A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer
Identifieur interne : 001410 ( Main/Curation ); précédent : 001409; suivant : 001411A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer
Auteurs : Nicolas Jay [France] ; Gilles Nuemi [France] ; Maryse Gadreau [France] ; Catherine Quantin [France]Source :
- BMC Medical Informatics and Decision Making [ 1472-6947 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bases de données factuelles (), Coûts hospitaliers (), Examen des demandes de remboursement d'assurance (), Femelle, Fouille de données (), France (épidémiologie), Humains, Hôpitaux (), Mâle, Sujet âgé, Tumeurs du sein (), Tumeurs du sein (économie), Tumeurs du sein (épidémiologie).
- MESH :
- économie : Tumeurs du sein.
- épidémiologie : France, Tumeurs du sein.
- Adulte d'âge moyen, Bases de données factuelles, Coûts hospitaliers, Examen des demandes de remboursement d'assurance, Femelle, Fouille de données, Humains, Hôpitaux, Mâle, Sujet âgé, Tumeurs du sein.
- Wicri :
English descriptors
- KwdEn :
- Aged, Breast Neoplasms (classification), Breast Neoplasms (economics), Breast Neoplasms (epidemiology), Breast Neoplasms (surgery), Data Mining (statistics & numerical data), Databases, Factual (statistics & numerical data), Female, France (epidemiology), Hospital Costs (statistics & numerical data), Hospitals (statistics & numerical data), Humans, Insurance Claim Review (statistics & numerical data), Male, Middle Aged.
- MESH :
- geographic , epidemiology : France.
- classification : Breast Neoplasms.
- economics : Breast Neoplasms.
- epidemiology : Breast Neoplasms.
- statistics & numerical data : Data Mining, Databases, Factual, Hospital Costs, Hospitals, Insurance Claim Review.
- surgery : Breast Neoplasms.
- Aged, Female, Humans, Male, Middle Aged.
- mix :
Abstract
With the increasing burden of chronic diseases, analyzing and understanding trajectories of care is essential for efficient planning and fair allocation of resources. We propose an approach based on mining claim data to support the exploration of trajectories of care.
A clustering of trajectories of care for breast cancer was performed with Formal Concept Analysis. We exported Data from the French national casemix system, covering all inpatient admissions in the country. Patients admitted for breast cancer surgery in 2009 were selected and their trajectory of care was recomposed with all hospitalizations occuring within one year after surgery. The main diagnoses of hospitalizations were used to produce morbidity profiles. Cumulative hospital costs were computed for each profile.
57,552 patients were automatically grouped into 19 classes. The resulting profiles were clinically meaningful and economically relevant. The mean cost per trajectory was 9,600€. Severe conditions were generally associated with higher costs. The lowest costs (6,957€) were observed for patients with in situ carcinoma of the breast, the highest for patients hospitalized for palliative care (26,139€).
Formal Concept Analysis can be applied on claim data to produce an automatic classification of care trajectories. This flexible approach takes advantages of routinely collected data and can be used to setup cost-of-illness studies.
Url:
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220620
- http://www.hal.inserm.fr/inserm-00917359
- https://halshs.archives-ouvertes.fr/halshs-01227973
DOI: 10.1186/1472-6947-13-130
PubMed: 24289668
PubMed Central: 4220620
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000053
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :000053
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000043
- to stream PubMed, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000078
- to stream PubMed, to step Curation: Pour aller vers cette notice dans l'étape Curation :000078
- to stream PubMed, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000081
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :000155
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :000153
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000153
- to stream Hal, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000651
- to stream Hal, to step Curation: Pour aller vers cette notice dans l'étape Curation :000651
- to stream Hal, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000E20
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :001421
- to stream Hal, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000650
- to stream Hal, to step Curation: Pour aller vers cette notice dans l'étape Curation :000650
- to stream Hal, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :001393
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :001814
Links to Exploration step
PMC:4220620Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer</title><author><name sortKey="Jay, Nicolas" sort="Jay, Nicolas" uniqKey="Jay N" first="Nicolas" last="Jay">Nicolas Jay</name><affiliation wicri:level="4"><nlm:aff id="I1">Université de Lorraine, LORIA UMR 7503, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Lorraine, LORIA UMR 7503, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName><orgName type="university">Université de Lorraine</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">CHU de Nancy, Département d’information médicale, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU de Nancy, Département d’information médicale, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Nuemi, Gilles" sort="Nuemi, Gilles" uniqKey="Nuemi G" first="Gilles" last="Nuemi">Gilles Nuemi</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Gadreau, Maryse" sort="Gadreau, Maryse" uniqKey="Gadreau M" first="Maryse" last="Gadreau">Maryse Gadreau</name><affiliation wicri:level="4"><nlm:aff id="I5">Université de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName></affiliation></author><author><name sortKey="Quantin, Catherine" sort="Quantin, Catherine" uniqKey="Quantin C" first="Catherine" last="Quantin">Catherine Quantin</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I4">Inserm, U866, Univ de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, U866, Univ de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24289668</idno><idno type="pmc">4220620</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220620</idno><idno type="RBID">PMC:4220620</idno><idno type="doi">10.1186/1472-6947-13-130</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000053</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000053</idno><idno type="wicri:Area/Pmc/Curation">000053</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000053</idno><idno type="wicri:Area/Pmc/Checkpoint">000043</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000043</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000078</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000078</idno><idno type="wicri:Area/PubMed/Curation">000078</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000078</idno><idno type="wicri:Area/PubMed/Checkpoint">000081</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000081</idno><idno type="wicri:Area/Ncbi/Merge">000155</idno><idno type="wicri:Area/Ncbi/Curation">000153</idno><idno type="wicri:Area/Ncbi/Checkpoint">000153</idno><idno type="wicri:source">HAL</idno><idno type="RBID">Hal:inserm-00917359</idno><idno type="url">http://www.hal.inserm.fr/inserm-00917359</idno><idno type="wicri:Area/Hal/Corpus">000651</idno><idno type="wicri:Area/Hal/Curation">000651</idno><idno type="wicri:Area/Hal/Checkpoint">000E20</idno><idno type="wicri:explorRef" wicri:stream="Hal" wicri:step="Checkpoint">000E20</idno><idno type="wicri:doubleKey">1472-6947:2013:Jay N:a:data:mining</idno><idno type="wicri:Area/Main/Merge">001421</idno><idno type="wicri:source">HAL</idno><idno type="RBID">Hal:halshs-01227973</idno><idno type="url">https://halshs.archives-ouvertes.fr/halshs-01227973</idno><idno type="wicri:Area/Hal/Corpus">000650</idno><idno type="wicri:Area/Hal/Curation">000650</idno><idno type="wicri:Area/Hal/Checkpoint">001393</idno><idno type="wicri:explorRef" wicri:stream="Hal" wicri:step="Checkpoint">001393</idno><idno type="wicri:doubleKey">1472-6947:2013:Jay N:a:data:mining</idno><idno type="wicri:Area/Main/Merge">001814</idno><idno type="wicri:Area/Main/Curation">001410</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer</title><author><name sortKey="Jay, Nicolas" sort="Jay, Nicolas" uniqKey="Jay N" first="Nicolas" last="Jay">Nicolas Jay</name><affiliation wicri:level="4"><nlm:aff id="I1">Université de Lorraine, LORIA UMR 7503, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Lorraine, LORIA UMR 7503, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName><orgName