Evidence map›Paper›PMID 30904868›Full record

ArticleBMJ open2019

Submissions from the SPRINT Data Analysis Challenge on clinical risk prediction: a cross-sectional evaluation.

Cynthia A Jackevicius, JaeJin An, Dennis T Ko, Joseph S Ross, Suveen Angraal, Joshua D Wallach, Maria Koh, Jeeeun Song, Harlan M Krumholz

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Cynthia A JackeviciusPharmacy Department, Western University of Health Sciences, Pomona, California, USA.ORCID 0000-0001-5274-7251
JaeJin AnPharmacy Department, Western University of Health Sciences, Pomona, California, USA.ORCID 0000-0002-3161-5732
Dennis T KoICES, Toronto, Ontario, Canada.
Joseph S RossSection of General Internal Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Suveen AngraalCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, Connecticut, USA.ORCID -0002-2531-6891
Joshua D WallachDepartment of Environmental Health Sciences, Yale University School of Public Health, New Haven, Connecticut, USA.ORCID 0000-0002-2816-6905
Maria KohICES, Toronto, Ontario, Canada.
Jeeeun SongPharmacy Department, Western University of Health Sciences, Pomona, California, USA.
Harlan M KrumholzDepartment of Health Policy and Management, Yale University School of Public Health, New Haven, Connecticut, USA.ORCID 0000-0003-2046-127X

Funding

Yale-Mayo FDA Center for Excellence in Regulatory Science and InnovationU01FD005938 · FDA · YALE UNIVERSITY · PI Joseph Solomon Ross · 2016 to 2026
$25.4M
Understanding hospital value: provider, hospital and community effectsR01HS022882 · AHRQ · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HORWITZ, LEORA · 2014 to 2023
$2.9M
Medical reversals: De-implementing ineffective and unsafe treatmentsR01HS025164 · AHRQ · UNIVERSITY OF MINNESOTA · PI KARACA-MANDIC, PINAR · 2017 to 2020
$1.4M
Optimizing Medical Device Post-Market Surveillance for Public ValueU01FD004585 · FDA · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2012 to 2016
$592k
AHRQ HHS R01 HS022882AHRQ HHS R01 HS025164FDA HHS U01 FD004585FDA HHS U01 FD005938
6 · The paper itself

Abstract

objectivesTo collate and systematically characterise the methods, results and clinical performance of the clinical risk prediction submissions to the Systolic Blood Pressure Intervention Trial (SPRINT) Data Analysis Challenge.

designCross-sectional evaluation. DATA SOURCES: SPRINT Challenge online submission website. STUDY SELECTION: Submissions to the SPRINT Challenge for clinical prediction tools or clinical risk scores. DATA EXTRACTION: In duplicate by three independent reviewers.

resultsOf 143 submissions, 29 met our inclusion criteria. Of these, 23/29 (79%) reported prediction models for an efficacy outcome (20/23 [87%] of these used the SPRINT study primary composite outcome, 14/29 [48%] used a safety outcome, and 4/29 [14%] examined a combined safety/efficacy outcome). Age and cardiovascular disease history were the most common variables retained in 80% (12/15) of the efficacy and 60% (6/10) of the safety models. However, no two submissions included an identical list of variables intending to predict the same outcomes. Model performance measures, most commonly, the C-statistic, were reported in 57% (13/23) of efficacy and 64% (9/14) of safety model submissions. Only 2/29 (7%) models reported external validation. Nine of 29 (31%) submissions developed and provided evaluable risk prediction tools. Using two hypothetical vignettes, 67% (6/9) of the tools provided expected recommendations for a low-risk patient, while 44% (4/9) did for a high-risk patient. Only 2/29 (7%) of the clinical risk prediction submissions have been published to date.

conclusionsDespite use of the same data source, a diversity of approaches, methods and results was produced by the 29 SPRINT Challenge competition submissions for clinical risk prediction. Of the nine evaluable risk prediction tools, clinical performance was suboptimal. By collating an overview of the range of approaches taken, researchers may further optimise the development of risk prediction tools in SPRINT-eligible populations, and our findings may inform the conduct of future similar open science projects.

Indexed as

Data AnalysisBlood PressureCross-Sectional StudiesData CollectionHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicRisk Assessmentclinical predictionopen sciencerisk predictionsprint

Identifiers

PMID30904868
PMCPMC6475140

What OpenQuestion holds

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LicenceCC BY-NC
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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.