Based on these figures, you can easily discern the complexity of interactions academic detailing visits include into a single educational outreach. The most complex interaction are the visits that include the Opioid Use Disorder (OUD), Opioid Overdose Education and Naloxone Distribution (OEND), posttraumatic stress disorder (PTSD), Pain, and Other campaign topics (N=3). The individual solo campaign with the most visits is the OUD (alone) campaign with 175 visits.
CONCLUSIONS
UpSet diagrams make it easy to categorize the academic detailing visits into different combination categories. We can apply this method to other program monitoring metrics such the differences in these visit combinations across time and the number of attendees. Other additional areas where UpSet diagrams are useful include complex genetic markers. Try and think of ways where you can use this method to simplify complex Venn diagrams or complex interactions across different groups.
Since the UpSet R Shiny app has limited functionality, you can explore other features using R or Python to generate more complex UpSet diagrams. The UpSetR package is available for the R environment. The UpSetPlot package is available for Python.
You can access the GitHub site for UpSet diagrams here.
I encourage you to read the papers on UpSet diagrams by Conway and colleagues and Lex and colleagues: Paper 1 and Paper 2.
YouTube video on UpSet diagrams.
REFERENCES
1. Conway JR, Lex A, Gehlenborg N. UpSetR: an R package for the visualization of intersecting sets and their properties. Bioinforma Oxf Engl. 2017;33(18):2938-2940. doi:10.1093/bioinformatics/btx364
2. Lex A, Gehlenborg N, Strobelt H, Vuillemot R, Pfister H. UpSet: Visualization of Intersecting Sets. IEEE Trans Vis Comput Graph. 2014;20(12):1983-1992. doi:10.1109/TVCG.2014.2346248
3. Avorn J, Soumerai SB. Improving drug-therapy decisions through educational outreach. A randomized controlled trial of academically based “detailing.” N Engl J Med. 1983;308(24):1457-1463. doi:10.1056/NEJM198306163082406
4.Avorn J. Academic Detailing: “Marketing” the Best Evidence to Clinicians. JAMA. 2017;317(4):361-362. doi:10.1001/jama.2016.16036