Axes of a revolution: challenges and promises of big data in healthcare
Abstract
Health data are increasingly being generated at a massive scale, at various levels of phenotyping and from different types of resources. Concurrent with recent technological advances in both data-generation infrastructure and data-analysis methodologies, there have been many claims that these events will revolutionize healthcare, but such claims are still a matter of debate. Addressing the potential and challenges of big data in healthcare requires an understanding of the characteristics of the data. Here we characterize various properties of medical data, which we refer to as 'axes' of data, describe the considerations and tradeoffs taken when such data are generated, and the types of analyses that may achieve the tasks at hand. We then broadly describe the potential and challenges of using big data in healthcare resources, aiming to contribute to the ongoing discussion of the potential of big data resources to advance the understanding of health and disease.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Integrating multi-source information, e.g. genomics and clinical imaging, would be critical for accurate patient representation learning as well as the associated downstream clinical tasks.
“Therefore, integrating multi-source information, e.g. genomics and clinical imaging, would be critical for accurate patient representation learning as well as the associated downstream clinical tasks [120].”
From Deep representation learning of patient data from Electronic Health Records (EHR): A systematic review (2021) · cites this paper as [120]
Cites
ImageNet classification with deep convolutional neural networks
Krizhevsky, A., Sutskever, I., & Hinton, G. E. (2017) · Communications of the ACM · doi:10.1145/3065386 · Cited by 112,155 · see citing works
LeCun, Y., Bengio, Y., & Hinton, G. (2015) · Nature · doi:10.1038/nature14539 · Cited by 84,126 · see citing works
The FAIR Guiding Principles for scientific data management and stewardship
Wilkinson, M. D., Dumontier, M., Aalbersberg, I. J., Appleton, G., Axton, M., Baak, A., Blomberg, N., Boiten, J.-W., da Silva Santos, L. B., Bourne, P. E., et al. (2016) · Scientific Data · doi:10.1038/sdata.2016.18 · Cited by 18,423 · see citing works
Goldberger, A. L., Amaral, L. A. N., Glass, L., Hausdorff, J. M., Ivanov, P. C., Mark, R. G., Mietus, J. E., Moody, G. B., Peng, C.-K., & Stanley, H. E. (2000) · Circulation · doi:10.1161/01.cir.101.23.e215 · Cited by 14,809 · see citing works
Representation Learning: A Review and New Perspectives
Bengio, Y., Courville, A., & Vincent, P. (2013) · IEEE Transactions on Pattern Analysis and Machine Intelligence · doi:10.1109/tpami.2013.50 · Cited by 13,001 · see citing works
Sudlow, C., Gallacher, J., Allen, N., Beral, V., Burton, P., Danesh, J., Downey, P., Elliott, P., Green, J., Landray, M., et al. (2015) · PLOS Medicine · doi:10.1371/journal.pmed.1001779 · Cited by 12,728 · see citing works
Causality: Models, Reasoning, and Inference
Pearl, J. (2009) · doi:10.1017/cbo9780511803161 · Cited by 11,653 · see citing works
Early goal-directed therapy in the treatment of severe sepsis and septic shock
Rivers, E., Nguyen, B., Havstad, S., Ressler, J., Muzzin, A., Knoblich, B., Peterson, E., & Tomlanovich, M. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa010307 · Cited by 10,743 · see citing works
High-performance medicine: the convergence of human and artificial intelligence
Topol, E. J. (2019) · Nature Medicine · doi:10.1038/s41591-018-0300-7 · Cited by 10,450 · see citing works
The UK Biobank resource with deep phenotyping and genomic data
Bycroft, C., Freeman, C., Petkova, D., Band, G., Elliott, L. T., Sharp, K., Motyer, A., Vukcevic, D., Delaneau, O., O’Connell, J., et al. (2018) · Nature · doi:10.1038/s41586-018-0579-z · Cited by 8,876 · see citing works
MIMIC-III, a freely accessible critical care database
Johnson, A. E. W., Pollard, T. J., Shen, L., Lehman, L.-W. H., Feng, M., Ghassemi, M., Moody, B., Szolovits, P., Anthony Celi, L., & Mark, R. G. (2016) · Scientific Data · doi:10.1038/sdata.2016.35 · Cited by 8,141 · see citing works
Dissecting racial bias in an algorithm used to manage the health of populations
Obermeyer, Z., Powers, B., Vogeli, C., & Mullainathan, S. (2019) · Science · doi:10.1126/science.aax2342 · Cited by 7,137 · cited 1× · see citing works
“For example, it has been shown that an algorithm that is widely used by health systems exhibits racial bias 95 .”
