Automated detection of off-label drug use.

Automated detection of off-label drug use.
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DOI:
10.1371/journal.pone.0089324
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Shah NH
Shah NH
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Jung K;LePendu P;Chen WS;Iyer SV;Readhead B;Dudley JT;Shah NH

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Off-label drug use, defined as use of a drug in a manner that deviates from its approved use defined by the drug's FDA label, is problematic because such uses have not been evaluated for safety and efficacy. Studies estimate that 21% of prescriptions are off-label, and only 27% of those have evidence of safety and efficacy. We describe a data-mining approach for systematically identifying off-label usages using features derived from free text clinical notes and features extracted from two databases on known usage (Medi-Span and DrugBank). We trained a highly accurate predictive model that detects novel off-label uses among 1,602 unique drugs and 1,472 unique indications. We validated 403 predicted uses across independent data sources. Finally, we prioritize well-supported novel usages for further investigation on the basis of drug safety and cost.
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