Evidence map›Paper›PMID 26237629›Full record

ArticlePediatric research2015

Novel data-mining approach identifies biomarkers for diagnosis of Kawasaki disease.

Adriana H Tremoulet, Janusz Dutkowski, Yuichiro Sato, John T Kanegaye, Xuefeng B Ling, Jane C Burns

Abstract read
In one paragraph

Article in Pediatric research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
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  6. Review
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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

6 authors.

Adriana H TremouletDepartment of Pediatrics, University of California San Diego, La Jolla, California.
Janusz DutkowskiData4Cure, Inc., La Jolla, California.
Yuichiro SatoDepartment of Pediatrics, University of California San Diego, La Jolla, California.
John T KanegayeDepartment of Pediatrics, University of California San Diego, La Jolla, California.
Xuefeng B LingDepartment of Surgery, Stanford University, Palo Alto, California.
Jane C BurnsDepartment of Pediatrics, University of California San Diego, La Jolla, California.

Funding

iDASH: Integrating Data for Analysis, Anonymization, and SharingU54HL108460 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI OHNO-MACHADO, LUCILA · 2010 to 2015
$19.1M
Genetic Markers and gene expression in Kawasaki DiseaseR01HL069413 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BURNS, JANE C · 2002 to 2010
$5.5M
NHLBI NIH HHS HL69413NHLBI NIH HHS R01 HL069413NHLBI NIH HHS U54 HL108460NHLBI NIH HHS U54HL108460
6 · The paper itself

Abstract

backgroundAs Kawasaki disease (KD) shares many clinical features with other more common febrile illnesses and misdiagnosis, leading to a delay in treatment, increases the risk of coronary artery damage, a diagnostic test for KD is urgently needed. We sought to develop a panel of biomarkers that could distinguish between acute KD patients and febrile controls (FC) with sufficient accuracy to be clinically useful.

methodsPlasma samples were collected from three independent cohorts of FC and acute KD patients who met the American Heart Association definition for KD and presented within the first 10 d of fever. The levels of 88 biomarkers associated with inflammation were assessed by Luminex bead technology. Unsupervised clustering followed by supervised clustering using a Random Forest model was used to find a panel of candidate biomarkers.

resultsA panel of biomarkers commonly available in the hospital laboratory (absolute neutrophil count, erythrocyte sedimentation rate, alanine aminotransferase, γ-glutamyl transferase, concentrations of α-1-antitrypsin, C-reactive protein, and fibrinogen, and platelet count) accurately diagnosed 81-96% of KD patients in a series of three independent cohorts.

conclusionAfter prospective validation, this eight-biomarker panel may improve the recognition of KD.

Indexed as

Area Under CurveBiomarkersBlood Chemical AnalysisCase-Control StudiesChildChild, PreschoolCluster AnalysisData MiningDecision Support TechniquesDiagnosis, DifferentialEarly DiagnosisFemaleFeverHumansInfantLeukocyte CountBiomarkers

Identifiers

PMID26237629
PMCPMC4628575

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Registered trials

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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.