type="university">Université de Lorraine</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">CHU de Nancy, Département d’information médicale, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU de Nancy, Département d’information médicale, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Nuemi, Gilles" sort="Nuemi, Gilles" uniqKey="Nuemi G" first="Gilles" last="Nuemi">Gilles Nuemi</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Gadreau, Maryse" sort="Gadreau, Maryse" uniqKey="Gadreau M" first="Maryse" last="Gadreau">Maryse Gadreau</name><affiliation wicri:level="4"><nlm:aff id="I5">Université de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName></affiliation></author><author><name sortKey="Quantin, Catherine" sort="Quantin, Catherine" uniqKey="Quantin C" first="Catherine" last="Quantin">Catherine Quantin</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I4">Inserm, U866, Univ de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, U866, Univ de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author></analytic><series><title level="j">BMC Medical Informatics and Decision Making</title><idno type="eISSN">1472-6947</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Breast Neoplasms (classification)</term><term>Breast Neoplasms (economics)</term><term>Breast Neoplasms (epidemiology)</term><term>Breast Neoplasms (surgery)</term><term>Data Mining (statistics & numerical data)</term><term>Databases, Factual (statistics & numerical data)</term><term>Female</term><term>France (epidemiology)</term><term>Hospital Costs (statistics & numerical data)</term><term>Hospitals (statistics & numerical data)</term><term>Humans</term><term>Insurance Claim Review (statistics & numerical data)</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bases de données factuelles ()</term><term>Coûts hospitaliers ()</term><term>Examen des demandes de remboursement d'assurance ()</term><term>Femelle</term><term>Fouille de données ()</term><term>France (épidémiologie)</term><term>Humains</term><term>Hôpitaux ()</term><term>Mâle</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (économie)</term><term>Tumeurs du sein (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Data Mining</term><term>Databases, Factual</term><term>Hospital Costs</term><term>Hospitals</term><term>Insurance Claim Review</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bases de données factuelles</term><term>Coûts hospitaliers</term><term>Examen des demandes de remboursement d'assurance</term><term>Femelle</term><term>Fouille de données</term><term>Humains</term><term>Hôpitaux</term><term>Mâle</term><term>Sujet âgé</term><term>Tumeurs du sein</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cancer</term></keywords><keywords scheme="mix" xml:lang="en"><term>Analysing trajectories</term><term>Cancer</term><term>Care</term><term>Claim data</term><term>Data mining</term><term>Formal concept analysis</term><term>Trajectory of care</term><term>breast cancer</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>With the increasing burden of chronic diseases, analyzing and understanding trajectories of care is essential for efficient planning and fair allocation of resources. We propose an approach based on mining claim data to support the exploration of trajectories of care.</p></sec><sec><title>Methods</title><p>A clustering of trajectories of care for breast cancer was performed with Formal Concept Analysis. We exported Data from the French national casemix system, covering all inpatient admissions in the country. Patients admitted for breast cancer surgery in 2009 were selected and their trajectory of care was recomposed with all hospitalizations occuring within one year after surgery. The main diagnoses of hospitalizations were used to produce morbidity profiles. Cumulative hospital costs were computed for each profile.</p></sec><sec><title>Results</title><p>57,552 patients were automatically grouped into 19 classes. The resulting profiles were clinically meaningful and economically relevant. The mean cost per trajectory was 9,600€. Severe conditions were generally associated with higher costs. The lowest costs (6,957€) were observed for patients with in situ carcinoma of the breast, the highest for patients hospitalized for palliative care (26,139€).</p></sec><sec><title>Conclusions</title><p>Formal Concept Analysis can be applied on claim data to produce an automatic classification of care trajectories. This flexible approach takes advantages of routinely collected data and can be used to setup cost-of-illness studies.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Allotey, P" uniqKey="Allotey P">P Allotey</name></author><author><name sortKey="Reidpath, Dd" uniqKey="Reidpath D">DD Reidpath</name></author><author><name sortKey="Yasin, S" uniqKey="Yasin S">S Yasin</name></author><author><name sortKey="Chan, Ck" uniqKey="Chan C">CK Chan</name></author><author><name sortKey="De Graft Aikins, A" uniqKey="De Graft Aikins A">A de-Graft Aikins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mariotto, Ab" uniqKey="Mariotto A">AB Mariotto</name></author><author><name sortKey="Yabroff, Kr" uniqKey="Yabroff K">KR Yabroff</name></author><author><name sortKey="Shao, Y" uniqKey="Shao Y">Y Shao</name></author><author><name sortKey="Feuer, Ej" uniqKey="Feuer E">EJ Feuer</name></author><author><name sortKey="Brown, Ml" uniqKey="Brown M">ML Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gill, D" uniqKey="Gill D">D Gill</name></author><author><name sortKey="Bruce, D" uniqKey="Bruce D">D Bruce</name></author><author><name sortKey="Tan, Ph" uniqKey="Tan P">PH Tan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lund, Jl" uniqKey="Lund J">JL Lund</name></author><author><name sortKey="Yabroff, Kr" uniqKey="Yabroff K">KR Yabroff</name></author><author><name sortKey="Ibuka, Y" uniqKey="Ibuka Y">Y Ibuka</name></author><author><name sortKey="Russell, Lb" uniqKey="Russell L">LB Russell</name></author><author><name sortKey="Barnett, Pg" uniqKey="Barnett P">PG Barnett</name></author><author><name sortKey="Lipscomb, J" uniqKey="Lipscomb J">J Lipscomb</name></author><author><name sortKey="Lawrence, Wf" uniqKey="Lawrence W">WF Lawrence</name></author><author><name sortKey="Brown, Ml" uniqKey="Brown M">ML Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yabroff, Kr" uniqKey="Yabroff K">KR Yabroff</name></author><author><name sortKey="Warren, Jl" uniqKey="Warren J">JL Warren</name></author><author><name sortKey="Banthin, J" uniqKey="Banthin J">J Banthin</name></author><author><name sortKey="Schrag, D" uniqKey="Schrag D">D Schrag</name></author><author><name sortKey="Mariotto, A" uniqKey="Mariotto A">A Mariotto</name></author><author><name sortKey="Lawrence, W" uniqKey="Lawrence W">W Lawrence</name></author><author><name sortKey="Meekins, A" uniqKey="Meekins A">A Meekins</name></author><author><name sortKey="Topor, M" uniqKey="Topor M">M Topor</name></author><author><name sortKey="Brown, Ml" uniqKey="Brown M">ML Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beckowski, Ms" uniqKey="Beckowski M">MS Beckowski</name></author><author><name sortKey="Goyal, A" uniqKey="Goyal A">A Goyal</name></author><author><name sortKey="Goetzel, Rz" uniqKey="Goetzel R">RZ Goetzel</name></author><author><name sortKey="Rinehart, Cl" uniqKey="Rinehart C">CL Rinehart</name></author><author><name sortKey="Darling, Kj" uniqKey="Darling K">KJ Darling</name></author><author><name sortKey="Yarborough, Cm" uniqKey="Yarborough C">CM Yarborough</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dombkowski, Kj" uniqKey="Dombkowski K">KJ Dombkowski</name></author><author><name sortKey="Lamarand, K" uniqKey="Lamarand K">K Lamarand</name></author><author><name sortKey="Dong, S" uniqKey="Dong S">S Dong</name></author><author><name sortKey="Perng, W" uniqKey="Perng W">W Perng</name></author><author><name sortKey="Clark, Sj" uniqKey="Clark S">SJ Clark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bauer, Hm" uniqKey="Bauer H">HM Bauer</name></author><author><name sortKey="Wright, G" uniqKey="Wright G">G Wright</name></author><author><name sortKey="Chow, J" uniqKey="Chow J">J Chow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Walraven, C" uniqKey="Van Walraven C">C van Walraven</name></author><author><name sortKey="Austin, Pc" uniqKey="Austin P">PC Austin</name></author><author><name sortKey="Manuel, D" uniqKey="Manuel D">D Manuel</name></author><author><name sortKey="Knoll, G" uniqKey="Knoll G">G Knoll</name></author><author><name sortKey="Jennings, A" uniqKey="Jennings A">A Jennings</name></author><author><name