Evidence map›Paper›PMID 28176850›Full record

ArticleScientific reports2017

Application of Machine-Learning Models to Predict Tacrolimus Stable Dose in Renal Transplant Recipients.

Jie Tang, Rong Liu, Yue-Li Zhang, Mou-Ze Liu, Yong-Fang Hu, Ming-Jie Shao, Li-Jun Zhu, Hua-Wen Xin, Gui-Wen Feng, Wen-Jun Shang and 4 more

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing 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

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

  1. Pooled it
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  16. State of Art of Dose Individualization to Support tacrolimus drug monitoring: What's Next?Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  17. Prediction of naloxone dose in opioids toxicity based on machine learning techniques (artificial intelligence).Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2024
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Jie TangDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, P. R. China.
Rong LiuDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, P. R. China.
Yue-Li ZhangDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, P. R. China.
Mou-Ze LiuDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, P. R. China.
Yong-Fang HuPeking University Third Hospital, Beijing, 100191, P. R. China.
Ming-Jie ShaoResearch Center of Chinese Health Ministry of Transplantation Medicine Engineering and Technology, Third Affiliated Hospital, Central South University, Changsha, 410013, Hunan, P. R. China.
Li-Jun ZhuResearch Center of Chinese Health Ministry of Transplantation Medicine Engineering and Technology, Third Affiliated Hospital, Central South University, Changsha, 410013, Hunan, P. R. China.
Hua-Wen XinDepartment of Clinical Pharmacology, Wuhan General Hospital of Guangzhou Command, Wuhan, 430070, Hubei, P. R. China.
Gui-Wen FengDepartment of Renal Transplantation, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, P. R. China.
Wen-Jun ShangDepartment of Renal Transplantation, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, P. R. China.
Xiang-Guang MengSchool of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, Henan, P. R. China.
Li-Rong ZhangSchool of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, Henan, P. R. China.
Ying-Zi MingResearch Center of Chinese Health Ministry of Transplantation Medicine Engineering and Technology, Third Affiliated Hospital, Central South University, Changsha, 410013, Hunan, P. R. China.
Wei ZhangDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, P. R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tacrolimus has a narrow therapeutic window and considerable variability in clinical use. Our goal was to compare the performance of multiple linear regression (MLR) and eight machine learning techniques in pharmacogenetic algorithm-based prediction of tacrolimus stable dose (TSD) in a large Chinese cohort. A total of 1,045 renal transplant patients were recruited, 80% of which were randomly selected as the "derivation cohort" to develop dose-prediction algorithm, while the remaining 20% constituted the "validation cohort" to test the final selected algorithm. MLR, artificial neural network (ANN), regression tree (RT), multivariate adaptive regression splines (MARS), boosted regression tree (BRT), support vector regression (SVR), random forest regression (RFR), lasso regression (LAR) and Bayesian additive regression trees (BART) were applied and their performances were compared in this work. Among all the machine learning models, RT performed best in both derivation [0.71 (0.67-0.76)] and validation cohorts [0.73 (0.63-0.82)]. In addition, the ideal rate of RT was 4% higher than that of MLR. To our knowledge, this is the first study to use machine learning models to predict TSD, which will further facilitate personalized medicine in tacrolimus administration in the future.

Indexed as

Drug Dosage CalculationsKidney TransplantationMachine LearningAdultBayes TheoremCohort StudiesFemaleHumansImmunosuppressive AgentsLinear ModelsMaleMiddle AgedMultivariate AnalysisPrecision MedicineRenal Insufficiency, ChronicTacrolimusImmunosuppressive AgentsTacrolimus

Identifiers

PMID28176850
PMCPMC5296901

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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.