Evidence map›Paper›PMID 29073058›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2017

Big data modeling to predict platelet usage and minimize wastage in a tertiary care system.

Leying Guan, Xiaoying Tian, Saurabh Gombar, Allison J Zemek, Gomathi Krishnan, Robert Scott, Balasubramanian Narasimhan, Robert J Tibshirani, Tho D Pham

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 74 citations in OpenAlex.

  1. AI and Blood Banking: Predicting Transfusion Demand - A Systematic Review of Forecasting Approaches.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2026
    Review
  2. A Method for Predictive Analysis of Platelet Supply.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2026
    Article
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  6. Platelet Storage-Problems, Improvements, and New Perspectives.International journal of molecular sciences · 2024
    Review
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  17. RBC Inventory-Management System Based on XGBoost Model.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2021
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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

9 authors at 2 institutions in 1 country.

Leying GuanDepartment of Statistics, Stanford University, Stanford, CA 94305.
Xiaoying TianDepartment of Statistics, Stanford University, Stanford, CA 94305.
Saurabh GombarDepartment of Pathology, Stanford University, Stanford, CA 94305.
Allison J ZemekDepartment of Pathology, Stanford University, Stanford, CA 94305.
Gomathi KrishnanStanford Center for Clinical Informatics, Stanford University, Stanford, CA 94305.
Robert ScottStanford Hospital Transfusion Service, Stanford Medicine, Stanford, CA 94305.
Balasubramanian NarasimhanDepartment of Statistics, Stanford University, Stanford, CA 94305.
Robert J TibshiraniDepartment of Statistics, Stanford University, Stanford, CA 94305; tibs@stanford.edu thopham@stanford.edu.
Tho D PhamDepartment of Pathology, Stanford University, Stanford, CA 94305; tibs@stanford.edu thopham@stanford.edu.
Stanford University · USStanford Medicine · US

Funding

NHLBI PROTEOMICS INITIATIVE-N01HV28183N01HV028183 · HV · STANFORD UNIVERSITY · PI NOLAN, GARRY P · 2002 to 2006
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PLATELET INTERACTIONS WITH FIBRINOGEN AND CALCIUMR01HL028183 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI PEERSCHKE, ELLINOR I · 1985 to 1992
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NHLBI NIH HHS N01 HV028183
6 · The paper itself

Abstract

Maintaining a robust blood product supply is an essential requirement to guarantee optimal patient care in modern health care systems. However, daily blood product use is difficult to anticipate. Platelet products are the most variable in daily usage, have short shelf lives, and are also the most expensive to produce, test, and store. Due to the combination of absolute need, uncertain daily demand, and short shelf life, platelet products are frequently wasted due to expiration. Our aim is to build and validate a statistical model to forecast future platelet demand and thereby reduce wastage. We have investigated platelet usage patterns at our institution, and specifically interrogated the relationship between platelet usage and aggregated hospital-wide patient data over a recent consecutive 29-mo period. Using a convex statistical formulation, we have found that platelet usage is highly dependent on weekday/weekend pattern, number of patients with various abnormal complete blood count measurements, and location-specific hospital census data. We incorporated these relationships in a mathematical model to guide collection and ordering strategy. This model minimizes waste due to expiration while avoiding shortages; the number of remaining platelet units at the end of any day stays above 10 in our model during the same period. Compared with historical expiration rates during the same period, our model reduces the expiration rate from 10.5 to 3.2%. Extrapolating our results to the ∼2 million units of platelets transfused annually within the United States, if implemented successfully, our model can potentially save ∼80 million dollars in health care costs.

Indexed as

Models, StatisticalTertiary Health CareCaliforniaElectronic Health RecordsHealth Care CostsHumansPlatelet Transfusionbloodpredictionsupervised learning

Identifiers

PMID29073058
PMCPMC5664553
OpenAlexW2763279007

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.