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. 2021 Nov 9;23(11):e28946. doi: 10.2196/28946

Table 2.

Comparison of outcomes for structured and structured-plus-unstructured surveillance against the clinician review (gold standard) for identifying Hypertension, Abnormal liver/renal function, Stroke history, Bleeding history or predisposition, Labile INR, Elderly, Drug/alcohol usage (HAS-BLED) and congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, stroke or transient ischemic attack, vascular disease, age 65 to 74 years, sex category (CHA2DS2-VASc) components.

Method HAS-BLED CHA2DS2-VASc

Structured surveillance Structured and NLPa surveillance Difference T test P value Structured surveillance Structured and NLP surveillance Difference Test statistic P value
Sensitivity

McNemar method 0.382 0.806 0.424 72 <.001 b

Exact binomial method
0.942 0.983 0.0413 .002
Specificity

McNemar method 0.947 0.777 –0.17 16 <.001





Exact binomial method 0.955 0.909 –0.0455
>.99c
PPVd

Generalized score method 0.929 0.867 .061 4.487 .03 0.996 0.992 0.004 0.915 .34
NPVe

Generalized score method 0.459 0.689 0.23 47.757 <.001 0.6 0.833 0.233 11.662 <.001

aNLP: natural language processing.

bThere is a small number of discordant cells, such that for the gold standard’s CHA2DS2-VASc <2, there is 1 case that was identified as CHA2DS2-VASc ≥2 in the structured and NLP method but not in the structured method. The exact binomial P value is calculated as Inline graphic

cThere is a small number of discordant cells, such that for the gold standard’s CHA2DS2-VASc <2, there is 1 case that was identified as CHA2DS2-VASc >2 in the Structured and NLP method but not in the structured method. The exact binomial P value is calculated as Inline graphic

dPPV: positive predictive value.

eNPV: negative predictive value.