RWD123 CUSTOMIZATION OF A LARGE LANGUAGE MODEL APPROACH TO CAPTURE PSA AND IMAGING DERIVED REAL-WORLD PROGRESSION EVENTS IN PROSTATE CANCER
Kelly Magee, Patrick Ward, Wanjing Chen, Eunice Hankinson et autres
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Kelly Magee, Patrick Ward, Wanjing Chen, Eunice Hankinson et autres
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Melissa Soria Estévez, Nisha Singh, Lauren Dyson, Blythe Adamson et autres
Large language models (LLMs) are increasingly used to extract clinical data from electronic health records, offering significant improvements in scalability and efficiency for real-world data (RWD) curation in oncology. However, the adoption of LLMs introduces new challenges in ensuring the reliability, accuracy, …
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Siobhan Halloran, Salman R. Punekar, Mark Guinter, Kelly Magee et autres
BACKGROUND: Immunotherapies have improved survival in patients with metastatic non-small cell lung cancer (mNSCLC), yet a substantial fraction of eligible patients remain untreated with immunotherapy in routine clinical practice. This study examined treatment patterns and factors associated with receipt of non-immunotherapy-containing first-line …
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Aaron Benjamin Cohen, Konstantin Krismer, Kelly Magee, James Gippetti et autres
Abstract Background: Accurate identification of cancer progression events from electronic health records (EHRs) can help enable promising oncology applications such as predicting disease trajectory, assessing treatment efficacy, and generating real-world evidence. These use cases require both large-scale and high-quality data but manual …
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Kelly Magee, Qianyu Yuan, Auriane Blarre, Aaron Benjamin Cohen et autres
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Kim R. Saverno, Siobhan Halloran, Mark A. Guinter, Kelly Magee et autres
e20563 Background: Programmed death ligand 1 (PD-[L]1) inhibitors such as retifanlimab have improved survival in patients with mNSCLC, yet these treatments may still be underutilized. This study examined treatment patterns and factors associated with selection of a PD-(L)1 inhibitor in first-line (1L) …
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Qianyi Zhang, Konstantin Krismer, Yichen Lu, Qianyu Yuan et autres
e13625 Background: Real-world evidence (RWE) is increasingly used to complement clinical trial data in oncology, providing rapid insights to inform study design and drug development. Using deep learning, natural language processing (NLP)-based machine learning models, we developed a real-world response (rwR) approach.This …
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Eunice Hankinson, Samantha Reiss, Patrick J. Ward, Brooke A. Jarrett et autres
e13739 Background: Prostate-Specific Membrane Antigen–Positron Emission Tomography (PSMA-PET) imaging has transformed the diagnosis and treatment of prostate cancer (PCa) since 2020 because it can detect smaller PCa lesions earlier than conventional imaging methods. Racial/ethnic inequities in PCa are well documented; yet, little …
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Madeline Richey, Christina G. Fullerton, Qianyi Zhang, Tori Williams et autres
INTRODUCTION: Methods for assessing change in tumor burden differ between clinical trial and routine clinical care settings, presenting a unique opportunity to design novel methods to capture clinical outcomes from electronic health record (EHR) data. We adapted a previously established approach for …
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Gene Ho, Xiaowei Wang, K. Schwed, Aaron Dolor et autres
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Qiushi Zhang, Konstantin Krismer, Xiaofeng Wang, Cliff Fullerton et autres
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Yichen Lu, Spencer S. Langerman, Emily McCain, Kelly Magee et autres
Importance: Response Evaluation Criteria in Solid Tumors (RECIST) are commonly used to assess therapeutic response in clinical trials but not in routine care; thus, RECIST-based end points are difficult to include in observational studies. Clinician-anchored approaches for measuring clinical response have been …
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