Personalized Medicine: A topical analysis using Thomson Reuters data and analytics MLA annual meeting May, 2010 Ann Kushmerick, Manager, Research Evaluation and Bibliometric Data What is personalized medicine? “A form of medicine that uses information about a person’s genes, proteins, and environment to prevent, diagnose, and treat disease.” -National Cancer Institute Information about a patient's protein, gene or metabolite profile could be used to tailor medical care Individual’s information is being used: –to stratify disease status –select from among different medications –tailor dosages –provide a specific therapy –initiate a preventative measure 2 U.S. to Compare Medical Treatments February 15, 2009 The $787 billion economic stimulus bill approved by Congress will, for the first time, provide substantial amounts of money for the federal government to compare the effectiveness of different treatments for the same illness. - New York Times UPDATE: Personalized Medicine Poised to Become Part of US Healthcare Reform Plan March 24, 2010 The healthcare reform bill includes a section on comparative effectiveness research that creates the Patient-Centered Outcomes Research Institute. Seen as a victory for personalized medicine, the institute will study the utility of medical products in "various subpopulations," including groups differentiated by genetic and molecular subtypes. - Genomeweb.com 3 How did we define personalized medicine for this presentation? Examples of keywords used: • individualized health • molecular profiling • prospective care • pharmacogenomic • molecular diagnostic test* • pharmacogenetic • pharmacogenetic test* • biomarker SAME gene • protein expression profil* • treatment individualization • therapist/physician SAME tailored • personalized SAME therapy 4 What questions can Thomson Reuters data answer about personalized medicine? • Who are the highly cited institutions and researchers in this field? • What are the publication and citation trends? • Who collaborates in this area? • What countries have the most impact in personalized medicine? • What are the key journal articles/patents/book chapters/conference proceedings on this topic? 5 Thomson Reuters: Solutions for the entire research cycle •Researcher ID •Thomson Pharma •Thomson Innovation Manage Research Output Search & Quality Discover •Web of Science •BIOSIS Previews •BIOSIS Citation Index •Zoological Record •Derwent Innovations Index •INSPEC •CAB Abstracts and Global Health •MEDLINE Research Cycle Evaluate outcomes •InCites •Journal Citation Reports •Custom data •Web Services Write & Publish •EndNote •EndNote Web •Scholar One 6 Thomson Reuters Web of Knowledge: a comprehensive, biomedical discovery tool Web of Science - 10,000 Journals, Natural and Social Sciences Coverage back to 1900 - 12,000 Conference Proceedings Annually MEDLINE 5,180 Journals BIOSIS Previews and BIOSIS Citation Index - 5,250 Journals - Thousands of Meetings, Books, Patents Annually 7 Personalized Medicine data in Web of Knowledge MEDLINE records 8 View same article in BIOSIS for specific biological information 9 Analyze times cited information in Web of Science 10 Use Web of Knowledge analytical tools like citation map Institutions that cited this paper 11 Who is funding personalized medicine research? Number of papers by funding body acknowledged: Web of Science 12 BIOSIS Citation Index A citation resource providing cited references for BIOSIS Previews content: – Cited references for BIOSIS unique items (beginning with 2006 production year data) – Cited references for BIOSIS items that overlap with items in the Web of Science (for all years, 1900 - forward) – All citation data is contained within the BIOSIS database Unique BIOSIS times-cited count Available only on the Web of Knowledge platform 13 BIOSIS Citation Index • BIOSIS database has been known for decades for extensive coverage of biomedicine: • Journals and Serials-over 5,000 titles • Meetings, Conference • Reviews of books, software • Books, book chapters • U.S. patents • And unique, in-depth indexing: Major Concepts Concept Code(s) Taxonomic Data Disease Data Chemical Data Gene Name Data Sequence Data Geographic Data Geologic Time Data Methods and Equipment Data Parts & Structure Data Miscellaneous Descriptors 14 …Combined with the power of citation indexing in BIOSIS Citation Index As with Web of Science, BIOSIS Citation Index includes a true cited reference index revealing exactly what has been cited, and allowing one to browse and select the exact cited items on which to search. 15 BIOSIS Citation Index: Variety of research materials on personalized medicine 16 Explore citation relationships in BIOSIS Citation Index This book chapter was cited 31 times across Web of Knowledge This book chapter was cited 24 times within BIOSIS Citation Index 17 BIOSIS Citation Index- citation map visualization Use citation report visualization Personalized medicine: concept code= psychiatry-addiction alcohol, drugs, smoking 19 Precise searching for relevant biomedical research • Chemical=gramicidin S • Major concept=(Pharmaceuticals) • Concept Code=(Blood - Blood and lymph studies) • Taxonomic data=(Hominidae) • Literature Type=(Meeting Paper) 20 Research Analytics: tools like InCites provide comprehensive citation metrics and analytics • InCites is a web-based research evaluation tool designed 1. 