Evidence map›Paper›PMID 28836087›Full record

ArticleDigestive diseases and sciences2017

Early Colorectal Cancer Detected by Machine Learning Model Using Gender, Age, and Complete Blood Count Data.

Mark C Hornbrook, Ran Goshen, Eran Choman, Maureen O'Keeffe-Rosetti, Yaron Kinar, Elizabeth G Liles, Kristal C Rust

Erratum issuedOpen access · hybridAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 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 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 pooled it
3.9field-weighted citation impact, top 5% 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.

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

62 citing papers in PubMed, 5 syntheses or guidelines pooled it, 123 citations in OpenAlex.

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  17. Few-shot Tumor Bud Segmentation Using Generative Model in Colorectal Carcinoma.Proceedings of SPIE--the International Society for Optical Engineering · 2024
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Mark C HornbrookKaiser Permanente Center for Health Research, 3800 North Interstate Avenue, Portland, OR, 97227-1110, USA. mark.c.hornbrook@gmail.com.ORCID 0000-0001-6087-0698
Ran GoshenMedial EarlySign Inc., 11 HaZait St., Kfar Malal, Israel.
Eran ChomanMedial EarlySign Inc., 11 HaZait St., Kfar Malal, Israel.
Maureen O'Keeffe-RosettiKaiser Permanente Center for Health Research, 3800 North Interstate Avenue, Portland, OR, 97227-1110, USA.
Yaron KinarMedial EarlySign Inc., 11 HaZait St., Kfar Malal, Israel.
Elizabeth G LilesKaiser Permanente Center for Health Research, 3800 North Interstate Avenue, Portland, OR, 97227-1110, USA.
Kristal C RustKaiser Permanente Center for Health Research, 3800 North Interstate Avenue, Portland, OR, 97227-1110, USA.
Kaiser Permanente Center for Health Research · USAdvanced Inhalation Therapies (Israel) · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMachine learning tools identify patients with blood counts indicating greater likelihood of colorectal cancer and warranting colonoscopy referral.

aimsTo validate a machine learning colorectal cancer detection model on a US community-based insured adult population.

methodsEligible colorectal cancer cases (439 females, 461 males) with complete blood counts before diagnosis were identified from Kaiser Permanente Northwest Region's Tumor Registry. Control patients (n = 9108) were randomly selected from KPNW's population who had no cancers, received at ≥1 blood count, had continuous enrollment from 180 days prior to the blood count through 24 months after the count, and were aged 40-89. For each control, one blood count was randomly selected as the pseudo-colorectal cancer diagnosis date for matching to cases, and assigned a "calendar year" based on the count date. For each calendar year, 18 controls were randomly selected to match the general enrollment's 10-year age groups and lengths of continuous enrollment. Prediction performance was evaluated by area under the curve, specificity, and odds ratios.

resultsArea under the receiver operating characteristics curve for detecting colorectal cancer was 0.80 ± 0.01. At 99% specificity, the odds ratio for association of a high-risk detection score with colorectal cancer was 34.7 (95% CI 28.9-40.4). The detection model had the highest accuracy in identifying right-sided colorectal cancers.

conclusionsColonFlag

Indexed as

Blood Cell CountMachine LearningAdultAgedAged, 80 and overAge FactorsAlgorithmsArea Under CurveColonoscopyColorectal NeoplasmsData MiningDiagnosis, Computer-AssistedEarly Detection of CancerFemaleHumansMaleArea under receiver operating characteristics curveBlood cell countColonoscopyColorectal neoplasmsHemoglobinMedical informatics computing

Identifiers

PMID28836087
OpenAlexW2748084541

What OpenQuestion holds

Textmetadata
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.