Evidence map›Paper›PMID 27466436›Full record

ArticleJournal of the Royal Society, Interface2016

The power of data mining in diagnosis of childhood pneumonia.

Elina Naydenova, Athanasios Tsanas, Stephen Howie, Climent Casals-Pascual, Maarten De Vos

Abstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
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

5 authors.

Elina NaydenovaDepartment of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK elina.naydenova@eng.ox.ac.uk.ORCID 0000-0001-7827-5803
Athanasios TsanasDepartment of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK.ORCID 0000-0002-0994-8100
Stephen HowieChild Survival Theme, Medical Research Council Unit, Serrekunda, The Gambia.
Climent Casals-PascualNuffield Department of Medicine, Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, UK.
Maarten De VosDepartment of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK.

Funding

Medical Research Council G0701885Medical Research Council MC_UP_A900_1116Medical Research Council MC_UP_A900_1124Wellcome TrustWellcome Trust 098461/Z/12/Z
6 · The paper itself

Abstract

Childhood pneumonia is the leading cause of death of children under the age of 5 years globally. Diagnostic information on the presence of infection, severity and aetiology (bacterial versus viral) is crucial for appropriate treatment. However, the derivation of such information requires advanced equipment (such as X-rays) and clinical expertise to correctly assess observational clinical signs (such as chest indrawing); both of these are often unavailable in resource-constrained settings. In this study, these challenges were addressed through the development of a suite of data mining tools, facilitating automated diagnosis through quantifiable features. Findings were validated on a large dataset comprising 780 children diagnosed with pneumonia and 801 age-matched healthy controls. Pneumonia was identified via four quantifiable vital signs (98.2% sensitivity and 97.6% specificity). Moreover, it was shown that severity can be determined through a combination of three vital signs and two lung sounds (72.4% sensitivity and 82.2% specificity); addition of a conventional biomarker (C-reactive protein) further improved severity predictions (89.1% sensitivity and 81.3% specificity). Finally, we demonstrated that aetiology can be determined using three vital signs and a newly proposed biomarker (lipocalin-2) (81.8% sensitivity and 90.6% specificity). These results suggest that a suite of carefully designed machine learning tools can be used to support multi-faceted diagnosis of childhood pneumonia in resource-constrained settings, compensating for the shortage of expensive equipment and highly trained clinicians.

Indexed as

Data MiningMachine LearningAdolescentBiomarkersChildChild, PreschoolC-Reactive ProteinFemaleHumansInfantInfant, NewbornMalePneumoniaRespiratory SoundsBiomarkersC-Reactive Proteinchildhood pneumoniadiagnosticsmachine learning

Identifiers

PMID27466436
PMCPMC4971218

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.