolemia, atherosclerotic cardiovascular diseases, congestive heart failure, obstructive sleep apnea, and depression were the diseases with the highest weights contributing to the cluster distribution.
Literature
11.
go back to reference Figueroa, R. L., and Flores, C. A., Extracting information from electronic medical records to identify the obesity status of a patient based on comorbidities and bodyweight measures. J. Med. Syst. 40(8):1–9, 2016.CrossRef Figueroa, R. L., and Flores, C. A., Extracting information from electronic medical records to identify the obesity status of a patient based on comorbidities and bodyweight measures. J. Med. Syst. 40(8):1–9, 2016.CrossRef
19.
go back to reference LaGrotte, C., Fernandez-Mendoza, J., Calhoun, S. L., Liao, D., Bixler, E. O., and Vgontzas, A. N.., The relative association of obstructive sleep apnea, obesity, and excessive daytime sleepiness with incident depression: A longitudinal, population-based study. Int. J. Obes.:1–8, 2016. doi:https://doi.org/10.1038/ijo.2016.87. LaGrotte, C., Fernandez-Mendoza, J., Calhoun, S. L., Liao, D., Bixler, E. O., and Vgontzas, A. N.., The relative association of obstructive sleep apnea, obesity, and excessive daytime sleepiness with incident depression: A longitudinal, population-based study. Int. J. Obes.:1–8, 2016. doi:https://​doi.​org/​10.​1038/​ijo.​2016.​87.
20.
go back to reference Uzuner, Ö., Recognizing obesity and comorbidities in sparse data. JAMIA 16(4):561–570, 2009.PubMed Uzuner, Ö., Recognizing obesity and comorbidities in sparse data. JAMIA 16(4):561–570, 2009.PubMed
24.
go back to reference Bruce, S. G., Riediger, N. D., Zacharias, J. M., and Young, T. K., Obesity and obesity-related comorbidities in a Canadian first nation population. Prevent. Chron. Dis. 8(1):A03, 2011. Bruce, S. G., Riediger, N. D., Zacharias, J. M., and Young, T. K., Obesity and obesity-related comorbidities in a Canadian first nation population. Prevent. Chron. Dis. 8(1):A03, 2011.
29.
go back to reference Canto, J. G., Kiefe, C. I., Rogers, W. J., Peterson, E. D., Frederick, P. D., French, W. J., Gibson, C. M., Pollack, C. V., Ornato, J. P., Zalenski, R. J., Penney, J., Tiefenbrunn, A. J., Greenland, P., and Investigators, N., Number of coronary heart disease risk factors and mortality in patients with first myocardial infarction. Jama J. Am. Med. Assoc. 306(19):2120–2127, 2011. https://doi.org/10.1001/jama.2011.1654.CrossRef Canto, J. G., Kiefe, C. I., Rogers, W. J., Peterson, E. D., Frederick, P. D., French, W. J., Gibson, C. M., Pollack, C. V., Ornato, J. P., Zalenski, R. J., Penney, J., Tiefenbrunn, A. J., Greenland, P., and Investigators, N., Number of coronary heart disease risk factors and mortality in patients with first myocardial infarction. Jama J. Am. Med. Assoc. 306(19):2120–2127, 2011. https://​doi.​org/​10.​1001/​jama.​2011.​1654.CrossRef
Metadata
Title
Cluster Analysis of Obesity Disease Based on Comorbidities Extracted from Clinical Notes
Authors
Ruth Reátegui
Sylvie Ratté
Estefanía Bautista-Valarezo
Víctor Duque
Publication date
01-03-2019
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 3/2019
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-019-1172-1

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