Leveraging Latent Dirichlet Allocation in processing free-text personal goals among patients undergoing bladder cancer surgery Journal Article


Authors: Li, Y.; Rapkin, B.; Atkinson, T. M.; Schofield, E.; Bochner, B. H.
Article Title: Leveraging Latent Dirichlet Allocation in processing free-text personal goals among patients undergoing bladder cancer surgery
Abstract: Purpose: As we begin to leverage Big Data in health care settings and particularly in assessing patient-reported outcomes, there is a need for novel analytics to address unique challenges. One such challenge is in coding transcribed interview data, typically free-text entries of statements made during a face-to-face interview. Latent Dirichlet Allocation (LDA) offers statistical rigor and consistency in automating the interpretation of patients’ expressed concerns and coping strategies. Methods: LDA was applied to interview data collected as part of a prospective, longitudinal study of QOL in N = 211 patients undergoing radical cystectomy and urinary diversion for bladder cancer. LDA analyzed personal goal statements to extract the latent topics and themes, stratified by time, and on things patients wanted to accomplish and prevent. Model comparison metrics determined the number of topics to extract. Results: LDA extracted seven latent topics. Prior to surgery, patients’ priorities were primarily in cancer surgery and recovery. Six months after the surgery, they were replaced by goals on regaining a sense of normalcy, to resume work, to enjoy life more fully, and to appreciate friends and family more. LDA model parameters showed changing priorities, e.g., immediate concerns on surgery and resuming employment decreased post-surgery and were replaced by concerns over cancer recurrence and a desire to remain healthy and strong. Conclusions: Novel Big Data analytics such as LDA offer the possibility of summarizing personal goals without the need for conventional fixed-length measures and resource-intensive qualitative data coding. © 2019, Springer Nature Switzerland AG.
Keywords: bladder cancer; qualitative data; latent dirichlet allocation; text analysis; big data analysis
Journal Title: Quality of Life Research
Volume: 28
Issue: 6
ISSN: 0962-9343
Publisher: Springer  
Date Published: 2019-06-01
Start Page: 1441
End Page: 1455
Language: English
DOI: 10.1007/s11136-019-02132-w
PROVIDER: scopus
PMCID: PMC6525036
PUBMED: 30798421
DOI/URL:
Notes: Article -- Export Date: 3 June 2019 -- Source: Scopus
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MSK Authors
  1. Yuelin Li
    219 Li
  2. Thomas Michael Atkinson
    155 Atkinson
  3. Bernard Bochner
    468 Bochner
  4. Elizabeth A Schofield
    161 Schofield