Carcinoma de tiroides en personas mayores: caracterización mediante herramientas de big data

Díez, Juan J.; Cabrera, Luis; Iglesias, Pedro; Benavent, María; López, Guillermo; Argüello, Guillermo; Parralejo, Alejandro; López-Velázquez, Alberto

doi:10.1016/j.endinu.2022.11.003

Cited by 6 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although several investigators have analyzed the recurrence rate of thyroid cancer in older patients [16,17] we have not found speci c studies focusing on the consumption of healthcare resources. In an analysis of all thyroid cancers diagnosed in a single center using arti cial intelligence methods, we were able to demonstrate that very old people (≥ 75 years) were not higher consumers of healthcare resources than elderly patients (60-74 years) [34]. We observed that patients ≥ 75 years presented a signi cant increase in the consumption of diagnostic procedures such as and PET scans.…”

Section: Discussionmentioning

confidence: 84%

Consumption of health resources in older people with differentiated thyroid carcinoma: a multicenter analysis

Díez

Anda

Alcázar

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Objective There is hardly any information on the consumption of healthcare resources by older people with differentiated thyroid cancer (DTC). We analyzed these consumptions in older patients with DTC and compared patients 75 years and older with subjects aged 60–74 years. Methods A multicenter, retrospective analysis was designed. We recorded three groups of health resources consumption (visits, diagnostic procedures, and therapeutic procedures) and identified a subgroup of patients with high consumption of resources. We compared elderly patients (group 1, 60–74 years) with very old patients (group 2, ≥ 75 years). Results We included 1654 patients (women, 74.4%), of whom 1388 (83.9%) belonged to group 1 and 266 (16.1%) to group 2. In group 2, we found a higher proportion of patients requiring emergency department visits (7.89% vs 4.32%, P < 0.05) and imaging studies (24.1% vs. 17.3%; P < 0.05) compared to group 1. However, we did not find any significant difference between both groups in the consumption of other visits, diagnostic procedures, or therapeutic procedures. Overall, 340 patients (20.6%) were identified as high consumers of health resources, 270 (19.5%) in group 1 and 70 (26.3%) in group 2 (P < 0.05). Multivariate logistic regression analysis showed that the risk of recurrence and mortality, radioiodine treatment, tumor size, and vascular invasion were significantly related to the high global consumption of resources. However, the age was not significantly related to it. Conclusion In patients with DTC over 60 years of age, advanced age is not an independent determining factor in the consumption of health resources.

show abstract

Section: Discussionmentioning

confidence: 84%

Consumption of health resources in older people with differentiated thyroid carcinoma: a multicenter analysis

Díez

Anda

Alcázar

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 84%

Consumption of health resources in older people with differentiated thyroid carcinoma: a multicenter analysis

Díez

Anda²,

Alcázar

et al. 2023

Endocrine

Self Cite

View full text Add to dashboard Cite

There is hardly any information on the consumption of healthcare resources by older people with differentiated thyroid cancer (DTC). We analyzed these consumptions in older patients with DTC and compared patients 75 years and older with subjects aged 60-74 years. MethodsA multicenter, retrospective analysis was designed. We recorded three groups of health resources consumption (visits, diagnostic procedures, and therapeutic procedures) and identi ed a subgroup of patients with high consumption of resources. We compared elderly patients (group 1, 60-74 years) with very old patients (group 2, ≥ 75 years). ResultsWe included 1654 patients (women, 74.4%), of whom 1388 (83.9%) belonged to group 1 and 266 (16.1%) to group 2. In group 2, we found a higher proportion of patients requiring emergency department visits (7.89% vs 4.32%, P < 0.05) and imaging studies (24.1% vs. 17.3%; P < 0.05) compared to group 1. However, we did not nd any signi cant difference between both groups in the consumption of other visits, diagnostic procedures, or therapeutic procedures. Overall, 340 patients (20.6%) were identi ed as high consumers of health resources, 270 (19.5%) in group 1 and 70 (26.3%) in group 2 (P < 0.05). Multivariate logistic regression analysis showed that the risk of recurrence and mortality, radioiodine treatment, tumor size, and vascular invasion were signi cantly related to the high global consumption of resources.However, the age was not signi cantly related to it. ConclusionIn patients with DTC over 60 years of age, advanced age is not an independent determining factor in the consumption of health resources.

show abstract

“…Once the data were adapted to the respective data model, a baseline processing of Savana's patented clinical NLP pipeline, EHRead ® technology, was executed to detect clinically relevant information in the free text section of the provided EHRs. EHRead ® Technology is a complex cNLP pipeline combining a rich set of NLP techniques in a big data processing pipeline and has been successfully applied in a wide range of real-world evidence studies [14][15][16][17][18]27]. The outcome of the baseline processing is a structured database in which clinically relevant information extracted from the EHRs' free text was added to the information coming from structured data sources.…”

Section: Data Extraction and Clinical Nlp Processingmentioning

confidence: 99%

“…In recent years there has been a growing interest in using artificial intelligence (AI) tools that can extract valuable information from the large amount of data generated in healthcare centers [14][15][16][17][18]. Most of the clinical information in electronic health records (EHRs) is in free text and, due to the large number of data, is poorly accessible by traditional manual review.…”

Section: Introductionmentioning

confidence: 99%

Primary Hyperparathyroidism and Cardiovascular Disease: An Association Study Using Clinical Natural Language Processing Systems and Big Data Analytics

Iglesias,

Arias,

López

et al. 2023

JCM

View full text Add to dashboard Cite

Primary hyperparathyroidism (PHPT) seems to be associated with different cardiovascular diseases (CVDs). We evaluated the association of PHPT with major CV risk factors (CVRFs) and CVDs by using artificial intelligence (AI) tools. An observational and retrospective study was conducted using data from the electronic health records (EHRs) of the Hospital Universitario Puerta de Hierro Majadahonda (Spain). Of a total of 699,157 patients over 18 years of age studied (54.7% females), 6515 patients (0.9%; 65.4% women; mean age 67.6 ± 15.9 years) had a diagnosis of PHPT. The overall frequencies of hypertension, dyslipidemia, diabetes mellitus, and smoking habit in the cohort of patients with PTHP were all significantly (p < 0.001) higher than those found in patients without a diagnosis of PTHP. The total frequency of stroke, ischemic heart disease, atrial fibrillation, deep vein thrombosis, and pulmonary embolism in the cohort of PHPT patients were significantly (p < 0.001) higher than that found in patients without the diagnosis of PHPT. A multivariate regression analysis showed that PHPT was significantly (p < 0.001) and independently associated with all the CVDs evaluated. Our data show that there is a significant association between the diagnosis of PHPT and the main CVRFs and CVDs in our hospital population.

show abstract

Carcinoma de tiroides en personas mayores: caracterización mediante herramientas de big data

Cited by 6 publications

References 28 publications

Consumption of health resources in older people with differentiated thyroid carcinoma: a multicenter analysis

Consumption of health resources in older people with differentiated thyroid carcinoma: a multicenter analysis

Consumption of health resources in older people with differentiated thyroid carcinoma: a multicenter analysis

Primary Hyperparathyroidism and Cardiovascular Disease: An Association Study Using Clinical Natural Language Processing Systems and Big Data Analytics

Contact Info

Product

Resources

About