sortKey="Forster, Aj" uniqKey="Forster A">AJ Forster</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aboa Eboule, C" uniqKey="Aboa Eboule C">C Aboa-Eboulé</name></author><author><name sortKey="Mengue, D" uniqKey="Mengue D">D Mengue</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="Hommel, M" uniqKey="Hommel M">M Hommel</name></author><author><name sortKey="Giroud, M" uniqKey="Giroud M">M Giroud</name></author><author><name sortKey="Bejot, Y" uniqKey="Bejot Y">Y Béjot</name></author><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="Ferdynus, C" uniqKey="Ferdynus C">C Ferdynus</name></author><author><name sortKey="Sediki, M" uniqKey="Sediki M">M Sediki</name></author><author><name sortKey="Auverlot, B" uniqKey="Auverlot B">B Auverlot</name></author><author><name sortKey="Abrahamowicz, M" uniqKey="Abrahamowicz M">M Abrahamowicz</name></author><author><name sortKey="Morel, P" uniqKey="Morel P">P Morel</name></author><author><name sortKey="Gouyon, Jb" uniqKey="Gouyon J">JB Gouyon</name></author><author><name sortKey="Sagot, P" uniqKey="Sagot P">P Sagot</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="H Gi, M" uniqKey="H Gi M">M Hägi</name></author><author><name sortKey="Auverlot, B" uniqKey="Auverlot B">B Auverlot</name></author><author><name sortKey="Abrahamowicz, M" uniqKey="Abrahamowicz M">M Abrahamowicz</name></author><author><name sortKey="Cottenet, J" uniqKey="Cottenet J">J Cottenet</name></author><author><name sortKey="Fournier, E" uniqKey="Fournier E">E Fournier</name></author><author><name sortKey="Binquet, C" uniqKey="Binquet C">C Binquet</name></author><author><name sortKey="Compain, D" uniqKey="Compain D">D Compain</name></author><author><name sortKey="Monnet, E" uniqKey="Monnet E">E Monnet</name></author><author><name sortKey="Bouvier, Am" uniqKey="Bouvier A">AM Bouvier</name></author><author><name sortKey="Danzon, A" uniqKey="Danzon A">A Danzon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Husain, Mj" uniqKey="Husain M">MJ Husain</name></author><author><name sortKey="Brophy, S" uniqKey="Brophy S">S Brophy</name></author><author><name sortKey="Macey, S" uniqKey="Macey S">S Macey</name></author><author><name sortKey="Pinder, Lm" uniqKey="Pinder L">LM Pinder</name></author><author><name sortKey="Atkinson, Md" uniqKey="Atkinson M">MD Atkinson</name></author><author><name sortKey="Cooksey, R" uniqKey="Cooksey R">R Cooksey</name></author><author><name sortKey="Phillips, Cj" uniqKey="Phillips C">CJ Phillips</name></author><author><name sortKey="Siebert, S" uniqKey="Siebert S">S Siebert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fetter, R" uniqKey="Fetter R">R Fetter</name></author><author><name sortKey="Shin, Y" uniqKey="Shin Y">Y Shin</name></author><author><name sortKey="Freeman, J" uniqKey="Freeman J">J Freeman</name></author><author><name sortKey="Averill, R" uniqKey="Averill R">R Averill</name></author><author><name sortKey="Thompson, Jd" uniqKey="Thompson J">JD Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fayyad, U" uniqKey="Fayyad U">U Fayyad</name></author><author><name sortKey="Piatetsky Shapiro, G" uniqKey="Piatetsky Shapiro G">G Piatetsky-Shapiro</name></author><author><name sortKey="Smyth, P" uniqKey="Smyth P">P Smyth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wille, R" uniqKey="Wille R">R Wille</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Priss, U" uniqKey="Priss U">U Priss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agrawal, R" uniqKey="Agrawal R">R Agrawal</name></author><author><name sortKey="Imielski, T" uniqKey="Imielski T">T Imielski</name></author><author><name sortKey="Swami, A" uniqKey="Swami A">A Swami</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pasquier, N" uniqKey="Pasquier N">N Pasquier</name></author><author><name sortKey="Bastide, Y" uniqKey="Bastide Y">Y Bastide</name></author><author><name sortKey="Taouil, R" uniqKey="Taouil R">R Taouil</name></author><author><name sortKey="Lakhal, L" uniqKey="Lakhal L">L Lakhal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zaki, Mj" uniqKey="Zaki M">MJ Zaki</name></author><author><name sortKey="Hsiao, Cj" uniqKey="Hsiao C">CJ Hsiao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, J" uniqKey="Wang J">J Wang</name></author><author><name sortKey="Han, J" uniqKey="Han J">J Han</name></author><author><name sortKey="Pei, J" uniqKey="Pei J">J Pei</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Valtchev, P" uniqKey="Valtchev P">P Valtchev</name></author><author><name sortKey="Missaoui, R" uniqKey="Missaoui R">R Missaoui</name></author><author><name sortKey="Godin, R" uniqKey="Godin R">R Godin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cole, R" uniqKey="Cole R">R Cole</name></author><author><name sortKey="Eklund, P" uniqKey="Eklund P">P Eklund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jiang, G" uniqKey="Jiang G">G Jiang</name></author><author><name sortKey="Ogasawara, K" uniqKey="Ogasawara K">K Ogasawara</name></author><author><name sortKey="Endoh, A" uniqKey="Endoh A">A Endoh</name></author><author><name sortKey="Sakurai, T" uniqKey="Sakurai T">T Sakurai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jay, N" uniqKey="Jay N">N Jay</name></author><author><name sortKey="Kohler, F" uniqKey="Kohler F">F Kohler</name></author><author><name sortKey="Napoli, A" uniqKey="Napoli A">A Napoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aswani Kumar, C" uniqKey="Aswani Kumar C">C Aswani Kumar</name></author><author><name sortKey="Srinivas, S" uniqKey="Srinivas S">S Srinivas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaytoue, M" uniqKey="Kaytoue M">M Kaytoue</name></author><author><name sortKey="Kuznetsov, So" uniqKey="Kuznetsov S">SO Kuznetsov</name></author><author><name sortKey="Napoli, A" uniqKey="Napoli A">A Napoli</name></author><author><name sortKey="Duplessis, S" uniqKey="Duplessis S">S Duplessis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Ca" uniqKey="Kumar C">CA Kumar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stumme, G" uniqKey="Stumme G">G Stumme</name></author><author><name sortKey="Taouil, R" uniqKey="Taouil R">R Taouil</name></author><author><name sortKey="Bastide, Y" uniqKey="Bastide Y">Y Bastide</name></author><author><name sortKey="Pasquier, N" uniqKey="Pasquier N">N Pasquier</name></author><author><name sortKey="Lakhal, L" uniqKey="Lakhal L">L Lakhal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kuznetsov, S" uniqKey="Kuznetsov S">S Kuznetsov</name></author><author><name sortKey="Obiedkov, S" uniqKey="Obiedkov S">S Obiedkov</name></author><author><name sortKey="Roth, C" uniqKey="Roth C">C Roth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jay, N" uniqKey="Jay N">N Jay</name></author><author><name sortKey="Kohler, F" uniqKey="Kohler F">F Kohler</name></author><author><name sortKey="Napoli, A" uniqKey="Napoli A">A Napoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Breiman, L" uniqKey="Breiman L">L Breiman</name></author><author><name sortKey="Friedman, J" uniqKey="Friedman J">J Friedman</name></author><author><name sortKey="Stone, Cj" uniqKey="Stone C">CJ Stone</name></author><author><name sortKey="Olshen, Ra" uniqKey="Olshen R">RA Olshen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Core Team, R" uniqKey="Core Team R">R Core Team</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Therneau, T" uniqKey="Therneau T">T Therneau</name></author><author><name sortKey="Atkinson, B" uniqKey="Atkinson B">B Atkinson</name></author><author><name sortKey="Ripley, B" uniqKey="Ripley B">B Ripley</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Couris, Cm" uniqKey="Couris C">CM Couris</name></author><author><name sortKey="Schott, Am" uniqKey="Schott A">AM Schott</name></author><author><name sortKey="Ecochard, R" uniqKey="Ecochard R">R Ecochard</name></author><author><name sortKey="Morgon, E" uniqKey="Morgon E">E Morgon</name></author><author><name sortKey="Colin, C" uniqKey="Colin C">C Colin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mitton, N" uniqKey="Mitton N">N Mitton</name></author><author><name sortKey="Colonna, M" uniqKey="Colonna M">M Colonna</name></author><author><name sortKey="Trombert, B" uniqKey="Trombert B">B Trombert</name></author><author><name sortKey="Olive, F" uniqKey="Olive F">F Olive</name></author><author><name sortKey="Gomez, F" uniqKey="Gomez F">F Gomez</name></author><author><name sortKey="Iwaz, J" uniqKey="Iwaz J">J Iwaz</name></author><author><name sortKey="Polazzi, S" uniqKey="Polazzi S">S Polazzi</name></author><author><name sortKey="Schott Petelaz, Am" uniqKey="Schott Petelaz A">AM Schott-Petelaz</name></author><author><name sortKey="Uhry, Z" uniqKey="Uhry