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Cancer Survival Analysis01:21

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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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Updated: Jan 13, 2026

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Leveraging Centralized Health System Data Management and Large Language Model-Based Data Preprocessing to Identify

Fekede Asefa Kumsa1, Christopher L Brett2, Soheil Hashtarkhani1

  • 1Center for Biomedical Informatics, Department of Pediatrics, College of Medicine, University of Tennessee Health Science Center, Memphis, TN.

JCO Clinical Cancer Informatics
|October 28, 2025
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Summary
This summary is machine-generated.

Identifying radiation therapy interruptions (RTI) is crucial for cancer care quality. Factors like cancer type, Medicaid coverage, and social vulnerability predict RTI, enabling targeted interventions.

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Area of Science:

  • Oncology
  • Health Informatics
  • Public Health

Background:

  • Unplanned radiation therapy interruptions (RTI) compromise cancer treatment quality.
  • Identifying risk factors for RTI is essential for improving patient outcomes.

Purpose of the Study:

  • To evaluate the use of a centralized electronic health record warehouse and large language model (LLM) for data preprocessing.
  • To facilitate the identification of risk factors associated with radiation therapy interruptions (RTI).

Main Methods:

  • Analysis of demographic, behavioral, clinical, and neighborhood data for 2,130 radiotherapy patients.
  • Measurement of treatment interruptions as missed days, adjusted for weekends/holidays.
  • Multinomial logistic regression to identify factors associated with moderate (2-4 days) and severe (≥5 days) RTI.

Main Results:

  • Moderate RTI (15.8%) linked to genitourinary/prostate cancer and Medicaid coverage.
  • Severe RTI (7.7%) associated with marital status, head/neck/gynecologic cancers, Medicaid, radiation dose, and neighborhood social vulnerability.
  • LLM-based preprocessing enabled efficient identification of these associations.

Conclusions:

  • Automated data preprocessing effectively identified key factors associated with RTI.
  • Marital status, disease site, Medicaid coverage, and social vulnerability are significant predictors of RTI.
  • Data-driven risk assessment and intervention strategies are needed to maintain cancer treatment quality.