MethodDavey Smith, G., & Ebrahim, S. (2003) · International Journal of Epidemiology · doi:10.1093/ije/dyg070 · Cited by 5,882 · see citing works
The mythos of model interpretability
Lipton, Z. C. (2018) · Communications of the ACM · doi:10.1145/3233231 · Cited by 5,427 · see citing works
A New Initiative on Precision Medicine
Collins, F. S., & Varmus, H. (2015) · New England Journal of Medicine · doi:10.1056/nejmp1500523 · Cited by 5,202 · see citing works
Drug repurposing: progress, challenges and recommendations
Pushpakom, S., Iorio, F., Eyers, P. A., Escott, K. J., Hopper, S., Wells, A., Doig, A., Guilliams, T., Latimer, J., McNamee, C., et al. (2019) · Nature Reviews Drug Discovery · doi:10.1038/nrd.2018.168 · Cited by 4,718 · see citing works
Rajkomar, A., Dean, J., & Kohane, I. (2019) · New England Journal of Medicine · doi:10.1056/nejmra1814259 · Cited by 4,579 · see citing works
Predicting the future - big data, machine learning, and clinical medicine
Obermeyer, Z., & Emanuel, E. J. (2016) · New England Journal of Medicine · doi:10.1056/nejmp1606181 · Cited by 3,652 · see citing works
The human microbiome: at the interface of health and disease
Cho, I., & Blaser, M. J. (2012) · Nature Reviews Genetics · doi:10.1038/nrg3182 · Cited by 3,449 · see citing works
Detecting Novel Associations in Large Data Sets
Reshef, D. N., Reshef, Y., Finucane, H. K., Grossman, S. R., McVean, G., Turnbaugh, P. J., Lander, E. S., Mitzenmacher, M., & Sabeti, P. C. (2011) · Science · doi:10.1126/science.1205438 · Cited by 3,345 · see citing works
Galit Shmueli, A. (2010) · Statistical Science · doi:10.1214/10-sts330 · Cited by 3,121 · see citing works
Using Big Data to Emulate a Target Trial When a Randomized Trial Is Not Available: Table 1.
Hernán, M. A., & Robins, J. M. (2016) · American Journal of Epidemiology · doi:10.1093/aje/kwv254 · Cited by 3,115 · see citing works
Personalized nutrition by prediction of glycemic responses
Zeevi, D., Korem, T., Zmora, N., Israeli, D., Rothschild, D., Weinberger, A., Ben-Yacov, O., Lador, D., Avnit-Sagi, T., Lotan-Pompan, M., et al. (2015) · Cell · doi:10.1016/j.cell.2015.11.001 · Cited by 2,929 · see citing works
Self-citationEnvironment dominates over host genetics in shaping human gut microbiota
Rothschild, D., Weissbrod, O., Barkan, E., Kurilshikov, A., Korem, T., Zeevi, D., Costea, P. I., Godneva, A., Kalka, I. N., Bar, N., et al. (2018) · Nature · doi:10.1038/nature25973 · Cited by 2,859 · see citing works
Self-citationScalable and accurate deep learning with electronic health records
Rajkomar, A., Oren, E., Chen, K., Dai, A. M., Hajaj, N., Hardt, M., Liu, P. J., Liu, X., Marcus, J., Sun, M., et al. (2018) · npj Digital Medicine · doi:10.1038/s41746-018-0029-1 · Cited by 2,648 · cited 1× · see citing works
“Standardizing medical data into a universal format will enable collaborations across multiple countries and resources 34,35 .”
BackgroundThe “All of Us” Research Program
The All of Us Research Program Investigators (2019) · New England Journal of Medicine · doi:10.1056/nejmsr1809937 · Cited by 2,440 · see citing works
Ahlqvist, E., Storm, P., Käräjämäki, A., Martinell, M., Dorkhan, M., Carlsson, A., Vikman, P., Prasad, R. B., Aly, D. M., Almgren, P., et al. (2018) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(18)30051-2 · Cited by 2,335 · see citing works
Opportunities and obstacles for deep learning in biology and medicine
Ching, T., Himmelstein, D. S., Beaulieu-Jones, B. K., Kalinin, A. A., Do, B. T., Way, G. P., Ferrero, E., Agapow, P.-M., Zietz, M., Hoffman, M. M., et al. (2018) · Journal of The Royal Society Interface · doi:10.1098/rsif.2017.0387 · Cited by 2,310 · see citing works
Diagnosis and classification of diabetes mellitus
American Diabetes Association (2013) · Diabetes Care · doi:10.2337/dc13-s067 · Cited by 2,245 · see citing works
Scalable and accurate deep learning with electronic health records.