31 to track trends on the field, country, and institution level, and to enable detailed bibliometric analysis of the set of papers important to you. Types of citation metrics and what they measure Productivity Total influence # papers Journal actual/expected citation rate # citations H-index Category actual/ expected citation rate Avg. citation rate Efficiency Relative Impact/ Benchmarking Percent of papers cited Can be applied to an institution, a researcher, a research group, etc. Percentile in category and mean percentile % papers in top 10% of their field % papers in top 1% of their field Aggregated Performance Indicator Specialization Disciplinarity index Interdisciplinarity index 22 Personalized medicine: trend in publications and citations 70-fold increase in papers using this terminology over the 30 year period 3,500 50,000 40,000 2,500 2,000 30,000 1,500 20,000 1,000 10,000 500 Citations Papers 0 0 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 papers 3,000 Citations increased from 723 in 1990 to 57,127 in 2009 60,000 citations 4,000 23 Research Analytics: metrics from InCites Most highly-cited paper in personalized medicine: • vant Veer LJ, Dai HY, van de Vijver MJ, et al. Gene expression profiling predicts clinical outcome of breast cancer. Nature (415), 6871. 530-536. Jan 31, 2002. Citation metrics Times Cited: 2,784 Journal performance ratio: 16.06 (cited over 16 times the expected rate for the journal) Category performance ratio: 24.96 (cited almost 25 times the expected rate for the field of oncology) Percentile: Top 0.005% of oncology papers from 2002 24 Highly Cited Institutions: Personalized medicine # citations received Mayo Clinic & Mayo Foundation 10,350 Harvard University 10,251 National Cancer Institute 7,928 University of Washington 7,236 University of California San Francisco 6,917 Source: Web of Science and InCites 25 Top 10 countries publishing in personalized medicine Netherlands 4% Japan France 5% Canada 5% Italy 6% Spain 3% Australia 3% 5% USA 48% England 10% Germany 11% Source: Web of Science and InCites 26 Changing collaboration partners 2000-2004 Coauthored Coauthored Papers Country Papers Country 2005-2009 Country Country Coauthored Coauthored Papers Country Papers Country Country Country 83Canada 83Canada USA USA 210 Canada 210Canada USA USA 74Germany 74Germany USA USA 179 England 179England USA USA 73England 73England USA USA 160 Germany 160Germany USA USA 47Italy 47Italy USA USA 122 Italy 122Italy USA USA 34England 34England Germany Germany 112Netherlands 112 Netherlands USA USA 34France 34France USA USA 77Germany 77 Germany 30France 30France Germany Germany 77Peoples China USA 77 PeoplesR R China USA 29Switzerland 29Switzerland USA USA 74England 74 England Germany Germany 28Netherlands 28Netherlands USA USA 74Germany 74 Germany Switzerland Switzerland 25England 25England France France 72France 72 France USA USA 24Australia 24Australia USA USA 69 Australia 69Australia USA USA 24England 24England Italy Italy 68 Japan 68Japan USA USA 24Japan 24Japan USA USA 64 Spain 64Spain USA USA Netherlands Netherlands Pharmaceutical companies publishing in personalized medicine 60 50 40 30 56 51 20 10 45 43 41 41 number of papers average citation rate 25.61 17.51 16.98 12.26 13.98 13.39 0 28 Drill down to Merck papers What topics is Merck researching? Which are highly cited? # citations With whom is Merck collaborating? keyword 264 SURROGATE END-POINTS # coauthored papers 231 BREAST-CANCER 187 ASSOCIATION 174 CARDIOVASCULAR-DISEASE 174 CORONARY-HEART-DISEASE 173 ALZHEIMERS-DISEASE 173 B-CELL LYMPHOMA 4 4 3 3 2 2 1 1 0 173 C-REACTIVE PROTEIN 173 IN-VIVO 173 MILD COGNITIVE IMPAIRMENT POSITRON-EMISSION173 TOMOGRAPHY 29 168 GENE-EXPRESSION PROFILES Most highly cited author in this topical dataset Richard M. Weinshilboum, M.D. Mayo Clinic http://mayoresearch.mayo.edu/mayo/research/staff/weinshilboum_rm.cfm 30 Dr. Weinshilboum’s most cited paper Human catechol-O-methyltransferase pharmacogenetics: Description of a functional polymorphism and its potential application to neuropsychiatric disorders. Pharmacogenetics. Vol 6. 1996. (Article) Times cited: 573 Journal Expected citations: 61.78 Average citations specific to journal, year of article, and document type. Baseline for journal performance. Weinshilboum’s ratio of actual cites to expected: 9.27 (573/61.78) 31 Dr. Weinshilboum’s most cited paper Human catechol-O-methyltransferase pharmacogenetics: Description of a functional polymorphism and its potential application to neuropsychiatric disorders. Pharmacogenetics. Vol 6. 1996. (Article) Times cited: 573 Category : pharmacology and pharmacy Category Expected citations: 23.31 Average citations specific to category, year of article, and document type. Baseline for category performance. Weinshilboum’s ratio of actual cites to expected: 23.04 (537/23.31) 32 Dr. Weinshilboum’s most cited paper Human catechol-O-methyltransferase pharmacogenetics: Description of a functional polymorphism and its potential application to neuropsychiatric disorders. Pharmacogenetics. Vol 6. 1996. (Article) Times cited: 573 Category : pharmacology and pharmacy Percentile: 0.028% Percentile position specific to field and year. The closer to zero, the more highly cited. Weinshilboum’s paper falls into the top 0.028% of all pharmacology/pharmacy papers from 1996. 33 Dr. Weinshilboum’s most cited paper Human catechol-O-methyltransferase pharmacogenetics: Description of a functional polymorphism and its potential application to neuropsychiatric disorders. Pharmacogenetics. Vol 6. 1996. (Article) Times cited: 573 34 Weinshilboum, RM-summary metrics Productivity # papers 112 Total influence # citations 4,086 H-index 33 Efficiency Relative Impact/ Benchmarking Avg. 36.48 citation rate Percent of papers cited 81.25 Specialization Journal actual/expected 1.49 Category actual/expected 2.48 Mean percentile 27.34 % papers in top 10% of their field 37% % papers in top 1% of their field 8% Disciplinarity index 0.22 Weinshilboum’s papers perform 49% above their journals’ normal citation rates and 148% above their categories’ normal citation rates. His papers rank in the top 27% of their fields, according to citation count. 35 Websites for further information: BIOSIS Citation Index InCites Research Analytics Bibliometrics white papers Using Bibliometrics: A Guide to Evaluating Research Performance Using bibliometrics in evaluating research