Evidence map›Paper›PMID 24643167›Full record

ArticleBMJ open2014

Machine-learning prediction of cancer survival: a retrospective study using electronic administrative records and a cancer registry.

Sunil Gupta, Truyen Tran, Wei Luo, Dinh Phung, Richard Lee Kennedy, Adam Broad, David Campbell, David Kipp, Madhu Singh, Mustafa Khasraw and 3 more

Registry-linked trialOpen access · goldAbstract readEvaluation Study
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04985253 (Correlation of Predictive Accuracy of PREDICT Version 2.2,), which is not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04985253 unknown statusnot on this mapstarted 2018, after this paper: background citation

Correlation of Predictive Accuracy of PREDICT Version 2.2, (PREDICT V2.2) on a Retrospective Cohort of Indian Women With Operable Breast Cancer (OBC)

TypeobservationalSponsorTata Memorial CentreRan2018 to 2022Enrolled2,780ConditionsOperable Breast NeoplasmsArmsprediction of overall survival using Web based PREDICTV2.0 portal
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Sunil GuptaCentre for Pattern Recognition and Data Analytics, Deakin University, Geelong, Victoria, Australia.
Truyen Tran
Wei Luo
Dinh Phung
Richard Lee Kennedy
Adam Broad
David Campbell
David Kipp
Madhu Singh
Mustafa Khasraw
Leigh Matheson
David M Ashley
Svetha Venkatesh
Barwon Health · AUDeakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesUsing the prediction of cancer outcome as a model, we have tested the hypothesis that through analysing routinely collected digital data contained in an electronic administrative record (EAR), using machine-learning techniques, we could enhance conventional methods in predicting clinical outcomes.

settingA regional cancer centre in Australia.

participantsDisease-specific data from a purpose-built cancer registry (Evaluation of Cancer Outcomes (ECO)) from 869 patients were used to predict survival at 6, 12 and 24 months. The model was validated with data from a further 94 patients, and results compared to the assessment of five specialist oncologists. Machine-learning prediction using ECO data was compared with that using EAR and a model combining ECO and EAR data. PRIMARY AND SECONDARY OUTCOME MEASURES: Survival prediction accuracy in terms of the area under the receiver operating characteristic curve (AUC).

resultsThe ECO model yielded AUCs of 0.87 (95% CI 0.848 to 0.890) at 6 months, 0.796 (95% CI 0.774 to 0.823) at 12 months and 0.764 (95% CI 0.737 to 0.789) at 24 months. Each was slightly better than the performance of the clinician panel. The model performed consistently across a range of cancers, including rare cancers. Combining ECO and EAR data yielded better prediction than the ECO-based model (AUCs ranging from 0.757 to 0.997 for 6 months, AUCs from 0.689 to 0.988 for 12 months and AUCs from 0.713 to 0.973 for 24 months). The best prediction was for genitourinary, head and neck, lung, skin, and upper gastrointestinal tumours.

conclusionsMachine learning applied to information from a disease-specific (cancer) database and the EAR can be used to predict clinical outcomes. Importantly, the approach described made use of digital data that is already routinely collected but underexploited by clinical health systems.

Indexed as

Databases, FactualElectronic Health RecordsMachine LearningModels, BiologicalNeoplasmsOutcome Assessment, Health CareSurvivorsAgedAged, 80 and overArea Under CurveAustraliaElectronicsHumansMiddle AgedPrognosisRegistriesCancerElectronic Medical RecordMachine LearningPredictionSurvival

Identifiers

PMID24643167
PMCPMC3963101
OpenAlexW2121815876

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.