Z">Z Uhry</name></author><author><name sortKey="Bossard, N" uniqKey="Bossard N">N Bossard</name></author><author><name sortKey="Remontet, L" uniqKey="Remontet L">L Remontet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="Fassa, M" uniqKey="Fassa M">M Fassa</name></author><author><name sortKey="H Gi, M" uniqKey="H Gi M">M Hägi</name></author><author><name sortKey="Fournier, E" uniqKey="Fournier E">E Fournier</name></author><author><name sortKey="Gentil, J" uniqKey="Gentil J">J Gentil</name></author><author><name sortKey="Compain, D" uniqKey="Compain D">D Compain</name></author><author><name sortKey="Monnet, E" uniqKey="Monnet E">E Monnet</name></author><author><name sortKey="Arveux, P" uniqKey="Arveux P">P Arveux</name></author><author><name sortKey="Danzon, A" uniqKey="Danzon A">A Danzon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Starfield, B" uniqKey="Starfield B">B Starfield</name></author><author><name sortKey="Weiner, J" uniqKey="Weiner J">J Weiner</name></author><author><name sortKey="Mumford, L" uniqKey="Mumford L">L Mumford</name></author><author><name sortKey="Steinwachs, D" uniqKey="Steinwachs D">D Steinwachs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grubinger, T" uniqKey="Grubinger T">T Grubinger</name></author><author><name sortKey="Kobel, C" uniqKey="Kobel C">C Kobel</name></author><author><name sortKey="Pfeiffer, Kp" uniqKey="Pfeiffer K">KP Pfeiffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smidth, M" uniqKey="Smidth M">M Smidth</name></author><author><name sortKey="Sokolowski, I" uniqKey="Sokolowski I">I Sokolowski</name></author><author><name sortKey="K Rsvang, L" uniqKey="K Rsvang L">L Kærsvang</name></author><author><name sortKey="Vedsted, P" uniqKey="Vedsted P">P Vedsted</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benchimol, Ei" uniqKey="Benchimol E">EI Benchimol</name></author><author><name sortKey="Manuel, Dg" uniqKey="Manuel D">DG Manuel</name></author><author><name sortKey="To, T" uniqKey="To T">T To</name></author><author><name sortKey="Griffiths, Am" uniqKey="Griffiths A">AM Griffiths</name></author><author><name sortKey="Rabeneck, L" uniqKey="Rabeneck L">L Rabeneck</name></author><author><name sortKey="Guttmann, A" uniqKey="Guttmann A">A Guttmann</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double idat="1472-6947:2013:Jay N:a:data:mining"><HAL><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A data mining approach for grouping and analysing trajectories of care using claim data : the exemple of breast cancer</title><author><name sortKey="Jay, Nicolas" sort="Jay, Nicolas" uniqKey="Jay N" first="Nicolas" last="Jay">Nicolas Jay</name><affiliation wicri:level="1"><hal:affiliation type="researchteam" xml:id="struct-205125" status="VALID"><idno type="RNSR">200818291B</idno><orgName>Knowledge representation, reasonning</orgName><orgName type="acronym">ORPAILLEUR</orgName><desc><address><country key="FR"></country></address><ref type="url">http://www.inria.fr/equipes/orpailleur</ref></desc><listRelation><relation active="#struct-129671" type="direct"></relation><relation active="#struct-300009" type="indirect"></relation><relation active="#struct-423086" type="direct"></relation><relation active="#struct-206040" type="indirect"></relation><relation active="#struct-413289" type="indirect"></relation><relation name="UMR7503" active="#struct-441569" type="indirect"></relation></listRelation><tutelles><tutelle active="#struct-129671" type="direct"><org type="laboratory" xml:id="struct-129671" status="VALID"><idno type="RNSR">198618246Y</idno><orgName>INRIA Nancy - Grand Est</orgName><desc><address><addrLine>615 rue du Jardin Botanique 54600 Villers-lès-Nancy</addrLine><country key="FR"></country></address><ref type="url">http://www.inria.fr/nancy</ref></desc><listRelation><relation active="#struct-300009" type="direct"></relation></listRelation></org></tutelle><tutelle active="#struct-300009" type="indirect"><org type="institution" xml:id="struct-300009" status="VALID"><orgName>Institut National de Recherche en Informatique et en Automatique</orgName><orgName type="acronym">Inria</orgName><desc><address><addrLine>Domaine de VoluceauRocquencourt - BP 10578153 Le Chesnay Cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.inria.fr/en/</ref></desc></org></tutelle><tutelle active="#struct-423086" type="direct"><org type="department" xml:id="struct-423086" status="VALID"><orgName>Department of Natural Language Processing & Knowledge Discovery</orgName><orgName type="acronym">LORIA - NLPKD</orgName><desc><address><country key="FR"></country></address><ref type="url">http://www.loria.fr/la-recherche-en/departements/Knowledge-and-Language-Management</ref></desc><listRelation><relation active="#struct-206040" type="direct"></relation><relation active="#struct-300009" type="indirect"></relation><relation active="#struct-413289" type="indirect"></relation><relation name="UMR7503" active="#struct-441569" type="indirect"></relation></listRelation></org></tutelle><tutelle active="#struct-206040" type="indirect"><org type="laboratory" xml:id="struct-206040" status="VALID"><idno type="IdRef">067077927</idno><idno type="RNSR">198912571S</idno><idno type="IdUnivLorraine">[UL]RSI--</idno><orgName>Laboratoire Lorrain de Recherche en Informatique et ses Applications</orgName><orgName type="acronym">LORIA</orgName><date type="start">2012-01-01</date><desc><address><addrLine>Campus Scientifique BP 239 54506 Vandoeuvre-lès-Nancy Cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.loria.fr</ref></desc><listRelation><relation active="#struct-300009" type="direct"></relation><relation active="#struct-413289" type="direct"></relation><relation name="UMR7503" active="#struct-441569" type="direct"></relation></listRelation></org></tutelle><tutelle active="#struct-413289" type="indirect"><org type="institution" xml:id="struct-413289" status="VALID"><idno type="IdRef">157040569</idno><idno type="IdUnivLorraine">[UL]100--</idno><orgName>Université de Lorraine</orgName><orgName type="acronym">UL</orgName><date type="start">2012-01-01</date><desc><address><addrLine>34 cours Léopold - CS 25233 - 54052 Nancy cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.univ-lorraine.fr/</ref></desc></org></tutelle><tutelle name="UMR7503" active="#struct-441569" type="indirect"><org type="institution" xml:id="struct-441569" status="VALID"><idno type="ISNI">0000000122597504</idno><idno type="IdRef">02636817X</idno><orgName>Centre National de la Recherche Scientifique</orgName><orgName type="acronym">CNRS</orgName><date type="start">1939-10-19</date><desc><address><country key="FR"></country></address><ref type="url">http://www.cnrs.fr/</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Nancy</settlement><settlement type="city">Metz</settlement><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName><orgName type="university">Université de Lorraine</orgName></affiliation></author><author><name sortKey="Nuemi, Gilles" sort="Nuemi, Gilles" uniqKey="Nuemi G" first="Gilles" last="Nuemi">Gilles Nuemi</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-232969" status="VALID"><orgName>Service Biostatistiques et Informatique Médicale (CHU de Dijon)</orgName><orgName type="acronym">DIM</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr/service/biostatistiques-informatique-medicale</ref></desc><listRelation><relation active="#struct-300924" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300924" type="direct"><org type="institution" xml:id="struct-300924" status="VALID"><orgName>Centre Hospitalier Universitaire de Dijon</orgName><orgName type="acronym">CHU Dijon</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Gadreau, Maryse" sort="Gadreau, Maryse" uniqKey="Gadreau M" first="Maryse" last="Gadreau">Maryse Gadreau</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-607" status="OLD"><idno type="IdRef">09246484X</idno><orgName>Laboratoire d'Economie et de Gestion</orgName><orgName type="acronym">LEG</orgName><date type="end">2013-12-31</date><desc><address><addrLine>Université de Bourgogne - Pôle d'économie et de gestion - 2 boulevard Gabriel - BP 26611 - 21066 DIJON CEDEX</addrLine><country key="FR"></country></address><ref type="url">http://www.u-bourgogne.fr/LEG</ref></desc><listRelation><relation active="#struct-300270" type="direct"></relation><relation name="UMR5118" active="#struct-441569" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300270" type="direct"><org type="institution" xml:id="struct-300270" status="VALID"><orgName>Université de Bourgogne</orgName><orgName type="acronym">UB</orgName><desc><address><addrLine>Maison de l'université - Esplanade