Evidence map›Paper›PMID 29326129›Full record

Trial reportCirculation. Arrhythmia and electrophysiology2018

Machine Learning Algorithm Predicts Cardiac Resynchronization Therapy Outcomes: Lessons From the COMPANION Trial.

Matthew M Kalscheur, Ryan T Kipp, Matthew C Tattersall, Chaoqun Mei, Kevin A Buhr, David L DeMets, Michael E Field, Lee L Eckhardt, C David Page

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Circulation. Arrhythmia and electrophysiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 1% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Pooled it
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  8. Artificial intelligence in heart failure.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
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  17. Machine learning models using symptoms and clinical variables to predict coronary artery disease on coronary angiography.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Matthew M KalscheurFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison. mmkalsch@medicine.wisc.edu.
Ryan T KippFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.
Matthew C TattersallFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.
Chaoqun MeiFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.
Kevin A BuhrFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.
David L DeMetsFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.
Michael E FieldFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.
Lee L EckhardtFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.
C David PageFrom the Division of Cardiovascular Medicine, Department of Medicine, School of Medicine and Public Health (M.M.K., R.T.K., M.C.T., M.E.F., L.L.E.), Department of Biostatistics and Medical Informatics (C.M., K.A.B., D.L.D., C.D.P.), University of Wisconsin Institute for Clinical and Translational Research (C.M.), and Department of Computer Sciences (C.D.P.), University of Wisconsin-Madison.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
NCATS NIH HHS UL1 TR000427
6 · The paper itself

Abstract

backgroundCardiac resynchronization therapy (CRT) reduces morbidity and mortality in heart failure patients with reduced left ventricular function and intraventricular conduction delay. However, individual outcomes vary significantly. This study sought to use a machine learning algorithm to develop a model to predict outcomes after CRT. METHODS AND

resultsModels were developed with machine learning algorithms to predict all-cause mortality or heart failure hospitalization at 12 months post-CRT in the COMPANION trial (Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure). The best performing model was developed with the random forest algorithm. The ability of this model to predict all-cause mortality or heart failure hospitalization and all-cause mortality alone was compared with discrimination obtained using a combination of bundle branch block morphology and QRS duration. In the 595 patients with CRT-defibrillator in the COMPANION trial, 105 deaths occurred (median follow-up, 15.7 months). The survival difference across subgroups differentiated by bundle branch block morphology and QRS duration did not reach significance (

conclusionsIn the COMPANION trial, a machine learning algorithm produced a model that predicted clinical outcomes after CRT. Applied before device implant, this model may better differentiate outcomes over current clinical discriminators and improve shared decision-making with patients.

Indexed as

AlgorithmsMachine LearningAgedCardiac Resynchronization TherapyDecision MakingDeep LearningFemaleHeart Conduction SystemHeart FailureHumansMaleMiddle AgedPredictive Value of TestsStroke VolumeVentricular Function, Leftalgorithmscardiac resynchronization therapyheart failurehospitalizationmachine learning

Identifiers

PMID29326129
PMCPMC5769699
OpenAlexW2783154706

What OpenQuestion holds

Textmetadata
LicenceTDM
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.