DOI QR코드

DOI QR Code

Text-Mining of Online Discourse to Characterize the Nature of Pain in Low Back Pain

  • Ryu, Young Uk (Department of Physical Therapy, Daegu Catholic University)
  • Received : 2019.07.06
  • Accepted : 2019.08.12
  • Published : 2019.08.31

Abstract

PURPOSE: Text-mining has been shown to be useful for understanding the clinical characteristics and patients' concerns regarding a specific disease. Low back pain (LBP) is the most common disease in modern society and has a wide variety of causes and symptoms. On the other hand, it is difficult to understand the clinical characteristics and the needs as well as demands of patients with LBP because of the various clinical characteristics. This study examined online texts on LBP to determine of text-mining can help better understand general characteristics of LBP and its specific elements. METHODS: Online data from www.spine-health.com were used for text-mining. Keyword frequency analysis was performed first on the complete text of postings (full-text analysis). Only the sentences containing the highest frequency word, pain, were selected. Next, texts including the sentences were used to re-analyze the keyword frequency (pain-text analysis). RESULTS: Keyword frequency analysis showed that pain is of utmost concern. Full-text analysis was dominated by structural, pathological, and therapeutic words, whereas pain-text analysis was related mainly to the location and quality of the pain. CONCLUSION: The present study indicated that text-mining for a specific element (keyword) of a particular disease could enhance the understanding of the specific aspect of the disease. This suggests that a consideration of the text source is required when interpreting the results. Clinically, the present results suggest that clinicians pay more attention to the pain a patient is experiencing, and provide information based on medical knowledge.

Keywords

References

  1. Mazzoni D, Cicognani E. Sharing experiences and social support requests in an Internet forum for patients with systemic lupus erythematosus. J Health Psychol. 2014;19(5):689-96. https://doi.org/10.1177/1359105313477674
  2. Allen C, Vassilev I, Kennedy A, et al. Long-term condition self-management support in online communities: a meta-synthesis of qualitative papers. J Med Internet Res. 2016;18(3):e61. https://doi.org/10.2196/jmir.5260
  3. Kingod N, Cleal B, Wahlberg A, et al. Online peer-to-peer communities in the daily lives of people with chronic illness: a qualitative systematic review. Qual Health Res. 2017(1);27:89-99. https://doi.org/10.1177/1049732316680203
  4. Feldman R, Sanger J. The text mining handbook: advanced approaches in analyzing unstructured data. New York(NY): Cambridge University Press. 2007.
  5. Bellika J, Bravo-Salgado A, Brezovan M, et al. Text mining of web-based medical content (Vol. 1). Berlin: Walter de Gruyter GmbH & Co KG. 2014.
  6. Dreisbach C, Koleck TA, Bourne PE, et al. systematic review of natural language processing and text mining of symptoms from electronic patient-authored text data. Int J Med Inform. 2019;125:37-46. https://doi.org/10.1016/j.ijmedinf.2019.02.008
  7. Lu Y, Zhang P, Liu J, et al. Health-related hot topic detection in online communities using text clustering. Plos one. 2013;8:e56221. https://doi.org/10.1371/journal.pone.0056221
  8. Lazard AJ, Scheinfeld E, Bernhardt JM, et al. Detecting themes of public concern: a text mining analysis of the Centers for Disease Control and Prevention's Ebola live Twitter chat. Am J Infect Control. 2015;43(3):1109-11. https://doi.org/10.1016/j.ajic.2015.05.025
  9. Vasconcellos-Silva PR, Carvalho D, Lucena C. Word frequency and content analysis approach to identify demand patterns in a virtual community of carriers of hepatitis C. Interact J Med Res. 2013;2(2):e12. https://doi.org/10.2196/ijmr.2384
  10. Park J, Ryu YU. Online discourse on fibromyalgia: text-mining to identify clinical distinction and patient concerns. Med Sci Monitor. 2014;20:1858-64. https://doi.org/10.12659/MSM.890793
  11. Matsuda S, Aoki K, Tomizawa S, et al. Analysis of patient narratives in disease blogs on the internet: an exploratory study of social pharmacovigilance. JMIR Pub Health Sur. 2017;3(1):e10. https://doi.org/10.2196/publichealth.6872
  12. Van Eck NJ, Waltman L. Text mining and visualization using VOSviewer. ISSI Newsletter. 2011;7:50-4.
  13. Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017;389(10070):736-47. https://doi.org/10.1016/S0140-6736(16)30970-9
  14. Borenstein DG. Epidemiology, etiology, diagnostic evaluation, and treatment of low back pain. Curr Opin Rheumatology. 2001;13(2):128-34. https://doi.org/10.1097/00002281-200103000-00006
  15. DePalma MJ, Ketchum JM, Saullo T. What is the source of chronic low back pain and does age play a role? Pain medicine. 2011;12(2):224-33. https://doi.org/10.1111/j.1526-4637.2010.01045.x
  16. Koes BW, Van Tulder M, Thomas S. Diagnosis and treatment of low back pain. Bmj. 2006;332(7555):1430-4. https://doi.org/10.1136/bmj.332.7555.1430
  17. Gupta S, MacLean DL, Heer J, et al. Induced lexicosyntactic patterns improve information extraction from online medical forums. J Am Med Inform Assn. 2014;21(5):902-9. https://doi.org/10.1136/amiajnl-2014-002669
  18. Sunkureddi P, Gibson D, Doogan S, et al. Using selfreported patient experiences to understand patient burden: learnings from digital patient communities in ankylosing spondylitis. Adv Ther. 2018;35(3):424-37. https://doi.org/10.1007/s12325-018-0669-1
  19. Herring SC. Computer-mediated discourse analysis: An approach to researching online behavior. In: Designing for Virtual Communities in the Service of Learning. New York (NY): Cambridge University Press.
  20. Tighe PJ, Goldsmith RC, Gravenstein M, et al. The painful tweet: text, sentiment, and community structure analyses of tweets pertaining to pain. J Med Internet Res. 2015;17(4):e84. https://doi.org/10.2196/jmir.3769
  21. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975;1(3):277-99. https://doi.org/10.1016/0304-3959(75)90044-5