Rajkomar, A., Oren, E., Chen, K., Dai, A. M., Hajaj, N., Hardt, M., Liu, P. J., Liu, X., Marcus, J., Sun, M., et al. (2018) · eScholarship (California Digital Library) · Cited by 2,242 · see citing works
Yusuf, S., Joseph, P., Rangarajan, S., Islam, S., Mente, A., Hystad, P., Brauer, M., Kutty, V. R., Gupta, R., Wielgosz, A., et al. (2020) · The Lancet · doi:10.1016/s0140-6736(19)32008-2 · Cited by 2,017 · see citing works
Blundell, J. E., Baker, J. L., Boyland, E. J., Blaak, E. E., Charzewska, J., Henauw, S. D., Frühbeck, G., González‐Gross, M., Hebebrand, J., Holm, L., et al. (2017) · Obesity Facts · doi:10.1159/000455952 · Cited by 1,980 · see citing works
Genomics is failing on diversity
Popejoy, A. B., & Fullerton, S. M. (2016) · Nature · doi:10.1038/538161a · Cited by 1,924 · see citing works
In utero programming of chronic disease
BARKER, D. J. P. (1998) · Clinical Science · doi:10.1042/cs0950115 · Cited by 1,765 · see citing works
The support of human genetic evidence for approved drug indications
Nelson, M. R., Tipney, H., Painter, J. L., Shen, J., Nicoletti, P., Shen, Y., Floratos, A., Sham, P. C., Li, M. J., Wang, J., et al. (2015) · Nature Genetics · doi:10.1038/ng.3314 · Cited by 1,666 · see citing works
The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective
Mahmood, S. S., Levy, D., Vasan, R. S., & Wang, T. J. (2014) · The Lancet · doi:10.1016/s0140-6736(13)61752-3 · Cited by 1,622 · see citing works
ALSPAC–The Avon Longitudinal Study of Parents and Children
Golding, Pembrey, Jones, & The Alspac Study Team (2001) · Paediatric and Perinatal Epidemiology · doi:10.1046/j.1365-3016.2001.00325.x · Cited by 1,549 · see citing works
Privacy in the age of medical big data
Price, W. N., & Cohen, I. G. (2019) · Nature Medicine · doi:10.1038/s41591-018-0272-7 · Cited by 1,522 · see citing works
The NASA Twins Study: A multidimensional analysis of a year-long human spaceflight
Garrett-Bakelman, F. E., Darshi, M., Green, S. J., Gur, R. C., Lin, L., Macias, B. R., McKenna, M. J., Meydan, C., Mishra, T., Nasrini, J., et al. (2019) · Science · doi:10.1126/science.aau8650 · Cited by 1,128 · see citing works
Cohort Profile: The HUNT Study, Norway
Krokstad, S., Langhammer, A., Hveem, K., Holmen, T., Midthjell, K., Stene, T., Bratberg, G., Heggland, J., & Holmen, J. (2013) · International Journal of Epidemiology · doi:10.1093/ije/dys095 · Cited by 1,127 · see citing works
George, H., Duke Jon, D., Shah Nigam, H., Reich Christian, G., Vojtech, H., Schuemie Martijn, J., Suchard Marc, A., Woong, P. R., Kei, W. I. C., Rijnbeek Peter, R., et al. (2015) · Studies in Health Technology and Informatics · doi:10.3233/978-1-61499-564-7-574 · Cited by 1,107 · cited 2× · see citing works
“Standardizing medical data into a universal format will enable collaborations across multiple countries and resources 34,35 .”
BackgroundA clinically applicable approach to continuous prediction of future acute kidney injury
Tomašev, N., Glorot, X., Rae, J. W., Zielinski, M., Askham, H., Saraiva, A., Mottram, A., Meyer, C., Ravuri, S., Protsyuk, I., et al. (2019) · Nature · doi:10.1038/s41586-019-1390-1 · Cited by 1,086 · see citing works
Million Veteran Program: A mega-biobank to study genetic influences on health and disease
Gaziano, J. M., Concato, J., Brophy, M., Fiore, L., Pyarajan, S., Breeling, J., Whitbourne, S., Deen, J., Shannon, C., Humphries, D., et al. (2016) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2015.09.016 · Cited by 1,055 · see citing works
Chen, Z., Chen, J., Collins, R., Guo, Y., Peto, R., Wu, F., Li, L., & on behalf of the China Kadoorie Biobank (CKB) collaborative group (2011) · International Journal of Epidemiology · doi:10.1093/ije/dyr120 · Cited by 1,034 · see citing works
The druggable genome and support for target identification and validation in drug development
Finan, C., Gaulton, A., Krüger, F. A., Lumbers, R. T., Shah, T., Engmann, J., Galver, L., Kelley, R., Karlsson, A., Santos, R., et al. (2017) · Science Translational Medicine · doi:10.1126/scitranslmed.aag1166 · Cited by 1,011 · see citing works
Cohort Profile Update: The Norwegian Mother and Child Cohort Study (MoBa).
Magnus, P., Birke, C., Vejrup, K., Haugan, A., Alsaker, E., Daltveit, A., Handal, M., Haugen, M., Høiseth, G., Knudsen, G., et al. (2016) · International Journal of Epidemiology · doi:10.1093/ije/dyw029 · Cited by 936 · see citing works
The “All of Us” Research Program
Sullivan, F., McKinstry, B., & Vasishta, S. (2019) · New England Journal of Medicine · doi:10.1056/nejmc1912496 · Cited by 855 · see citing works
Cohort Profile: LifeLines, a three-generation cohort study and biobank.
