Evidence map›Paper›PMID 29166411›Full record

ArticlePloS one2017

A machine learning approach to triaging patients with chronic obstructive pulmonary disease.

Sumanth Swaminathan, Klajdi Qirko, Ted Smith, Ethan Corcoran, Nicholas G Wysham, Gaurav Bazaz, George Kappel, Anthony N Gerber

Abstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–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

32 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Curve-Modelling and Machine Learning for a Better COPD Diagnosis.International journal of chronic obstructive pulmonary disease · 2024
    Observational
  8. Article
  9. Article
  10. Article
  11. The Challenges of Spirometric Diagnosis of COPD.Canadian respiratory journal · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

8 authors.

Sumanth SwaminathanRevon Systems Inc, Louisville, KY, United States of America, 40014.ORCID http://orcid.org/0000-0002-2931-691X
Klajdi QirkoRevon Systems Inc, Louisville, KY, United States of America, 40014.
Ted SmithRevon Systems Inc, Louisville, KY, United States of America, 40014.
Ethan CorcoranDepartment of Pulmonology, Kaiser Permanente, Clackamas, OR, United States of America, 97015.
Nicholas G WyshamVancouver Clinic Division of Pulmonology & Critical Care, Vancouver, WA, United States of America, 98664.
Gaurav BazazRevon Systems Inc, Louisville, KY, United States of America, 40014.
George KappelRevon Systems Inc, Louisville, KY, United States of America, 40014.
Anthony N GerberDepartment of Medicine, National Jewish Health, Denver, CO, United States of America, 80206.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COPD patients are burdened with a daily risk of acute exacerbation and loss of control, which could be mitigated by effective, on-demand decision support tools. In this study, we present a machine learning-based strategy for early detection of exacerbations and subsequent triage. Our application uses physician opinion in a statistically and clinically comprehensive set of patient cases to train a supervised prediction algorithm. The accuracy of the model is assessed against a panel of physicians each triaging identical cases in a representative patient validation set. Our results show that algorithm accuracy and safety indicators surpass all individual pulmonologists in both identifying exacerbations and predicting the consensus triage in a 101 case validation set. The algorithm is also the top performer in sensitivity, specificity, and ppv when predicting a patient's need for emergency care.

Indexed as

Machine LearningTriageAlgorithmsClinical Decision-MakingConsensusDisease ProgressionHumansPhysiciansPulmonary Disease, Chronic ObstructiveReproducibility of ResultsStatistics as Topic

Identifiers

PMID29166411
PMCPMC5699810

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.