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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Computer Methods and...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Computer Methods and Programs in Biomedicine
Article . 2024 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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A probabilistic generative model to discover the treatments of coexisting diseases with missing data

Authors: Onintze Zaballa; Aritz Pérez; Elisa Gómez-Inhiesto; Teresa Acaiturri-Ayesta; Jose A. Lozano;

A probabilistic generative model to discover the treatments of coexisting diseases with missing data

Abstract

Comorbidities, defined as the presence of co-existing diseases, progress through complex temporal patterns among patients. Learning such dynamics from electronic health records is crucial for understanding the coevolution of diseases. In general, medical records are represented through temporal sequences of clinical variables together with their diagnosis. However, we consider the specific problem where most of the diagnoses are missing. We present a novel probabilistic generative model with a three-fold objective: (i) identify and segment the medical history of patients into treatments associated with comorbidities; (ii) learn the model associated with each identified disease treatment; and (iii) discover subtypes of patients with similar coevolution of comorbidities.To this end, the model considers a latent structure for the sequences, where patients are modeled by a latent class defined by the evolution of their comorbidities, and each observed medical event of their clinical history is associated with a latent disease. The learning process is performed using an Expectation-Maximization algorithm that considers the exponential number of configurations of the latent variables and is efficiently solved with dynamic programming.The evaluation of the method is carried out both on synthetic and real world data: the experiments on synthetic data show that the learning procedure allows the generative model underlying the data to be recovered; the experiments on real medical data show accurate results in the segmentation of sequences into different treatments, subtyping of patients and diagnosis imputation.We present an interpretable generative model that handles the incompleteness of EHRs and describes the different joint evolution of coexisting diseases depending on the active comorbidities of the patient at each moment.

Keywords

Models, Statistical, Humans, Learning, Electronic Health Records, Comorbidity, Algorithms

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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