Scholtens, S., Smidt, N., Swertz, M. A., Bakker, S. J., Dotinga, A., Vonk, J. M., van Dijk, F., van Zon, S. K., Wijmenga, C., Wolffenbuttel, B. H., et al. (2015) · International Journal of Epidemiology · doi:10.1093/ije/dyu229 · Cited by 847 · see citing works
Electronic Health Records: Then, Now, and in the Future
Evans, R. S. (2016) · Yearbook of Medical Informatics · doi:10.15265/iys-2016-s006 · Cited by 816 · see citing works
Acceleration of BMI in Early Childhood and Risk of Sustained Obesity
Geserick, M., Vogel, M., Gausche, R., Lipek, T., Spielau, U., Keller, E., Pfäffle, R. W., Kieß, W., & Körner, A. (2018) · New England Journal of Medicine · doi:10.1056/nejmoa1803527 · Cited by 813 · see citing works
The Nurses' Health Study: 20-Year Contribution to the Understanding of Health Among Women
Colditz, G. A., Manson, J. E., & Hankinson, S. E. (1997) · Journal of Women s Health · doi:10.1089/jwh.1997.6.49 · Cited by 739 · see citing works
Overview of the BioBank Japan Project: Study design and profile
Nagai, A., Hirata, M., Kamatani, Y., Muto, K., Matsuda, K., Kiyohara, Y., Ninomiya, T., Tamakoshi, A., Yamagata, Z., Mushiroda, T., et al. (2017) · Journal of Epidemiology · doi:10.1016/j.je.2016.12.005 · Cited by 739 · see citing works
The Preamble of the Constitution of the World Health Organization.
Grad, F. P. (2002) · Europe PMC (PubMed Central) · Cited by 685 · see citing works
Uniqueness of medical data mining
Cios, K. J., & William Moore, G. (2002) · Artificial Intelligence in Medicine · doi:10.1016/s0933-3657(02)00049-0 · Cited by 639 · see citing works
Computational Repositioning of the Anticonvulsant Topiramate for Inflammatory Bowel Disease
Dudley, J. T., Sirota, M., Shenoy, M. M., Pai, R. K., Roedder, S., Chiang, A. P.-F., Morgan, A. A., Sarwal, M., Pasricha, P. J., & Butte, A. J. (2011) · Science Translational Medicine · doi:10.1126/scitranslmed.3002648 · Cited by 604 · see citing works
Udler, M. S., Kim, J., von Grotthuss, M., Bonàs-Guarch, S., Cole, J. B., Chiou, J., ISGC, C. D. A. O. B. O. M. A. T., Boehnke, M., Laakso, M., Atzmon, G., et al. (2018) · PLOS Medicine · doi:10.1371/journal.pmed.1002654 · Cited by 542 · see citing works
Thenganatt, M. A., & Jankovic, J. J. (2014) · JAMA Neurology · doi:10.1001/jamaneurol.2013.6233 · Cited by 510 · see citing works
Berg, D., Postuma, R. B., Bloem, B. R., Chan, P., Dubois, B., Gasser, T., Goetz, C. G., Halliday, G. M., Hardy, J., Lang, A. E., et al. (2014) · Movement Disorders · doi:10.1002/mds.25844 · Cited by 502 · see citing works
A Second Chance to Get Causal Inference Right: A Classification of Data Science Tasks
Hernán, M. A., Hsu, J., & Healy, B. (2019) · CHANCE · doi:10.1080/09332480.2019.1579578 · Cited by 495 · see citing works
Chen, M. S., Lara, P. N., Dang, J. H. T., Paterniti, D. A., & Kelly, K. L. (2014) · Cancer · doi:10.1002/cncr.28575 · Cited by 477 · see citing works
Selection Bias Due to Loss to Follow Up in Cohort Studies
Howe, C. J., Cole, S. R., Lau, B. M., Napravnik, S., & Eron, J. J. (2015) · Epidemiology · doi:10.1097/ede.0000000000000409 · Cited by 471 · see citing works
Improving palliative care with deep learning
Avati, A., Jung, K., Harman, S. M., Downing, N. L., Ng, A. Y., & Shah, N. H. (2017) · IEEE International Conference on Bioinformatics and Biomedicine (BIBM) · doi:10.1109/bibm.2017.8217669 · Cited by 445 · see citing works
Cohort Profile: Estonian Biobank of the Estonian Genome Center, University of Tartu
Leitsalu, L., Haller, T., Esko, T., Tammesoo, M., Alavere, H., Snieder, H., Perola, M., Ng, P. C., Mägi, R., Milani, L. A., et al. (2014) · International Journal of Epidemiology · doi:10.1093/ije/dyt268 · Cited by 437 · see citing works
Assessment of the cPAS-based BGISEQ-500 platform for metagenomic sequencing
Fang, C., Zhong, H., Lin, Y., Chen, B. Y., Han, M., Ren, H., Lu, H., Luber, J. M., Xia, M., Li, W., et al. (2017) · GigaScience · doi:10.1093/gigascience/gix133 · Cited by 408 · see citing works
Big data analytics to improve cardiovascular care: promise and challenges
Rumsfeld, J. S., Joynt, K. E., & Maddox, T. M. (2016) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2016.42 · Cited by 398 · see citing works
Learning Representations for Counterfactual Inference
Johansson, F. D., Shalit, U., & Sontag, D. (2016) · arXiv · doi:10.48550/arxiv.1605.03661 · Cited by 396 · see citing works
Agniel, D., Kohane, I. S., & Weber, G. M. (2018) · BMJ · doi:10.1136/bmj.k1479 · Cited by 391 · see citing works
What is fetal programming?: a lifetime health is under the control of in utero health
Kwon, E. J., & Kim, Y. J. (2017) · Obstetrics & Gynecology Science · doi:10.5468/ogs.2017.60.6.506 · Cited by 382 · see citing works
