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Register a new userComparing Data-mining Algorithms Developed for Longitudinal Observational Databases
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Added by
Uwe Aickelin
Publication date
2013
fields
Informatics Engineering
and research's language is
English
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Longitudinal observational databases have become a recent interest in the post marketing drug surveillance community due to their ability of presenting a new perspective for detecting negative side effects. Algorithms mining longitudinal observation databases are not restricted by many of the limitations associated with the more conventional methods that have been developed for spontaneous reporting system databases. In this paper we investigate the robustness of four recently developed algorithms that mine longitudinal observational databases by applying them to The Health Improvement Network (THIN) for six drugs with well document known negative side effects. Our results show that none of the existing algorithms was able to consistently identify known adverse drug reactions above events related to the cause of the drug and no algorithm was superior.
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A lot of time is spent searching for the most performing data mining algorithms applied in clinical diagnosis. The study set out to identify the most performing predictive data mining algorithms applied in the diagnosis of Erythemato-squamous diseases. The study used Naive Bayes, Multilayer Perceptron and J48 decision tree induction to build predictive data mining models on 366 instances of Erythemato-squamous diseases datasets. Also, 10-fold cross-validation and sets of performance metrics were used to evaluate the baseline predictive performance of the classifiers. The comparative analysis shows that the Naive Bayes performed best with accuracy of 97.4%, Multilayer Perceptron came out second with accuracy of 96.6%, and J48 came out the worst with accuracy of 93.5%. The evaluation of these classifiers on clinical datasets, gave an insight into the predictive ability of different data mining algorithms applicable in clinical diagnosis especially in the diagnosis of Erythemato-squamous diseases.
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The electronic healthcare databases are starting to become more readily available and are thought to have excellent potential for generating adverse drug reaction signals. The Health Improvement Network (THIN) database is an electronic healthcare database containing medical information on over 11 million patients that has excellent potential for detecting ADRs. In this paper we apply four existing electronic healthcare database signal detecting algorithms (MUTARA, HUNT, Temporal Pattern Discovery and modified ROR) on the THIN database for a selection of drugs from six chosen drug families. This is the first comparison of ADR signalling algorithms that includes MUTARA and HUNT and enabled us to set a benchmark for the adverse drug reaction signalling ability of the THIN database. The drugs were selectively chosen to enable a comparison with previous work and for variety. It was found that no algorithm was generally superior and the algorithms natural thresholds act at variable stringencies. Furthermore, none of the algorithms perform well at detecting rare ADRs.
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