Peer-Reviewed Publication
Am J Transplant2025;25(6):1306-1318.June 1, 2025Journal Article

Development of a natural language processing algorithm to extract social determinants of health from clinician notes.

Hamed Zaribafzadeh1, Jacqueline B Henson2, Norine W Chan1, Ursula Rogers1, Wendy Webster1, Tyler Schappe3, Fan Li4, Roland A Matsouaka3, Allan D Kirk1, Ricardo Henao5, Lisa M McElroy6
1Department of Surgery, Duke University, Durham, North Carolina, USA.
2Department of Medicine, Duke University, Durham, North Carolina, USA.
3Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
4Department of Statistical Science, Duke University, Durham, North Carolina, USA.
5Department of Surgery, Duke University, Durham, North Carolina, USA; Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina, USA.
6Department of Surgery, Duke University, Durham, North Carolina, USA. Electronic address: lisa.mcelroy@duke.edu.

Abstract

Disparities in access to the organ transplant waitlist are well-documented, but research into modifiable factors has been limited due to a lack of access to organized prewaitlisting data. This study aimed to develop a natural language processing (NLP) algorithm to extract social determinants of health (SDOH) from free-text notes and quantify the association of SDOH with access to the transplant wa…

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