Shimabukuro, D. W., Barton, C. W., Feldman, M. D., Mataraso, S. J., & Das, R. (2017) · BMJ Open Respiratory Research · doi:10.1136/bmjresp-2017-000234 · Cited by 382 · see citing works
Structural variation in the gut microbiome associates with host health
Zeevi, D., Korem, T., Godneva, A., Bar, N., Kurilshikov, A., Lotan-Pompan, M., Weinberger, A., Fu, J., Wijmenga, C., Zhernakova, A., et al. (2019) · Nature · doi:10.1038/s41586-019-1065-y · Cited by 351 · see citing works
Self-citationFinding the Missing Link for Big Biomedical Data
Weber, G. M., Mandl, K. D., & Kohane, I. S. (2014) · JAMA · doi:10.1001/jama.2014.4228 · Cited by 349 · see citing works
Artificial Intelligence and Big Data in Public Health
Benke, K. K., & Benke, G. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15122796 · Cited by 341 · see citing works
Individualized Medicine from Prewomb to Tomb
Topol, E. J. (2014) · Cell · doi:10.1016/j.cell.2014.02.012 · Cited by 340 · see citing works
Using electronic health records to drive discovery in disease genomics
Kohane, I. S. (2011) · Nature Reviews Genetics · doi:10.1038/nrg2999 · Cited by 325 · see citing works
Avoidable flaws in observational analyses: an application to statins and cancer
Dickerman, B. A., García‐Albéniz, X., Logan, R. W., Denaxas, S., & Hernán, M. Á. (2019) · Nature Medicine · doi:10.1038/s41591-019-0597-x · Cited by 315 · see citing works
Opportunities and obstacles for deep learning in biology and medicinePreprint
Ching, T. H., Himmelstein, D. S., Beaulieu‐Jones, B. K., et al. (2017) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/142760 · Cited by 308 · see citing works
A systematic review of the effect of retention methods in population-based cohort studies
Booker, C. L., Harding, S., & Benzeval, M. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-249 · Cited by 302 · see citing works
Deconstructing the sources of genotype-phenotype associations in humans
Young, A. I., Benonisdottir, S., Przeworski, M., & Kong, A. (2019) · Science · doi:10.1126/science.aax3710 · Cited by 288 · see citing works
Public Opinion about the Importance of Privacy in Biobank Research
Kaufman, D. J., Murphy-Bollinger, J., Scott, J., & Hudson, K. L. (2009) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2009.10.002 · Cited by 279 · see citing works
Tigchelaar, E. F., Zhernakova, A., Dekens, J. A. M., Hermes, G. D. A., Baranska, A., Mujagic, Z., Swertz, M. A., Contreras, A. M. M., Deelen, P., Cénit, M. C., et al. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006772 · Cited by 248 · see citing works
A computational approach to early sepsis detection
Calvert, J. S., Price, D. A., Chettipally, U. K., Barton, C. W., Feldman, M. D., Hoffman, J. L., Jay, M., & Das, R. (2016) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2016.05.003 · Cited by 244 · see citing works
Awadalla, P., Boileau, C., Payette, Y., Idaghdour, Y., Goulet, J.-P., Knoppers, B. M., Hamet, P., & Laberge, C. M. (2012) · International Journal of Epidemiology · doi:10.1093/ije/dys160 · Cited by 227 · see citing works
Integrative methods for analyzing big data in precision medicine
Gligorijević, V., Malod‐Dognin, N., & Pržulj, N. (2015) · PROTEOMICS · doi:10.1002/pmic.201500396 · Cited by 216 · see citing works
Toward a Literature-Driven Definition of Big Data in Healthcare
Baro, E., Degoul, S., Beuscart, R., & Chazard, E. (2015) · BioMed Research International · doi:10.1155/2015/639021 · Cited by 210 · see citing works
“Omics”-Informed Drug and Biomarker Discovery: Opportunities, Challenges and Future Perspectives
Matthews, H., Hanison, J., & Nirmalan, N. J. (2016) · Proteomes · doi:10.3390/proteomes4030028 · Cited by 192 · see citing works
Individual differences in normal body temperature: longitudinal big data analysis of patient records
Obermeyer, Z., Samra, J., & Mullainathan, S. (2017) · BMJ · doi:10.1136/bmj.j5468 · Cited by 190 · see citing works
Biobanks in the era of personalized medicine: objectives, challenges, and innovation
Kinkorová, J. (2015) · The EPMA Journal · doi:10.1186/s13167-016-0053-7 · Cited by 185 · see citing works
Developing and validating Parkinson’s disease subtypes and their motor and cognitive progression
Lawton, M., Ben‐Shlomo, Y., May, M., Baig, F., Barber, T. R., Klein, J. C., Swallow, D. M. A., Malek, N., Grosset, K. A., Bajaj, N. P. S., et al. (2018) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2018-318337 · Cited by 179 · see citing works
The challenges of integrating multi-omic data sets
Palsson, B., & Zengler, K. (2010) · Nature Chemical Biology · doi:10.1038/nchembio.462 · Cited by 178 · see citing works
Statistical pitfalls of personalized medicine
Senn, S. (2018) · Nature · doi:10.1038/d41586-018-07535-2 · Cited by 174 · see citing works
