Evidence map›Paper›PMID 29766558›Full record

ArticleBiometrical journal. Biometrische Zeitschrift2019

A cure-rate model for Q-learning: Estimating an adaptive immunosuppressant treatment strategy for allogeneic hematopoietic cell transplant patients.

Erica E M Moodie, David A Stephens, Shomoita Alam, Mei-Jie Zhang, Brent Logan, Mukta Arora, Stephen Spellman, Elizabeth F Krakow

Abstract read
In one paragraph

Article in Biometrical journal. Biometrische Zeitschrift, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
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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

8 authors at 6 institutions in 2 countries.

Erica E M MoodieDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, H3A 1A2, Canada.ORCID 0000-0002-7225-3977
David A StephensDepartment of Mathematics and Statistics, McGill University, Montreal, QC, H3A 1A2, Canada.
Shomoita AlamDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, H3A 1A2, Canada.
Mei-Jie ZhangMedical College of Wisconsin, Milwaukee, WI, 53226, USA.
Brent LoganMedical College of Wisconsin, Milwaukee, WI, 53226, USA.
Mukta AroraDepartment of Medicine, University of Minnesota, Minneapolis, MN, 55455, USA.
Stephen SpellmanCenter for International Blood and Marrow Transplant Research, Minneapolis, MN, 55401, USA.
Elizabeth F KrakowFred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA.
McGill University Health Centre · CAMedical College of Wisconsin · USFred Hutch Cancer Center · USMcGill University · CANational Marrow Donor Program · USUniversity of Minnesota · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
CIHR AO2-151569NCI NIH HHS U24 CA076518NHLBI NIH HHS U10 HL069294
6 · The paper itself

Abstract

Cancers treated by transplantation are often curative, but immunosuppressive drugs are required to prevent and (if needed) to treat graft-versus-host disease. Estimation of an optimal adaptive treatment strategy when treatment at either one of two stages of treatment may lead to a cure has not yet been considered. Using a sample of 9563 patients treated for blood and bone cancers by allogeneic hematopoietic cell transplantation drawn from the Center for Blood and Marrow Transplant Research database, we provide a case study of a novel approach to Q-learning for survival data in the presence of a potentially curative treatment, and demonstrate the results differ substantially from an implementation of Q-learning that fails to account for the cure-rate.

Indexed as

Machine LearningBiostatisticsGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsNeoplasmsTreatment OutcomeImmunosuppressive Agentsadaptive treatment strategycure-ratedynamic treatment regimeQ-learningsurvival data

Identifiers

PMID29766558
PMCPMC6239975
OpenAlexW2805002703

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.