Documentation of Palliative and End-of-Life Care Process Measures Among Young Adults Who Died of Cancer: A Natural Language Processing Approach

2020 ◽  
Vol 9 (1) ◽  
pp. 100-104 ◽  
Author(s):  
Hanneke Poort ◽  
Sophia N. Zupanc ◽  
Richard E. Leiter ◽  
Alexi A. Wright ◽  
Charlotta Lindvall
2021 ◽  
Author(s):  
Ivan Shun Lau ◽  
Zeljko Kraljevic ◽  
Mohammad Al Agil ◽  
Shelley Charing ◽  
Alan Quarterman ◽  
...  

Introduction: Planning in advance and personalised discussions on limitation of life sustaining treatment (LST) is an indicator of good care. However, there are many linguistic nuances and misunderstandings around dying in hospital as well as inaccuracy in individual-level prognostication. Methods: Using unsupervised natural language processing (NLP), we explored real-world terminology using phrase clusters with most similar sematic embeddings to 'Ceiling of Treatment' and their prognostication value in the electronic health record of an urban teaching hospital. Results: Word embeddings with most similar to 'Ceiling of Treatment' clustered around phrases describing end-of-life care, ceiling of care and resuscitation discussions. The phrases have differing prognostic profile with the highest 7-day mortality in the phrases most implicitly referring to end of life - 'terminal care', 'end of life care' (57.5%) and 'unsurvivable' (57.6%). Conclusion: NLP can quantify and analyse real-world end of life discussions around prognosis and appropriate LST.


2021 ◽  
Vol 1 (1) ◽  
pp. 2-11
Author(s):  
Sae Dieb ◽  
Kou Amano ◽  
Kosuke Tanabe ◽  
Daitetsu Sato ◽  
Masashi Ishii ◽  
...  

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