The Finnish Twin Cohort Study: An Update
Kaprio, J. A. (2013) · Twin Research and Human Genetics · doi:10.1017/thg.2012.142 · Cited by 169 · see citing works
Predictive modeling of U.S. health care spending in late life
Liran Einav, B., Finkelstein, A. N., Mullainathan, S., & Obermeyer, Z. (2018) · Science · doi:10.1126/science.aar5045 · Cited by 164 · see citing works
The Qatar Biobank: background and methods
Al-Kuwari, H., Thani, A. A. A., Marri, A. A., Kaabi, A. A., Abderrahim, H., Afifi, N. M., Qafoud, F., Chan, Q. M., Tzoulaki, I., Downey, P., et al. (2015) · BMC Public Health · doi:10.1186/s12889-015-2522-7 · Cited by 159 · see citing works
Hewitt, R., & Watson, P. (2013) · Biopreservation and Biobanking · doi:10.1089/bio.2013.0042 · Cited by 157 · see citing works
Wang, S., McDermott, M. B. A., Chauhan, G., Ghassemi, M., Hughes, M. C., & Naumann, T. (2020) · ACM Conference on Health, Inference, and Learning (CHIL) · doi:10.1145/3368555.3384469 · Cited by 149 · see citing works
Big Data, Big Tech, and Protecting Patient Privacy
Cohen, I. G., & Mello, M. M. (2019) · JAMA · doi:10.1001/jama.2019.11365 · Cited by 135 · see citing works
The UK Biobank and selection bias
Swanson, J. M. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61179-9 · Cited by 130 · see citing works
Liao, Y., McGee, D., Cooper, R., & Sutkowski, M. B. (1999) · American Heart Journal · doi:10.1016/s0002-8703(99)70407-2 · Cited by 126 · see citing works
Cohort Profile: The Mexico City Prospective Study
TAPIA-CONYER, R. C., Kuri-Morales, P. A., Alegre-Díaz, J., Whitlock, G., Emberson, J., Clark, S., Peto, R., & Collins, R. (2006) · International Journal of Epidemiology · doi:10.1093/ije/dyl042 · Cited by 120 · see citing works
Lin, L., Liu, Y., Xu, F., Huang, J., Daugaard, T. F., Petersen, T. S., Hansen, B. D., Ye, L., Zhou, Q. X., Fang, F., et al. (2018) · GigaScience · doi:10.1093/gigascience/giy011 · Cited by 114 · see citing works
PLANNING AND REVISING THE SAMPLE SIZE FOR A TRIAL
Gould, A. L. (1995) · Statistics in Medicine · doi:10.1002/sim.4780140922 · Cited by 108 · see citing works
Beesley, L. J., Salvatore, M., Fritsche, L. G., Pandit, A., Rao, A., Brummett, C. M., Willer, C. J., Lisabeth, L. D., & Mukherjee, B. (2019) · Statistics in Medicine · doi:10.1002/sim.8445 · Cited by 106 · see citing works
How precision medicine and screening with big data could increase overdiagnosis
Vogt, H., Green, S., Ekstrøm, C. T., & Brodersen, J. (2019) · BMJ · doi:10.1136/bmj.l5270 · Cited by 99 · see citing works
Phelan, M., Bhavsar, N. A., & Goldstein, B. A. (2017) · eGEMs (Generating Evidence & Methods to improve patient outcomes) · doi:10.5334/egems.243 · Cited by 95 · see citing works
Lakhani, C. M., Tierney, B. T., Manrai, A. K., Yang, J., Visscher, P. M., & Patel, C. J. (2019) · Nature Genetics · doi:10.1038/s41588-018-0313-7 · Cited by 95 · see citing works
The Born in Guangzhou Cohort Study (BIGCS)
Qiu, X., Lu, J., He, J., Lam, K.-B. H., Shen, S., Guo, Y. G., Kuang, Y., Yuan, M., Qiu, L., Chen, N., et al. (2017) · European Journal of Epidemiology · doi:10.1007/s10654-017-0239-x · Cited by 83 · see citing works
Governing UK Biobank: the importance of ensuring public trust
Tutton, R. (2004) · Trends in biotechnology · doi:10.1016/j.tibtech.2004.04.007 · Cited by 77 · see citing works
The druggable genome and support for target identification and validation in drug developmentPreprint
Finan, C., Gaulton, A., Krüger, F. A., et al. (2016) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/066027 · Cited by 73 · see citing works
Taiwan Biobank: making cross-database convergence possible in the Big Data era
Lin, J.-C., Fan, C.-T., Liao, C.-C., & Chen, Y. (2017) · GigaScience · doi:10.1093/gigascience/gix110 · Cited by 73 · see citing works
Vashisht, R., Jung, K., Schuler, A., Banda, J. M., Park, R. W., Jin, S., Li, L., Dudley, J. T., Johnson, K. W., Shervey, M. M., et al. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.1755 · Cited by 61 · see citing works
Repurpose terbutaline sulfate for amyotrophic lateral sclerosis using electronic medical records
Paik, H., Chung, A.-Y., Park, H., Park, R. W., Suk, K., Kim, J., Kim, H., Lee, K., & Butte, A. J. (2015) · Scientific Reports · doi:10.1038/srep08580 · Cited by 60 · see citing works
Opportunities in Machine Learning for Healthcare.Preprint
Ghassemi, M., Naumann, T., Schulam, P., Beam, A. L., & Ranganath, R. (2018) · arXiv (Cornell University) · Cited by 59 · see citing works
Interval and Clinical Cohort Studies: Epidemiological Issues
Lau, B. M., Gange, S. J., & Moore, R. D. (2007) · AIDS Research and Human Retroviruses · doi:10.1089/aid.2006.0171 · Cited by 58 · see citing works
Is the $1,000 genome for real?