Érasme - BP 27877 - 21078 Dijon cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.u-bourgogne.fr/</ref></desc></org></tutelle><tutelle name="UMR5118" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"><idno type="ISNI">0000000122597504</idno><idno type="IdRef">02636817X</idno><orgName>Centre National de la Recherche Scientifique</orgName><orgName type="acronym">CNRS</orgName><date type="start">1939-10-19</date><desc><address><country key="FR"></country></address><ref type="url">http://www.cnrs.fr/</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName><orgName type="university">Université de Bourgogne</orgName><orgName type="institution" wicri:auto="newGroup">Université de Bourgogne Franche-Comté</orgName></affiliation></author><author><name sortKey="Quantin, Catherine" sort="Quantin, Catherine" uniqKey="Quantin C" first="Catherine" last="Quantin">Catherine Quantin</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-232969" status="VALID"><orgName>Service Biostatistiques et Informatique Médicale (CHU de Dijon)</orgName><orgName type="acronym">DIM</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr/service/biostatistiques-informatique-medicale</ref></desc><listRelation><relation active="#struct-300924" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300924" type="direct"><org type="institution" xml:id="struct-300924" status="VALID"><orgName>Centre Hospitalier Universitaire de Dijon</orgName><orgName type="acronym">CHU Dijon</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">HAL</idno><idno type="RBID">Hal:halshs-01227973</idno><idno type="halId">halshs-01227973</idno><idno type="halUri">https://halshs.archives-ouvertes.fr/halshs-01227973</idno><idno type="url">https://halshs.archives-ouvertes.fr/halshs-01227973</idno><date when="2013">2013</date><idno type="wicri:Area/Hal/Corpus">000650</idno><idno type="wicri:Area/Hal/Curation">000650</idno><idno type="wicri:Area/Hal/Checkpoint">001393</idno><idno type="wicri:explorRef" wicri:stream="Hal" wicri:step="Checkpoint">001393</idno><idno type="wicri:doubleKey">1472-6947:2013:Jay N:a:data:mining</idno><idno type="wicri:Area/Main/Merge">001814</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A data mining approach for grouping and analysing trajectories of care using claim data : the exemple of breast cancer</title><author><name sortKey="Jay, Nicolas" sort="Jay, Nicolas" uniqKey="Jay N" first="Nicolas" last="Jay">Nicolas Jay</name><affiliation wicri:level="1"><hal:affiliation type="researchteam" xml:id="struct-205125" status="VALID"><idno type="RNSR">200818291B</idno><orgName>Knowledge representation, reasonning</orgName><orgName type="acronym">ORPAILLEUR</orgName><desc><address><country key="FR"></country></address><ref type="url">http://www.inria.fr/equipes/orpailleur</ref></desc><listRelation><relation active="#struct-129671" type="direct"></relation><relation active="#struct-300009" type="indirect"></relation><relation active="#struct-423086" type="direct"></relation><relation active="#struct-206040" type="indirect"></relation><relation active="#struct-413289" type="indirect"></relation><relation name="UMR7503" active="#struct-441569" type="indirect"></relation></listRelation><tutelles><tutelle active="#struct-129671" type="direct"><org type="laboratory" xml:id="struct-129671" status="VALID"><idno type="RNSR">198618246Y</idno><orgName>INRIA Nancy - Grand Est</orgName><desc><address><addrLine>615 rue du Jardin Botanique 54600 Villers-lès-Nancy</addrLine><country key="FR"></country></address><ref type="url">http://www.inria.fr/nancy</ref></desc><listRelation><relation active="#struct-300009" type="direct"></relation></listRelation></org></tutelle><tutelle active="#struct-300009" type="indirect"><org type="institution" xml:id="struct-300009" status="VALID"><orgName>Institut National de Recherche en Informatique et en Automatique</orgName><orgName type="acronym">Inria</orgName><desc><address><addrLine>Domaine de VoluceauRocquencourt - BP 10578153 Le Chesnay Cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.inria.fr/en/</ref></desc></org></tutelle><tutelle active="#struct-423086" type="direct"><org type="department" xml:id="struct-423086" status="VALID"><orgName>Department of Natural Language Processing & Knowledge Discovery</orgName><orgName type="acronym">LORIA - NLPKD</orgName><desc><address><country key="FR"></country></address><ref type="url">http://www.loria.fr/la-recherche-en/departements/Knowledge-and-Language-Management</ref></desc><listRelation><relation active="#struct-206040" type="direct"></relation><relation active="#struct-300009" type="indirect"></relation><relation active="#struct-413289" type="indirect"></relation><relation name="UMR7503" active="#struct-441569" type="indirect"></relation></listRelation></org></tutelle><tutelle active="#struct-206040" type="indirect"><org type="laboratory" xml:id="struct-206040" status="VALID"><idno type="IdRef">067077927</idno><idno type="RNSR">198912571S</idno><idno type="IdUnivLorraine">[UL]RSI--</idno><orgName>Laboratoire Lorrain de Recherche en Informatique et ses Applications</orgName><orgName type="acronym">LORIA</orgName><date type="start">2012-01-01</date><desc><address><addrLine>Campus Scientifique BP 239 54506 Vandoeuvre-lès-Nancy Cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.loria.fr</ref></desc><listRelation><relation active="#struct-300009" type="direct"></relation><relation active="#struct-413289" type="direct"></relation><relation name="UMR7503" active="#struct-441569" type="direct"></relation></listRelation></org></tutelle><tutelle active="#struct-413289" type="indirect"><org type="institution" xml:id="struct-413289" status="VALID"><idno type="IdRef">157040569</idno><idno type="IdUnivLorraine">[UL]100--</idno><orgName>Université de Lorraine</orgName><orgName type="acronym">UL</orgName><date type="start">2012-01-01</date><desc><address><addrLine>34 cours Léopold - CS 25233 - 54052 Nancy cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.univ-lorraine.fr/</ref></desc></org></tutelle><tutelle name="UMR7503" active="#struct-441569" type="indirect"><org type="institution" xml:id="struct-441569" status="VALID"><idno type="ISNI">0000000122597504</idno><idno type="IdRef">02636817X</idno><orgName>Centre National de la Recherche Scientifique</orgName><orgName type="acronym">CNRS</orgName><date type="start">1939-10-19</date><desc><address><country key="FR"></country></address><ref type="url">http://www.cnrs.fr/</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Nancy</settlement><settlement type="city">Metz</settlement><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region></placeName><orgName type="university">Université de Lorraine</orgName></affiliation></author><author><name sortKey="Nuemi, Gilles" sort="Nuemi, Gilles" uniqKey="Nuemi G" first="Gilles" last="Nuemi">Gilles Nuemi</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-232969" status="VALID"><orgName>Service Biostatistiques et Informatique Médicale (CHU de Dijon)</orgName><orgName type="acronym">DIM</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr/service/biostatistiques-informatique-medicale</ref></desc><listRelation><relation active="#struct-300924" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300924" type="direct"><org type="institution" xml:id="struct-300924" status="VALID"><orgName>Centre Hospitalier Universitaire de Dijon</orgName><orgName type="acronym">CHU Dijon</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Gadreau, Maryse" sort="Gadreau, Maryse" uniqKey="Gadreau M" first="Maryse" last="Gadreau">Maryse Gadreau</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-607" status="OLD"><idno type="IdRef">09246484X</idno><orgName>Laboratoire d'Economie et de Gestion</orgName><orgName type="acronym">LEG</orgName><date type="end">2013-12-31</date><desc><address><addrLine>Université de Bourgogne - Pôle d'économie et de gestion - 2 boulevard Gabriel - BP 26611 - 21066 DIJON CEDEX</addrLine><country key="FR"></country></address><ref type="url">http://www.u-bourgogne.fr/LEG</ref></desc><listRelation><relation active="#struct-300270" type="direct"></relation><relation name="UMR5118" active="#struct-441569" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300270" type="direct"><org type="institution" xml:id="struct-300270" status="VALID"><orgName>Université de Bourgogne</orgName><orgName type="acronym">UB</orgName><desc><address><addrLine>Maison de l'université - Esplanade Érasme - BP 27877 - 21078 Dijon cedex</addrLine><country key="FR"></country></address><ref type="url">http://www.u-bourgogne.fr/</ref></desc></org></tutelle><tutelle name="UMR5118" active="#struct-441569" type="direct"><org