Evidence map›Paper›PMID 31312723›Full record

ArticleNPJ digital medicine2019

Precision identification of high-risk phenotypes and progression pathways in severe malaria without requiring longitudinal data.

Iain G Johnston, Till Hoffmann, Sam F Greenbury, Ornella Cominetti, Muminatou Jallow, Dominic Kwiatkowski, Mauricio Barahona, Nick S Jones, Climent Casals-Pascual

Abstract read
In one paragraph

Article in NPJ digital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

9 authors.

Iain G Johnston *1Faculty of Mathematics and Natural Sciences, University of Bergen, Bergen, Norway.
Till Hoffmann *4Department of Mathematics, Imperial College London, London, UK.
Sam F Greenbury2EPSRC Centre for the Mathematics of Precision Healthcare, Imperial College London, London, UK.ORCID 0000-0003-4452-2006
Ornella Cominetti5Nestlé Institute of Health Sciences, Lausanne, Switzerland.
Muminatou Jallow6Medical Research Council Unit, The Gambia, Fajara, P.O. Box 273, Banjul, The Gambia.
Dominic Kwiatkowski7Wellcome Trust Centre for Human Genetics, Oxford, UK.
Mauricio Barahona2EPSRC Centre for the Mathematics of Precision Healthcare, Imperial College London, London, UK.ORCID 0000-0002-1089-5675
Nick S Jones *2EPSRC Centre for the Mathematics of Precision Healthcare, Imperial College London, London, UK.
Climent Casals-Pascual *7Wellcome Trust Centre for Human Genetics, Oxford, UK.ORCID 0000-0002-0867-8954

Funding

Medical Research Council G0701885Medical Research Council MR/M006212/1Wellcome Trust 204911/Z/16/Z
6 · The paper itself

Abstract

More than 400,000 deaths from severe malaria (SM) are reported every year, mainly in African children. The diversity of clinical presentations associated with SM indicates important differences in disease pathogenesis that require specific treatment, and this clinical heterogeneity of SM remains poorly understood. Here, we apply tools from machine learning and model-based inference to harness large-scale data and dissect the heterogeneity in patterns of clinical features associated with SM in 2904 Gambian children admitted to hospital with malaria. This quantitative analysis reveals features predicting the severity of individual patient outcomes, and the dynamic pathways of SM progression, notably inferred without requiring longitudinal observations. Bayesian inference of these pathways allows us assign quantitative mortality risks to individual patients. By independently surveying expert practitioners, we show that this data-driven approach agrees with and expands the current state of knowledge on malaria progression, while simultaneously providing a data-supported framework for predicting clinical risk.

Indexed as

Applied mathematicsDeveloping worldMalaria

Identifiers

PMID31312723
PMCPMC6620311

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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.