使用大型语言模型来提取生活中的压力事件,以评估它们对预防性结肠癌查,坚持查的影响
Dmitry Scherbakov1, Paul M Heider1, Ramsey Wehbe1,2
1Biomedical Informatics Center, Department of Public Health Sciences, Medical University of South Carolina (MUSC), Charleston, SC, USA.
BMC public health
|January 3, 2025
概括
压力较大的生活事件可能会影响结肠直肠癌查的坚持,一些事件,如丧生增加了查机会. 需要进一步的研究来验证这些发现,并探索对不同人群的影响.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 健康的社会决定因素
背景情况:
- 结肠直肠癌查的遵守是一个公共卫生问题,受社会决定因素的影响.
- 压力较大的生活事件是影响健康结果的重要社会决定因素.
- 早发性结直肠癌的发病率需要了解影响查遵守的因素.
研究的目的:
- 调查压力生活事件对结肠直肠癌查坚持的影响.
- 利用大型语言模型 (LLM) 来提取与生活事件相关的社会历史数据.
- 评估特定的压力生活事件如何影响结肠直肠癌查的可能性.
主要方法:
- 将一个大型语言模型 (LLM) 应用于临床笔记的社会历史部分.
- 从电子健康记录中提取有关压力生活事件的数据.
- 使用后勤回归来分析生活事件与结直肠癌查之间的关联.
主要成果:
- 确定了380名有压力生活事件的患者和5,344名没有.
- 逮捕/监禁,无家可归和分居与查减少有关.
- 丧与结直肠癌查的可能性增加有关.
结论:
- 压力较大的生活事件可能对查行为产生复杂而有时反直觉的影响.
- 研究结果表明,悲伤可能会对查坚持产生积极影响.
- 建议在各机构进行进一步的验证,并纳入多样化的群体.
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