Evidence map›Paper›PMID 29854202›Full record

Observational studyAMIA ... Annual Symposium proceedings. AMIA Symposium2017

Identification of Clinically Meaningful Plasma Transfusion Subgroups Using Unsupervised Random Forest Clustering.

Che Ngufor, Matthew A Warner, Dennis H Murphree, Hongfang Liu, Rickey Carter, Curtis B Storlie, Daryl J Kor

Abstract readObservational Study
In one paragraph

Observational study in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

7 authors.

Che NguforMayo Clinic, Rochester, MN.
Matthew A WarnerMayo Clinic, Rochester, MN.
Dennis H MurphreeMayo Clinic, Rochester, MN.
Hongfang LiuMayo Clinic, Rochester, MN.
Rickey CarterMayo Clinic, Rochester, MN.
Curtis B StorlieMayo Clinic, Rochester, MN.
Daryl J KorMayo Clinic, Rochester, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Statistical techniques such as propensity score matching and instrumental variable are commonly employed to "simulate" randomization and adjust for measured confounders in comparative effectiveness research. Despite such adjustments, the results of these methods apply essentially to an "average" patient. However, as patients show significant heterogeneity in their responses to treatments, this average effect is of limited value. It does not account for individual level variabilities, which can deviate substantially from the population average. To address this critical problem, we present a framework that allows the discovery of clinically meaningful homogeneous subgroups with differential effects of plasma transfusion using unsupervised random forest clustering. Subgroup analysis using two blood transfusion datasets show that considerable variablilities exist between the subgroups and population in both the treatment effect of plasma transfusion on bleeding and mortality and risk factors for these outcomes. These results support the customization of blood transfusion therapy for the individual patient.

Indexed as

Blood Component TransfusionBlood Loss, SurgicalMachine LearningPrecision MedicineCluster AnalysisHumansInternational Normalized RatioLogistic ModelsPlasmaPostoperative ComplicationsRetrospective StudiesRisk FactorsSurgical Procedures, OperativebleedingPlasma transfusionsubgroup analysis.unsupervised learning

Identifiers

PMID29854202
PMCPMC5977681

What OpenQuestion holds

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Registered trials

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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.