Hayden, E. C. (2014) · Nature · doi:10.1038/nature.2014.14530 · Cited by 57 · see citing works
Electronic health records: the next wave of complex disease genetics
Wolford, B. N., Willer, C. J., & Surakka, I. L. (2018) · Human Molecular Genetics · doi:10.1093/hmg/ddy081 · Cited by 56 · see citing works
Data Sharing and the Idea of Ownership
Montgomery, J. (2017) · The New Bioethics · doi:10.1080/20502877.2017.1314893 · Cited by 50 · see citing works
The Case for Public Ownership of Patient Data
Rodwin, M. A. (2009) · JAMA · doi:10.1001/jama.2009.965 · Cited by 47 · see citing works
Brodniewicz, T., & Grynkiewicz, G. (2001) · European Journal of Cancer · doi:10.1016/s0959-8049(01)80184-2 · Cited by 45 · see citing works
Relational diversity and neighbourhood cohesion. Unpacking variety, balance and in-group size
Koopmans, R., & Schaeffer, M. (2015) · Social Science Research · doi:10.1016/j.ssresearch.2015.05.010 · Cited by 44 · see citing works
Shah, T., Engmann, J., Dale, C. E., Shah, S. H., White, J., Giambartolomei, C., McLachlan, S., Zabaneh, D., Cavadino, A., Finan, C., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071345 · Cited by 42 · see citing works
Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests
Xu, S., Hom, J., Balasubramanian, S., Schroeder, L. F., Najafi, N., Roy, S., & Chen, J. H. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.10967 · Cited by 40 · see citing works
The future of humans as model organisms
FitzGerald, G. A., Botstein, D., Califf, R. M., Collins, R., Peters, K., van Bruggen, N., & Rader, D. J. (2018) · Science · doi:10.1126/science.aau7779 · Cited by 37 · see citing works
Jiang, C. Q., Lam, T., Lin, J.-S., Liu, B., Yue, X. J., Cheng, K. K., Tomlinson, B., Wong, K. S., Cheung, B. M. Y., & Thomas, G. N. (2009) · Journal of Human Hypertension · doi:10.1038/jhh.2009.52 · Cited by 36 · see citing works
Characterizing Multi-omic Data in Systems Biology
Mason, C. E., Porter, S. G., & Smith, T. M. F. (2013) · Advances in experimental medicine and biology · doi:10.1007/978-1-4614-8778-4_2 · Cited by 34 · see citing works
Rx Exercise: Effects and Side Effects
Leach, R. E. (1981) · Hospital Practice · doi:10.1080/21548331.1981.11946710 · Cited by 32 · see citing works
New national Biobank of The Danish Center for Strategic Research on Type 2 Diabetes (DD2)
Christensen, H., Nielsen, J. S., Sorensen, K. M., et al. (2012) · Clinical Epidemiology · doi:10.2147/clep.s33042 · Cited by 30 · see citing works
Patient Opportunities in the Estonian Electronic Health Record System
Tiik, M., & Ross, P. (2010) · Studies in health technology and informatics · doi:10.3233/978-1-60750-565-5-171 · Cited by 27 · see citing works
National Biobank of Korea: Quality control Programs of Collected-human Biospecimens
Lee, J.-E., Kim, J., Hong, E.-J., Yoo, H. S., Nam, H., & Park, O. (2012) · Osong Public Health and Research Perspectives · doi:10.1016/j.phrp.2012.07.007 · Cited by 27 · see citing works
Application of Causal Inference to Genomic Analysis: Advances in Methodology
Hu, P., Jiao, R., Li, J., & Xiong, M. (2018) · Frontiers in Genetics · doi:10.3389/fgene.2018.00238 · Cited by 23 · see citing works
Burton‐Jeangros, C., Cullati, S., Sacker, A., & Blane, D. (2015) · Life course research and social policies · doi:10.1007/978-3-319-20484-0_1 · Cited by 19 · see citing works
Genes for Good: Engaging the Public in Genetics Research via Social Media.
Brieger, K., Zajac, G., Pandit, A., Foerster, J. R., Li, K. W., Annis, A. C., Schmidt, E. M., Clark, C. P., McMorrow, K., Zhou, W., et al. (2019) · American Journal of Human Genetics · doi:10.1016/j.ajhg.2019.05.006 · Cited by 18 · see citing works
Representation Learning for Electronic Health RecordsPreprint
Weng, W., & Szolovits, P. (2019) · arXiv (Cornell University) · doi:10.48550/arxiv.1909.09248 · Cited by 17 · see citing works
The brain of Mitsukurina owstoni.