type="institution" xml:id="struct-441569" status="VALID"><idno type="ISNI">0000000122597504</idno><idno type="IdRef">02636817X</idno><orgName>Centre National de la Recherche Scientifique</orgName><orgName type="acronym">CNRS</orgName><date type="start">1939-10-19</date><desc><address><country key="FR"></country></address><ref type="url">http://www.cnrs.fr/</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName><orgName type="university">Université de Bourgogne</orgName><orgName type="institution" wicri:auto="newGroup">Université de Bourgogne Franche-Comté</orgName></affiliation></author><author><name sortKey="Quantin, Catherine" sort="Quantin, Catherine" uniqKey="Quantin C" first="Catherine" last="Quantin">Catherine Quantin</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-232969" status="VALID"><orgName>Service Biostatistiques et Informatique Médicale (CHU de Dijon)</orgName><orgName type="acronym">DIM</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr/service/biostatistiques-informatique-medicale</ref></desc><listRelation><relation active="#struct-300924" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300924" type="direct"><org type="institution" xml:id="struct-300924" status="VALID"><orgName>Centre Hospitalier Universitaire de Dijon</orgName><orgName type="acronym">CHU Dijon</orgName><desc><address><addrLine>CHU Dijon - 14 rue Paul Gaffarel - 21079 Dijon</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-dijon.fr/fr</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author></analytic><series><title level="j">BMC Medical Informatics and Decision Making</title><idno type="ISSN">1472-6947</idno><imprint><date type="datePub">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>Analysing trajectories</term><term>Care</term><term>breast cancer</term></keywords></textClass></profileDesc></teiHeader></TEI></HAL><PMC><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer</title><author><name sortKey="Jay, Nicolas" sort="Jay, Nicolas" uniqKey="Jay N" first="Nicolas" last="Jay">Nicolas Jay</name><affiliation wicri:level="4"><nlm:aff id="I1">Université de Lorraine, LORIA UMR 7503, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Lorraine, LORIA UMR 7503, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName><orgName type="university">Université de Lorraine</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">CHU de Nancy, Département d’information médicale, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU de Nancy, Département d’information médicale, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Nuemi, Gilles" sort="Nuemi, Gilles" uniqKey="Nuemi G" first="Gilles" last="Nuemi">Gilles Nuemi</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Gadreau, Maryse" sort="Gadreau, Maryse" uniqKey="Gadreau M" first="Maryse" last="Gadreau">Maryse Gadreau</name><affiliation wicri:level="4"><nlm:aff id="I5">Université de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName></affiliation></author><author><name sortKey="Quantin, Catherine" sort="Quantin, Catherine" uniqKey="Quantin C" first="Catherine" last="Quantin">Catherine Quantin</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I4">Inserm, U866, Univ de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, U866, Univ de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24289668</idno><idno type="pmc">4220620</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220620</idno><idno type="RBID">PMC:4220620</idno><idno type="doi">10.1186/1472-6947-13-130</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000053</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000053</idno><idno type="wicri:Area/Pmc/Curation">000053</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000053</idno><idno type="wicri:Area/Pmc/Checkpoint">000043</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000043</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000078</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000078</idno><idno type="wicri:Area/PubMed/Curation">000078</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000078</idno><idno type="wicri:Area/PubMed/Checkpoint">000081</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000081</idno><idno type="wicri:Area/Ncbi/Merge">000155</idno><idno type="wicri:Area/Ncbi/Curation">000153</idno><idno type="wicri:Area/Ncbi/Checkpoint">000153</idno><idno type="wicri:source">HAL</idno><idno type="RBID">Hal:inserm-00917359</idno><idno type="url">http://www.hal.inserm.fr/inserm-00917359</idno><idno type="wicri:Area/Hal/Corpus">000651</idno><idno type="wicri:Area/Hal/Curation">000651</idno><idno type="wicri:Area/Hal/Checkpoint">000E20</idno><idno type="wicri:explorRef" wicri:stream="Hal" wicri:step="Checkpoint">000E20</idno><idno type="wicri:doubleKey">1472-6947:2013:Jay N:a:data:mining</idno><idno type="wicri:Area/Main/Merge">001421</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer</title><author><name sortKey="Jay, Nicolas" sort="Jay, Nicolas" uniqKey="Jay N" first="Nicolas" last="Jay">Nicolas Jay</name><affiliation wicri:level="4"><nlm:aff id="I1">Université de Lorraine, LORIA UMR 7503, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Lorraine, LORIA UMR 7503, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName><orgName type="university">Université de Lorraine</orgName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">CHU de Nancy, Département d’information médicale, F-54000, Nancy, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU de Nancy, Département d’information médicale, F-54000, Nancy</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Nancy</settlement></placeName></affiliation></author><author><name sortKey="Nuemi, Gilles" sort="Nuemi, Gilles" uniqKey="Nuemi G" first="Gilles" last="Nuemi">Gilles Nuemi</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Gadreau, Maryse" sort="Gadreau, Maryse" uniqKey="Gadreau M" first="Maryse" last="Gadreau">Maryse Gadreau</name><affiliation wicri:level="4"><nlm:aff id="I5">Université de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName></affiliation></author><author><name sortKey="Quantin, Catherine" sort="Quantin, Catherine" uniqKey="Quantin C" first="Catherine" last="Quantin">Catherine Quantin</name><affiliation wicri:level="3"><nlm:aff id="I3">CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHRU Dijon, Service de Biostatistique et d’Informatique Médicale (DIM), F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I4">Inserm, U866, Univ de Bourgogne, F-21000, Dijon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Inserm, U866, Univ de Bourgogne, F-21000, Dijon</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author></analytic><series><title level="j">BMC Medical Informatics and Decision Making</title><idno type="eISSN">1472-6947</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Breast Neoplasms (classification)</term><term>Breast Neoplasms (economics)</term><term>Breast Neoplasms (epidemiology)</term><term>Breast Neoplasms (surgery)</term><term>Data Mining (statistics & numerical data)</term><term>Databases, Factual (statistics & numerical data)</term><term>Female</term><term>France (epidemiology)</term><term>Hospital Costs (statistics & numerical data)</term><term>Hospitals (statistics & numerical data)</term><term>Humans</term><term>Insurance Claim Review (statistics & numerical data)</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bases de données factuelles ()</term><term>Coûts hospitaliers ()</term><term>Examen des demandes de remboursement d'assurance ()</term><term>Femelle</term><term>Fouille de données ()</term><term>France (épidémiologie)</term><term>Humains</term><term>Hôpitaux ()</term><term>Mâle</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (économie)</term><term>Tumeurs du sein (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Data Mining</term><term>Databases, Factual</term><term>Hospital Costs</term><term>Hospitals</term><term>Insurance Claim Review</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>France</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bases de données factuelles</term><term>Coûts hospitaliers</term><term>Examen des demandes de remboursement d'assurance</term><term>Femelle</term><term>Fouille de données</term><term>Humains</term><term>Hôpitaux</term><term>Mâle</term><term>Sujet âgé</term><term>Tumeurs du sein</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cancer</term></keywords><keywords scheme="mix" xml:lang="en"><term>Cancer</term><term>Claim data</term><term>Data mining</term><term>Formal concept analysis</term><term>Trajectory of care</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>With the increasing burden of chronic diseases, analyzing and understanding trajectories of care is essential for efficient planning and fair allocation of resources. We propose an approach based on mining claim data to support the exploration of trajectories of care.