Evaluating a large language model for identifying key comorbidities in discharge summaries of patients with obesity: a comparative validation study against ICD codes using MIMIC-IV.
Jul 2026· International Journal of Obesity· 0 citations· 20 references
Medicine
TL;DR
The LLM showed promising concordance with ICD codes for T2DM, HTN, OSA, and HLD in obesity patient discharge summaries, including against ICD-9/10 coding and against manual review.
Objective: The goal was to integrate structured and unstructured data from the electronic health record (EHR) to identify social and behavioral determinants of health (SBDH) factors and evaluate their association with high emergency department (ED) utilization among cardiovascular disease (CVD) patients. Methods: A cus...
T. Metzger, S. Morrell, S. Roy et al.· medRxiv· 0 citations
ICD-10-CM codes demonstrate high specificity and PPV but low sensitivity, indicating that while coded cases are likely true obesity, many patients with obesity are not captured in claims.
Effie L. Kuti, Emma L. Richard, K. Schott et al.· Journal of health economics...· 0 citations
In this multisite retrospective validation study, the LLM-assisted workflow showed strong but context-dependent performance for identifying cardiovascular events from the EMR, and ICD-based retrieval remained competitive for some use cases.
Omar H. Ibrahim, J. Farina, Milagros Pereyra Pietri et al.· BMJ Open· 0 citations
ICD-10 code–only definition demonstrated high overall agreement with the composite definition, driven primarily by agreement on non-events, but limited agreement for identified exacerbations, suggesting that the two definitions may capture different levels of exacerbations.
Chun-Tse Hung, Cheng An, Chi-Won Suk· Clinical Epidemiology· 0 citations
It may be feasible to assess CR using EMR data in Japanese patients with asthma, however, infrequent recording of CR components in clinical practice, particularly ACT and lung function tests, limits availability of EMR data for CR assessments and the potential generalizability of CR findings.
H. Nagase, T. Sakagami, Masashi Takano et al.· Journal of Asthma· 0 citations
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