Evidence map›Paper›PMID 26500682›Full record

ArticleHepatitis monthly2015

Five Years Survival of Patients After Liver Transplantation and Its Effective Factors by Neural Network and Cox Poroportional Hazard Regression Models.

Bahareh Khosravi, Saeedeh Pourahmad, Amin Bahreini, Saman Nikeghbalian, Goli Mehrdad

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Article in Hepatitis monthly, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

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17citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  17. Artificial Intelligence in Hepatology- Ready for the Primetime.Journal of clinical and experimental hepatology
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Bahareh KhosraviDepartment of Biostatistics, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Saeedeh PourahmadDepartment of Biostatistics, Shiraz University of Medical Sciences, Shiraz, IR Iran ; Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Amin BahreiniDepartment of Organ Transplantation, Ahvaz University of Medical Sciences, Ahvaz, IR Iran.
Saman NikeghbalianDepartment of Organ Transplantation, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Goli MehrdadCenter of Namazee Hospital Organ Transplant, Shiraz, IR Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransplantation is the only treatment for patients with liver failure. Since the therapy imposes high expenses to the patients and community, identification of effective factors on survival of such patients after transplantation is valuable.

objectivesThe current study attempted to model the survival of patients (two years old and above) after liver transplantation using neural network and Cox Proportional Hazards (Cox PH) regression models. The event is defined as death due to complications of liver transplantation. PATIENTS AND

methodsIn a historical cohort study, the clinical findings of 1168 patients who underwent liver transplant surgery (from March 2008 to march 2013) at Shiraz Namazee Hospital Organ Transplantation Center, Shiraz, Southern Iran, were used. To model the one to five years survival of such patients, Cox PH regression model accompanied by three layers feed forward artificial neural network (ANN) method were applied on data separately and their prediction accuracy was compared using the area under the receiver operating characteristic curve (ROC). Furthermore, Kaplan-Meier method was used to estimate the survival probabilities in different years.

resultsThe estimated survival probability of one to five years for the patients were 91%, 89%, 85%, 84%, and 83%, respectively. The areas under the ROC were 86.4% and 80.7% for ANN and Cox PH models, respectively. In addition, the accuracy of prediction rate for ANN and Cox PH methods was equally 92.73%.

conclusionsThe present study detected more accurate results for ANN method compared to those of Cox PH model to analyze the survival of patients with liver transplantation. Furthermore, the order of effective factors in patients' survival after transplantation was clinically more acceptable. The large dataset with a few missing data was the advantage of this study, the fact which makes the results more reliable.

Indexed as

Cox Proportional Hazards ModelLiver TransplantationNeural Network

Identifiers

PMID26500682
PMCPMC4612564

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