</p></sec><sec><title>Methods</title><p>A clustering of trajectories of care for breast cancer was performed with Formal Concept Analysis. We exported Data from the French national casemix system, covering all inpatient admissions in the country. Patients admitted for breast cancer surgery in 2009 were selected and their trajectory of care was recomposed with all hospitalizations occuring within one year after surgery. The main diagnoses of hospitalizations were used to produce morbidity profiles. Cumulative hospital costs were computed for each profile.</p></sec><sec><title>Results</title><p>57,552 patients were automatically grouped into 19 classes. The resulting profiles were clinically meaningful and economically relevant. The mean cost per trajectory was 9,600€. Severe conditions were generally associated with higher costs. The lowest costs (6,957€) were observed for patients with in situ carcinoma of the breast, the highest for patients hospitalized for palliative care (26,139€).</p></sec><sec><title>Conclusions</title><p>Formal Concept Analysis can be applied on claim data to produce an automatic classification of care trajectories. This flexible approach takes advantages of routinely collected data and can be used to setup cost-of-illness studies.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Allotey, P" uniqKey="Allotey P">P Allotey</name></author><author><name sortKey="Reidpath, Dd" uniqKey="Reidpath D">DD Reidpath</name></author><author><name sortKey="Yasin, S" uniqKey="Yasin S">S Yasin</name></author><author><name sortKey="Chan, Ck" uniqKey="Chan C">CK Chan</name></author><author><name sortKey="De Graft Aikins, A" uniqKey="De Graft Aikins A">A de-Graft Aikins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mariotto, Ab" uniqKey="Mariotto A">AB Mariotto</name></author><author><name sortKey="Yabroff, Kr" uniqKey="Yabroff K">KR Yabroff</name></author><author><name sortKey="Shao, Y" uniqKey="Shao Y">Y Shao</name></author><author><name sortKey="Feuer, Ej" uniqKey="Feuer E">EJ Feuer</name></author><author><name sortKey="Brown, Ml" uniqKey="Brown M">ML Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gill, D" uniqKey="Gill D">D Gill</name></author><author><name sortKey="Bruce, D" uniqKey="Bruce D">D Bruce</name></author><author><name sortKey="Tan, Ph" uniqKey="Tan P">PH Tan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lund, Jl" uniqKey="Lund J">JL Lund</name></author><author><name sortKey="Yabroff, Kr" uniqKey="Yabroff K">KR Yabroff</name></author><author><name sortKey="Ibuka, Y" uniqKey="Ibuka Y">Y Ibuka</name></author><author><name sortKey="Russell, Lb" uniqKey="Russell L">LB Russell</name></author><author><name sortKey="Barnett, Pg" uniqKey="Barnett P">PG Barnett</name></author><author><name sortKey="Lipscomb, J" uniqKey="Lipscomb J">J Lipscomb</name></author><author><name sortKey="Lawrence, Wf" uniqKey="Lawrence W">WF Lawrence</name></author><author><name sortKey="Brown, Ml" uniqKey="Brown M">ML Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yabroff, Kr" uniqKey="Yabroff K">KR Yabroff</name></author><author><name sortKey="Warren, Jl" uniqKey="Warren J">JL Warren</name></author><author><name sortKey="Banthin, J" uniqKey="Banthin J">J Banthin</name></author><author><name sortKey="Schrag, D" uniqKey="Schrag D">D Schrag</name></author><author><name sortKey="Mariotto, A" uniqKey="Mariotto A">A Mariotto</name></author><author><name sortKey="Lawrence, W" uniqKey="Lawrence W">W Lawrence</name></author><author><name sortKey="Meekins, A" uniqKey="Meekins A">A Meekins</name></author><author><name sortKey="Topor, M" uniqKey="Topor M">M Topor</name></author><author><name sortKey="Brown, Ml" uniqKey="Brown M">ML Brown</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beckowski, Ms" uniqKey="Beckowski M">MS Beckowski</name></author><author><name sortKey="Goyal, A" uniqKey="Goyal A">A Goyal</name></author><author><name sortKey="Goetzel, Rz" uniqKey="Goetzel R">RZ Goetzel</name></author><author><name sortKey="Rinehart, Cl" uniqKey="Rinehart C">CL Rinehart</name></author><author><name sortKey="Darling, Kj" uniqKey="Darling K">KJ Darling</name></author><author><name sortKey="Yarborough, Cm" uniqKey="Yarborough C">CM Yarborough</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dombkowski, Kj" uniqKey="Dombkowski K">KJ Dombkowski</name></author><author><name sortKey="Lamarand, K" uniqKey="Lamarand K">K Lamarand</name></author><author><name sortKey="Dong, S" uniqKey="Dong S">S Dong</name></author><author><name sortKey="Perng, W" uniqKey="Perng W">W Perng</name></author><author><name sortKey="Clark, Sj" uniqKey="Clark S">SJ Clark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bauer, Hm" uniqKey="Bauer H">HM Bauer</name></author><author><name sortKey="Wright, G" uniqKey="Wright G">G Wright</name></author><author><name sortKey="Chow, J" uniqKey="Chow J">J Chow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Walraven, C" uniqKey="Van Walraven C">C van Walraven</name></author><author><name sortKey="Austin, Pc" uniqKey="Austin P">PC Austin</name></author><author><name sortKey="Manuel, D" uniqKey="Manuel D">D Manuel</name></author><author><name sortKey="Knoll, G" uniqKey="Knoll G">G Knoll</name></author><author><name sortKey="Jennings, A" uniqKey="Jennings A">A Jennings</name></author><author><name sortKey="Forster, Aj" uniqKey="Forster A">AJ Forster</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aboa Eboule, C" uniqKey="Aboa Eboule C">C Aboa-Eboulé</name></author><author><name sortKey="Mengue, D" uniqKey="Mengue D">D Mengue</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="Hommel, M" uniqKey="Hommel M">M Hommel</name></author><author><name sortKey="Giroud, M" uniqKey="Giroud M">M Giroud</name></author><author><name sortKey="Bejot, Y" uniqKey="Bejot Y">Y Béjot</name></author><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="Ferdynus, C" uniqKey="Ferdynus C">C Ferdynus</name></author><author><name sortKey="Sediki, M" uniqKey="Sediki M">M Sediki</name></author><author><name sortKey="Auverlot, B" uniqKey="Auverlot B">B Auverlot</name></author><author><name sortKey="Abrahamowicz, M" uniqKey="Abrahamowicz M">M Abrahamowicz</name></author><author><name sortKey="Morel, P" uniqKey="Morel P">P Morel</name></author><author><name sortKey="Gouyon, Jb" uniqKey="Gouyon J">JB Gouyon</name></author><author><name sortKey="Sagot, P" uniqKey="Sagot P">P Sagot</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="H Gi, M" uniqKey="H Gi M">M Hägi</name></author><author><name sortKey="Auverlot, B" uniqKey="Auverlot B">B Auverlot</name></author><author><name sortKey="Abrahamowicz, M" uniqKey="Abrahamowicz M">M Abrahamowicz</name></author><author><name sortKey="Cottenet, J" uniqKey="Cottenet J">J Cottenet</name></author><author><name sortKey="Fournier, E" uniqKey="Fournier E">E Fournier</name></author><author><name sortKey="Binquet, C" uniqKey="Binquet C">C Binquet</name></author><author><name sortKey="Compain, D" uniqKey="Compain D">D Compain</name></author><author><name sortKey="Monnet, E" uniqKey="Monnet E">E Monnet</name></author><author><name sortKey="Bouvier, Am" uniqKey="Bouvier A">AM Bouvier</name></author><author><name sortKey="Danzon, A" uniqKey="Danzon A">A Danzon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Husain, Mj" uniqKey="Husain M">MJ Husain</name></author><author><name sortKey="Brophy, S" uniqKey="Brophy S">S Brophy</name></author><author><name sortKey="Macey, S" uniqKey="Macey S">S Macey</name></author><author><name sortKey="Pinder, Lm" uniqKey="Pinder L">LM Pinder</name></author><author><name sortKey="Atkinson, Md" uniqKey="Atkinson M">MD Atkinson</name></author><author><name sortKey="Cooksey, R" uniqKey="Cooksey R">R Cooksey</name></author><author><name sortKey="Phillips, Cj" uniqKey="Phillips C">CJ Phillips</name></author><author><name sortKey="Siebert, S" uniqKey="Siebert S">S Siebert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fetter, R" uniqKey="Fetter R">R Fetter</name></author><author><name sortKey="Shin, Y" uniqKey="Shin Y">Y Shin</name></author><author><name sortKey="Freeman, J" uniqKey="Freeman J">J Freeman</name></author><author><name sortKey="Averill, R" uniqKey="Averill R">R Averill</name></author><author><name sortKey="Thompson, Jd" uniqKey="Thompson J">JD Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fayyad, U" uniqKey="Fayyad U">U Fayyad</name></author><author><name