{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:18:30Z","timestamp":1760955510517,"version":"build-2065373602"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T00:00:00Z","timestamp":1422316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate physician adherence with gout quality indicators (QIs) for medication use and monitoring, and behavioral modification (BM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Gout patients were assessed for the QIs as follows: QI 1: initial allopurinol dosage &lt;300 mg\/day for patients with chronic kidney disease (CKD); QI 2: uric acid within 6 months of allopurinol start; and QI 3: complete blood count and creatinine phosphokinase within 6 months of colchicine initiation. Natural language processing (NLP) was used to analyze clinical narrative data from electronic medical records (EMRs) of overweight (body mass index \u226528 kg\/m<jats:sup>2<\/jats:sup>) gout patients for BM counseling on gout\u2010specific dietary restrictions, weight loss, and alcohol consumption (QI 4). Additional data included sociodemographics, comorbidities, and number of rheumatology and primary care visits. QI compliance versus noncompliance was compared using chi\u2010square analyses and independent\u2010groups <jats:italic>t<\/jats:italic>\u2010test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2,280 gout patients, compliance with QI was as follows: QI 1: 92.1%, QI 2: 44.8%, and QI 3: 7.7%. Patients compliant with QI 2 had more rheumatology visits at 3.5 versus 2.6 visits (<jats:italic>P<\/jats:italic> &lt; 0.001), while those compliant with QI 3 had more CKD (<jats:italic>P<\/jats:italic> &lt; 0.01). Of 1,576 eligible patients, BM counseling for weight loss occurred in 1,008 patients (64.0%), low purine diet in 390 (24.8%), alcohol abstention in 137 (8.7%), and all 3 elements in 51 patients (3.2%). Regular rheumatology clinic visits correlated with frequent advice on weight loss and gout\u2010specific diet (<jats:italic>P<\/jats:italic> &lt; 0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Rheumatology clinic attendance was associated with greater QI compliance. NLP proved a valuable tool for measuring BM as documented in the clinical narrative of EMRs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.22406","type":"journal-article","created":{"date-parts":[[2014,7,21]],"date-time":"2014-07-21T14:06:06Z","timestamp":1405951566000},"page":"273-279","source":"Crossref","is-referenced-by-count":12,"title":["Measuring Physician Adherence With Gout Quality Indicators: A Role for Natural Language Processing"],"prefix":"10.1002","volume":"67","author":[{"given":"Gail S.","family":"Kerr","sequence":"first","affiliation":[{"name":"Veterans Affairs Medical Center, Georgetown University, and Howard University Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S.","family":"Richards","sequence":"additional","affiliation":[{"name":"Veterans Affairs Medical Center and Georgetown University Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl A.","family":"Nunziato","sequence":"additional","affiliation":[{"name":"Veterans Affairs Medical Center Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga V.","family":"Patterson","sequence":"additional","affiliation":[{"name":"Veterans Affairs Salt Lake City Health Care System and University of Utah Salt Lake City Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott L.","family":"DuVall","sequence":"additional","affiliation":[{"name":"Veterans Affairs Salt Lake City Health Care System and University of Utah Salt Lake City Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mireille","family":"Aujero","sequence":"additional","affiliation":[{"name":"Veterans Affairs Medical Center and Georgetown University Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Maron","sequence":"additional","affiliation":[{"name":"Veterans Affairs Medical Center Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Amdur","sequence":"additional","affiliation":[{"name":"Veterans Affairs Medical Center and George Washington University Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.30520"},{"key":"e_1_2_6_3_1","first-page":"2403","article-title":"Epidemiology of gout: is the incidence rising?","volume":"29","author":"Arromdee E","year":"2002","journal-title":"J Rheumatol"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar4281"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2012.0057"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1586\/erp.12.60"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.071229"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1999.tb00139.x"},{"key":"e_1_2_6_9_1","first-page":"346","article-title":"A survey of allopurinol dosage prescribing","volume":"108","author":"McClintock AD","year":"1995","journal-title":"N Z Med J"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1762.2000.00353.x"},{"key":"e_1_2_6_11_1","first-page":"1813","article-title":"Evaluation of allopurinol use in patients with gout","volume":"46","author":"Zell SC","year":"1989","journal-title":"Am J Hosp Pharm"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.111375"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.20102"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.296.6637.1641-a"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(72)92271-4"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1086\/668785"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/17423953060020011001"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2150131911427167"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2261-12-74"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.22767"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh679"},{"key":"e_1_2_6_22_1","unstructured":"DuVallSL PattersonO GinterT CorniaR NebekerJR. FLAP: flying towards real\u2010time decision support [poster]. Presented at the NIH Workshop on Natural Language Processing;2012; Bethesda MD."},{"key":"e_1_2_6_23_1","first-page":"128","article-title":"Extracting information from textural documents in the electronic health record: a review of recent research","author":"Meystre SM","year":"2008","journal-title":"Yearb Med Inform"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2009.08.007"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2011-000465"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.01.001"},{"key":"e_1_2_6_27_1","doi-asserted-by":"crossref","unstructured":"PattersonOV KerrGS RichardsJS NunziatoCA MaronDD AmdurRL et al. Identifying provider counseling practices using natural language processing: gout example. Presented at 2012 IEEE Second International Conference on Health Care Informatics Imaging and Systems Biology; September 28\u201329 2012; San Diego California. URL:http:\/\/ieeexplore.ieee.org\/lpdocs\/epic03\/wrapper.htm?arnumber=6366218.","DOI":"10.1109\/HISB.2012.52"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-62-4-639"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1961.03040110035008"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1952.02930300014004"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.rhu.0000209882.50228.9f"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21772"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21773"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa035700"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16000-5"},{"key":"e_1_2_6_36_1","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1002\/acr.21791","article-title":"Body mass index, obesity and prevalent gout in the United States in 1988\u20131994 and 2007\u20132010","volume":"65","author":"Jurascheck SP","year":"2013","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.59.7.539"},{"key":"e_1_2_6_38_1","first-page":"134","article-title":"Changes in uric acid and blood lipids in patients with asymptomatic hyperuricemia treated with diet therapy in a rehabilitation procedure","volume":"28","author":"Kullich W","year":"1989","journal-title":"Rehabilitation (Stuttg)"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100670050005"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.070755"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e3182314d40"},{"key":"e_1_2_6_42_1","unstructured":"DuVallSL KamauuAW SauerBC. Using advanced health care data analytics to identify and characterize central venous catheterization episodes via electronic health records in Veterans Affairs databases [poster]. Presented at Proceedings of the Association for Computational Linguistics: Human Language Technologies 2011 Systems Demos;2011; Portland Oregon."},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20369"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.27327"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.34488"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-174"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/00124743-199702000-00005"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1906-3"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e318232615b"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e3181b562f8"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Facr.22406","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.22406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T17:07:41Z","timestamp":1759424861000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr.22406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,27]]},"references-count":49,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1002\/acr.22406"],"URL":"https:\/\/doi.org\/10.1002\/acr.22406","archive":["Portico"],"relation":{},"ISSN":["2151-464X","2151-4658"],"issn-type":[{"type":"print","value":"2151-464X"},{"type":"electronic","value":"2151-4658"}],"subject":[],"published":{"date-parts":[[2015,1,27]]}}}