Evidence map›Paper›PMID 30857412›Full record

ArticleCirculation. Cardiovascular quality and outcomes2019

Predicting Future Cardiovascular Events in Patients With Peripheral Artery Disease Using Electronic Health Record Data.

Elsie Gyang Ross, Kenneth Jung, Joel T Dudley, Li Li, Nicholas J Leeper, Nigam H Shah

Abstract readMulticenter Study
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing 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

34 citing papers in PubMed.

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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

6 authors.

Elsie Gyang RossDivision of Vascular Surgery (E.G.R., N.J.L.), Stanford University School of Medicine, Stanford, CA.
Kenneth JungCenter for Biomedical Informatics Research (K.J., N.H.S., E.G.R), Stanford University School of Medicine, Stanford, CA.
Joel T DudleyIcahn School of Medicine at Mount Sinai, New York, NY (J.T.D., L.L.).
Li LiIcahn School of Medicine at Mount Sinai, New York, NY (J.T.D., L.L.).
Nicholas J LeeperDivision of Vascular Surgery (E.G.R., N.J.L.), Stanford University School of Medicine, Stanford, CA.
Nigam H ShahCenter for Biomedical Informatics Research (K.J., N.H.S., E.G.R), Stanford University School of Medicine, Stanford, CA.

Funding

T32 Training Program in Mechanisms and Innovation in Vascular DiseaseT32HL098049 · NHLBI · STANFORD UNIVERSITY · PI Nicholas James Leeper, Philip S Tsao · 2010 to 2026
$6.3M
Methods for generalized ontology terms enrichment analysisR01LM011369 · NLM · STANFORD UNIVERSITY · PI SHAH, NIGAM H · 2013 to 2020
$5.0M
NHLBI NIH HHS T32 HL098049NLM NIH HHS R01 LM011369
6 · The paper itself

Abstract

backgroundPatients with peripheral artery disease (PAD) are at risk of major adverse cardiac and cerebrovascular events. There are no readily available risk scores that can accurately identify which patients are most likely to sustain an event, making it difficult to identify those who might benefit from more aggressive intervention. Thus, we aimed to develop a novel predictive model-using machine learning methods on electronic health record data-to identify which PAD patients are most likely to develop major adverse cardiac and cerebrovascular events. METHODS AND

resultsData were derived from patients diagnosed with PAD at 2 tertiary care institutions. Predictive models were built using a common data model that allowed for utilization of both structured (coded) and unstructured (text) data. Only data from time of entry into the health system up to PAD diagnosis were used for modeling. Models were developed and tested using nested cross-validation. A total of 7686 patients were included in learning our predictive models. Utilizing almost 1000 variables, our best predictive model accurately determined which PAD patients would go on to develop major adverse cardiac and cerebrovascular events with an area under the curve of 0.81 (95% CI, 0.80-0.83).

conclusionsMachine learning algorithms applied to data in the electronic health record can learn models that accurately identify PAD patients at risk of future major adverse cardiac and cerebrovascular events, highlighting the great potential of electronic health records to provide automated risk stratification for cardiovascular diseases. Common data models that can enable cross-institution research and technology development could potentially be an important aspect of widespread adoption of newer risk-stratification models.

Indexed as

Data MiningElectronic Health RecordsMachine LearningAgedAged, 80 and overCerebrovascular DisordersFemaleHeart DiseasesHumansMaleMiddle AgedPeripheral Arterial DiseasePrognosisRisk AssessmentRisk FactorsTertiary Care Centerselectronic health recordsmachine learningmortalityperipheral arterial diseaserisk

Identifiers

PMID30857412
PMCPMC6415677

What OpenQuestion holds

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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.