sortKey="Piatetsky Shapiro, G" uniqKey="Piatetsky Shapiro G">G Piatetsky-Shapiro</name></author><author><name sortKey="Smyth, P" uniqKey="Smyth P">P Smyth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wille, R" uniqKey="Wille R">R Wille</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Priss, U" uniqKey="Priss U">U Priss</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agrawal, R" uniqKey="Agrawal R">R Agrawal</name></author><author><name sortKey="Imielski, T" uniqKey="Imielski T">T Imielski</name></author><author><name sortKey="Swami, A" uniqKey="Swami A">A Swami</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pasquier, N" uniqKey="Pasquier N">N Pasquier</name></author><author><name sortKey="Bastide, Y" uniqKey="Bastide Y">Y Bastide</name></author><author><name sortKey="Taouil, R" uniqKey="Taouil R">R Taouil</name></author><author><name sortKey="Lakhal, L" uniqKey="Lakhal L">L Lakhal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zaki, Mj" uniqKey="Zaki M">MJ Zaki</name></author><author><name sortKey="Hsiao, Cj" uniqKey="Hsiao C">CJ Hsiao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, J" uniqKey="Wang J">J Wang</name></author><author><name sortKey="Han, J" uniqKey="Han J">J Han</name></author><author><name sortKey="Pei, J" uniqKey="Pei J">J Pei</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Valtchev, P" uniqKey="Valtchev P">P Valtchev</name></author><author><name sortKey="Missaoui, R" uniqKey="Missaoui R">R Missaoui</name></author><author><name sortKey="Godin, R" uniqKey="Godin R">R Godin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cole, R" uniqKey="Cole R">R Cole</name></author><author><name sortKey="Eklund, P" uniqKey="Eklund P">P Eklund</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jiang, G" uniqKey="Jiang G">G Jiang</name></author><author><name sortKey="Ogasawara, K" uniqKey="Ogasawara K">K Ogasawara</name></author><author><name sortKey="Endoh, A" uniqKey="Endoh A">A Endoh</name></author><author><name sortKey="Sakurai, T" uniqKey="Sakurai T">T Sakurai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jay, N" uniqKey="Jay N">N Jay</name></author><author><name sortKey="Kohler, F" uniqKey="Kohler F">F Kohler</name></author><author><name sortKey="Napoli, A" uniqKey="Napoli A">A Napoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aswani Kumar, C" uniqKey="Aswani Kumar C">C Aswani Kumar</name></author><author><name sortKey="Srinivas, S" uniqKey="Srinivas S">S Srinivas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaytoue, M" uniqKey="Kaytoue M">M Kaytoue</name></author><author><name sortKey="Kuznetsov, So" uniqKey="Kuznetsov S">SO Kuznetsov</name></author><author><name sortKey="Napoli, A" uniqKey="Napoli A">A Napoli</name></author><author><name sortKey="Duplessis, S" uniqKey="Duplessis S">S Duplessis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Ca" uniqKey="Kumar C">CA Kumar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stumme, G" uniqKey="Stumme G">G Stumme</name></author><author><name sortKey="Taouil, R" uniqKey="Taouil R">R Taouil</name></author><author><name sortKey="Bastide, Y" uniqKey="Bastide Y">Y Bastide</name></author><author><name sortKey="Pasquier, N" uniqKey="Pasquier N">N Pasquier</name></author><author><name sortKey="Lakhal, L" uniqKey="Lakhal L">L Lakhal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kuznetsov, S" uniqKey="Kuznetsov S">S Kuznetsov</name></author><author><name sortKey="Obiedkov, S" uniqKey="Obiedkov S">S Obiedkov</name></author><author><name sortKey="Roth, C" uniqKey="Roth C">C Roth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jay, N" uniqKey="Jay N">N Jay</name></author><author><name sortKey="Kohler, F" uniqKey="Kohler F">F Kohler</name></author><author><name sortKey="Napoli, A" uniqKey="Napoli A">A Napoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Breiman, L" uniqKey="Breiman L">L Breiman</name></author><author><name sortKey="Friedman, J" uniqKey="Friedman J">J Friedman</name></author><author><name sortKey="Stone, Cj" uniqKey="Stone C">CJ Stone</name></author><author><name sortKey="Olshen, Ra" uniqKey="Olshen R">RA Olshen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Core Team, R" uniqKey="Core Team R">R Core Team</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Therneau, T" uniqKey="Therneau T">T Therneau</name></author><author><name sortKey="Atkinson, B" uniqKey="Atkinson B">B Atkinson</name></author><author><name sortKey="Ripley, B" uniqKey="Ripley B">B Ripley</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Couris, Cm" uniqKey="Couris C">CM Couris</name></author><author><name sortKey="Schott, Am" uniqKey="Schott A">AM Schott</name></author><author><name sortKey="Ecochard, R" uniqKey="Ecochard R">R Ecochard</name></author><author><name sortKey="Morgon, E" uniqKey="Morgon E">E Morgon</name></author><author><name sortKey="Colin, C" uniqKey="Colin C">C Colin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mitton, N" uniqKey="Mitton N">N Mitton</name></author><author><name sortKey="Colonna, M" uniqKey="Colonna M">M Colonna</name></author><author><name sortKey="Trombert, B" uniqKey="Trombert B">B Trombert</name></author><author><name sortKey="Olive, F" uniqKey="Olive F">F Olive</name></author><author><name sortKey="Gomez, F" uniqKey="Gomez F">F Gomez</name></author><author><name sortKey="Iwaz, J" uniqKey="Iwaz J">J Iwaz</name></author><author><name sortKey="Polazzi, S" uniqKey="Polazzi S">S Polazzi</name></author><author><name sortKey="Schott Petelaz, Am" uniqKey="Schott Petelaz A">AM Schott-Petelaz</name></author><author><name sortKey="Uhry, Z" uniqKey="Uhry Z">Z Uhry</name></author><author><name sortKey="Bossard, N" uniqKey="Bossard N">N Bossard</name></author><author><name sortKey="Remontet, L" uniqKey="Remontet L">L Remontet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quantin, C" uniqKey="Quantin C">C Quantin</name></author><author><name sortKey="Benzenine, E" uniqKey="Benzenine E">E Benzenine</name></author><author><name sortKey="Fassa, M" uniqKey="Fassa M">M Fassa</name></author><author><name sortKey="H Gi, M" uniqKey="H Gi M">M Hägi</name></author><author><name sortKey="Fournier, E" uniqKey="Fournier E">E Fournier</name></author><author><name sortKey="Gentil, J" uniqKey="Gentil J">J Gentil</name></author><author><name sortKey="Compain, D" uniqKey="Compain D">D Compain</name></author><author><name sortKey="Monnet, E" uniqKey="Monnet E">E Monnet</name></author><author><name sortKey="Arveux, P" uniqKey="Arveux P">P Arveux</name></author><author><name sortKey="Danzon, A" uniqKey="Danzon A">A Danzon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Starfield, B" uniqKey="Starfield B">B Starfield</name></author><author><name sortKey="Weiner, J" uniqKey="Weiner J">J Weiner</name></author><author><name sortKey="Mumford, L" uniqKey="Mumford L">L Mumford</name></author><author><name sortKey="Steinwachs, D" uniqKey="Steinwachs D">D Steinwachs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grubinger, T" uniqKey="Grubinger T">T Grubinger</name></author><author><name sortKey="Kobel, C" uniqKey="Kobel C">C Kobel</name></author><author><name sortKey="Pfeiffer, Kp" uniqKey="Pfeiffer K">KP Pfeiffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smidth, M" uniqKey="Smidth M">M Smidth</name></author><author><name sortKey="Sokolowski, I" uniqKey="Sokolowski I">I Sokolowski</name></author><author><name sortKey="K Rsvang, L" uniqKey="K Rsvang L">L Kærsvang</name></author><author><name sortKey="Vedsted, P" uniqKey="Vedsted P">P Vedsted</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Benchimol, Ei" uniqKey="Benchimol E">EI Benchimol</name></author><author><name sortKey="Manuel, Dg" uniqKey="Manuel D">DG Manuel</name></author><author><name sortKey="To, T" uniqKey="To T">T To</name></author><author><name sortKey="Griffiths, Am" uniqKey="Griffiths A">AM Griffiths</name></author><author><name sortKey="Rabeneck, L" uniqKey="Rabeneck L">L Rabeneck</name></author><author><name sortKey="Guttmann, A" uniqKey="Guttmann A">A Guttmann</name></author></analytic></biblStruct></listBibl></div1></back></TEI></PMC></double></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Lorraine/explor/InforLorV4/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001410 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 001410 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Lorraine
|area= InforLorV4
|flux= Main
|étape= Curation
|type= RBID
|clé= PMC:4220620
|texte= A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:24289668" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \
| NlmPubMed2Wicri -a InforLorV4
| This area was generated with Dilib version V0.6.33. |  |