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A Qualitative Analysis of Provider Notes of Atopic Dermatitis-Related Visits Using Natural Language Processing

Evangeline J Pierce¹, Natalie N Boytsov², Joe J Vasey³

¹Lilly Corporate Center, Eli Lilly and Company, 893 Delaware St, Indianapolis, IN, 46285, USA. evangeline.pierce@lilly.com.

Dermatology and Therapy

|May 31, 2021

Summary

This summary is machine-generated.

Healthcare provider notes for atopic dermatitis (AD) primarily document symptoms like itch, not the condition's impact on patients' lives. This suggests a care gap in managing AD's personal and work/life burden.

Keywords:

Atopic dermatitis Natural language processing Provider notes

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Area of Science:

Dermatology
Health Informatics
Patient-Reported Outcomes

Background:

Real-world management of atopic dermatitis (AD) faces challenges due to inconsistent provider documentation of severity, disease activity, and quality of life.
Variability in clinical documentation hinders understanding of AD's true impact on patients.

Purpose of the Study:

To analyze unstructured provider notes to identify documented symptoms and concerns of patients with atopic dermatitis (AD).
To assess the focus of healthcare provider documentation regarding AD, specifically symptoms versus life impact.

Main Methods:

Natural Language Processing (NLP) was applied to analyze unstructured electronic health records from 133,025 patients with AD in the USA.
Provider notes from various specialties (primary care, dermatology, allergy/immunology) were examined for key skin-related terms and bigram patterns.

Main Results:

Provider notes predominantly focused on symptoms, especially itch, and symptom relief, rather than the impact of AD on work or lifestyle.
Neuralgia, despite its link to itch, was infrequently documented.
Specialists (dermatologists, allergists/immunologists) documented symptom-related issues more than primary care providers, yet personal and work/life burden were rarely noted across all specialties.

Conclusions:

Current clinical documentation for atopic dermatitis (AD) largely captures symptoms and treatments but overlooks the broader burden on patients' lives.
This discrepancy indicates a potential care gap requiring further investigation to improve comprehensive AD management.