Masai, H., Yoshio, S. A. T. O., & Aoki, M. (1973) · PubMed · Cited by 15 · see citing works
Improving productivity of modern-day drug discovery
Breyer, M. D. (2013) · Expert Opinion on Drug Discovery · doi:10.1517/17460441.2014.870150 · Cited by 14 · see citing works
Effects of Cryogenine on Adjuvant-Induced Arthritis and Serum Turbidity in Rats
Kosersky, D. S., Brown, J. K., & Malone, M. H. (1973) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.2600621212 · Cited by 6 · see citing works
Oxygen‐stimulated cytochrome oxidase assembly in hepatocyte monolayer cultures
Hare, J. F., & Hodges, R. (1982) · Journal of Cellular Physiology · doi:10.1002/jcp.1041130106 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Digital technology and COVID-19
Ting, D. S. W., Carin, L., Dzau, V., & Wong, T. Y. (2020) · Nature Medicine · doi:10.1038/s41591-020-0824-5 · Cited by 1,413 · see citing works
Acosta, J. N., Falcone, G. J., Rajpurkar, P., & Topol, E. J. (2022) · Nature Medicine · doi:10.1038/s41591-022-01981-2 · Cited by 1,365 · see citing works
Federated learning for predicting clinical outcomes in patients with COVID-19
Dayan, I., Roth, H. R., Zhong, A., Harouni, A., Gentili, A., Abidin, A. Z., Liu, A., Costa, A. B., Wood, B. J., Tsai, C.-S., et al. (2021) · Nature Medicine · doi:10.1038/s41591-021-01506-3 · Cited by 842 · see citing works
“This can be mitigated by training with diverse data from multiple sites without centralization of data 33 using methods such as transfer learning 34,35 or FL. FL is a method used to train AI models on disparate data sources, without the data being transported or exposed outside their original…”
MethodMedical 4.0 technologies for healthcare: Features, capabilities, and applications
Haleem, A., Javaid, M., Pratap Singh, R., & Suman, R. (2022) · Internet of Things and Cyber-Physical Systems · doi:10.1016/j.iotcps.2022.04.001 · Cited by 468 · see citing works
Applications of big data in emerging management disciplines: A literature review using text mining
Kushwaha, A. K., Kar, A. K., & Dwivedi, Y. K. (2021) · International Journal of Information Management Data Insights · doi:10.1016/j.jjimei.2021.100017 · Cited by 255 · see citing works
Si, Y., Du, J., Li, Z., Jiang, X., Miller, T., Wang, F., Jim Zheng, W., & Roberts, K. (2021) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2020.103671 · Cited by 235 · see citing works
Language models are an effective representation learning technique for electronic health record data
Steinberg, E., Jung, K., Fries, J. A., Corbin, C. K., Pfohl, S. R., & Shah, N. H. (2021) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2020.103637 · Cited by 132 · see citing works
Schouten, D., Nicoletti, G., Dille, B., Chia, C., Vendittelli, P., Schuurmans, M., Litjens, G., & Khalili, N. (2025) · Medical Image Analysis · doi:10.1016/j.media.2025.103621 · Cited by 108 · see citing works
Wu, J., Liu, X., Li, M., Li, W., Su, Z., Lin, S., Garay, L., Zhang, Z., Zhang, Y., Zeng, Q., et al. (2024) · NEJM AI · doi:10.1056/aira2400012 · Cited by 41 · see citing works
Utility of teleconsultation in accessing eye care in a developing country during COVID-19 pandemic
Mansoor, H., Khan, S. A., Afghani, T., Assir, M. Z., Ali, M., & Khan, W. A. (2021) · PLOS ONE · doi:10.1371/journal.pone.0245343 · Cited by 22 · see citing works
Yelpaala, K., Gibbons, M. C., Vigil, I. M., Leaño, J., McCall, T., Opara, I., Zink, A., Nunez-Smith, M., Mukherjee, B., & Ranney, M. (2025) · Journal of Medical Internet Research · doi:10.2196/78794 · Cited by 6 · see citing works
- Authors
- Shilo, S., Rossman, H., & Segal, E.
- Affiliations
- Rambam Health Care Campus (IL)
- Weizmann Institute of Science (IL)
- Corresponding author
- Segal, Eran
- Venue
- Nature Medicine
- Published
- 2020-01
- Volume
- 26
- Issue
- 1
- Pages
- 29-38
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W3000686922
- Semantic Scholar
- 718b5a40dba91bfa0bdfb9ac9ca4381425d2ff95
- Cited by
- 370
- References
- 136
- Citations by year
- 2026: 37 · 2025: 58 · 2024: 68 · 2023: 52 · 2022: 56 · 2021: 69 · 2020: 30
- FWCI
- 9.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Information Systems and Management › Big Data Technologies and Applications
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Keywords
- big data in healthcare, health data sources, disease understanding, data-driven medicine
- MeSH terms
- Big Data, Delivery of Health Care, Humans, Medicine, Reference Standards, Cohort Studies, Disease Progression
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review