Identifying candidate risk factors for prescription drug side effects using causal contrast set mining

Big longitudinal observational databases present the opportunity to extract new knowledge in a cost effective manner. Unfortunately, the ability of these databases to be used for causal inference is limited due to the passive way in which the data are collected resulting in various forms of bias. In this paper we investigate a method that can overcome these limitations and determine causal contrast set rules efficiently from big data. In particular, we present a new methodology for the purpose of identifying risk factors that increase a patients likelihood of experiencing the known rare side effect of renal failure after ingesting aminosalicylates. The results show that the methodology was able to identify previously researched risk factors such as being prescribed diuretics and highlighted that patients with a higher than average risk of renal failure may be even more susceptible to experiencing it as a side effect after ingesting aminosalicylates

Incorporating spontaneous reporting system data to aid causal inference in longitudinal healthcare data

Inferring causality using longitudinal observational databases is challenging due to the passive way the data are collected. The majority of associations found within longitudinal observational data are often non-causal and occur due to confounding. The focus of this paper is to investigate incorporating information from additional databases to complement the longitudinal observational database analysis. We investigate the detection of prescription drug side effects as this is an example of a causal relationship. In previous work a framework was proposed for detecting side effects only using longitudinal data. In this paper we combine a measure of association derived from mining a spontaneous reporting system database to previously proposed analysis that extracts domain expertise features for causal analysis of a UK general practice longitudinal database. The results show that there is a significant improvement to the performance of detecting prescription drug side effects when the longitudinal observation data analysis is complemented by incorporating additional drug safety sources into the framework. The area under the receiver operating characteristic curve (AUC) for correctly classifying a side effect when other data were considered was 0.967, whereas without it the AUC was 0.923 However, the results of this paper may be biased by the evaluation and future work should overcome this by developing an unbiased reference set

Identifying candidate risk factors for prescription drug side effects using causal contrast set mining

Big longitudinal observational databases present the opportunity to extract new knowledge in a cost effective manner. Unfortunately, the ability of these databases to be used for causal inference is limited due to the passive way in which the data are collected resulting in various forms of bias. In this paper we investigate a method that can overcome these limitations and determine causal contrast set rules efficiently from big data. In particular, we present a new methodology for the purpose of identifying risk factors that increase a patients likelihood of experiencing the known rare side effect of renal failure after ingesting aminosalicylates. The results show that the methodology was able to identify previously researched risk factors such as being prescribed diuretics and highlighted that patients with a higher than average risk of renal failure may be even more susceptible to experiencing it as a side effect after ingesting aminosalicylates

Personalising mobile advertising based on users’ installed apps

Mobile advertising is a billion pound industry that is rapidly expanding. The success of an advert is measured based on how users interact with it. In this paper we investigate whether the application of unsupervised learning and association rule mining could be used to enable personalised targeting of mobile adverts with the aim of increasing the interaction rate. Over May and June 2014 we recorded advert interactions such as tapping the advert or watching the whole advert video along with the set of apps a user has installed at the time of the interaction. Based on the apps that the users have installed we applied k-means clustering to profile the users into one of ten classes. Due to the large number of apps considered we implemented dimension reduction to reduced the app feature space by mapping the apps to their iTunes category and clustered users based on the percentage of their apps that correspond to each iTunes app category. The clustering was externally validated by investigating differences between the way the ten profiles interact with the various adverts genres (lifestyle, finance and entertainment adverts). In addition association rule mining was performed to find whether the time of the day that the advert is served and the number of apps a user has installed makes certain profiles more likely to interact with the advert genres. The results showed there were clear differences in the way the profiles interact with the different advert genres and the results of this paper suggest that mobile advert targeting would improve the frequency that users interact with an advert

Personalising mobile advertising based on users’ installed apps

Mobile advertising is a billion pound industry that is rapidly expanding. The success of an advert is measured based on how users interact with it. In this paper we investigate whether the application of unsupervised learning and association rule mining could be used to enable personalised targeting of mobile adverts with the aim of increasing the interaction rate. Over May and June 2014 we recorded advert interactions such as tapping the advert or watching the whole advert video along with the set of apps a user has installed at the time of the interaction. Based on the apps that the users have installed we applied k-means clustering to profile the users into one of ten classes. Due to the large number of apps considered we implemented dimension reduction to reduced the app feature space by mapping the apps to their iTunes category and clustered users based on the percentage of their apps that correspond to each iTunes app category. The clustering was externally validated by investigating differences between the way the ten profiles interact with the various adverts genres (lifestyle, finance and entertainment adverts). In addition association rule mining was performed to find whether the time of the day that the advert is served and the number of apps a user has installed makes certain profiles more likely to interact with the advert genres. The results showed there were clear differences in the way the profiles interact with the different advert genres and the results of this paper suggest that mobile advert targeting would improve the frequency that users interact with an advert

Investigating the detection of adverse drug events in a UK general practice electronic health-care database

Data-mining techniques have frequently been developed for Spontaneous reporting databases. These techniques aim to find adverse drug events accurately and efficiently. Spontaneous reporting databases are prone to missing information,under reporting and incorrect entries. This often results in a detection lag or prevents the detection of some adverse drug events. These limitations do not occur in electronic healthcare databases. In this paper, existing methods developed for spontaneous reporting databases are implemented on both a spontaneous reporting database and a general practice electronic health-care database and compared. The results suggests that the application of existing methods to the general practice database may help find signals that have gone undetected when using the spontaneous reporting system database. In addition the general practice database provides far more supplementary information, that if incorporated in analysis could provide a wealth of information for identifying adverse events more accurately

Attributes for causal inference in electronic healthcare databases

Side effects of prescription drugs present a serious issue. Existing algorithms that detect side effects generally require further analysis to confirm causality. In this paper we investigate attributes based on the Bradford-Hill causality criteria that could be used by a classifying algorithm to definitively identify side effects directly. We found that it would be advantageous to use attributes based on the association strength, temporality and specificity criteria

Refining adverse drug reaction signals by incorporating interaction variables identified using emergent pattern mining

Purpose: To develop a framework for identifying and incorporating candidate confounding interaction terms into a regularised cox regression analysis to refine adverse drug reaction signals obtained via longitudinal observational data. Methods: We considered six drug families that are commonly associated with myocardial infarction in observational healthcare data, but where the causal relationship ground truth is known (adverse drug reaction or not). We applied emergent pattern mining to find itemsets of drugs and medical events that are associated with the development of myocardial infarction. These are the candidate confounding interaction terms. We then implemented a cohort study design using regularised cox regression that incorporated and accounted for the candidate confounding interaction terms. Results: The methodology was able to account for signals generated due to confounding and a cox regression with elastic net regularisation correctly ranking the drug families known to be true adverse drug reactions above those that are not. This was not the case without the inclusion of the candidate confounding interaction terms, where confounding leads to a non-adverse drug reaction being ranked highest. Conclusions: The methodology is efficient, can identify high-order confounding interactions and does not require expert input to specify outcome specific confounders, so it can be applied for any outcome of interest to quickly refine its signals. The proposed method shows excellent potential to overcome some forms of confounding and therefore reduce the false positive rate for signal analysis using longitudinal data