Evidence map›Paper›PMID 31467464›Full record

ArticleExpert systems with applications2016

Cardiac ScoreCard: A Diagnostic Multivariate Index Assay System for Predicting a Spectrum of Cardiovascular Disease.

Michael P McRae, Biykem Bozkurt, Christie M Ballantyne, Ximena Sanchez, Nicolaos Christodoulides, Glennon Simmons, Vijay Nambi, Arunima Misra, Craig S Miller, Jeffrey L Ebersole and 2 more

Open access · greenAbstract read
In one paragraph

Article in Expert systems with applications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  12. A Hybrid Classification System for Heart Disease Diagnosis Based on the RFRS Method.Computational and mathematical methods in medicine · 2017
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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

12 authors at 7 institutions in 1 country.

Michael P McRaeDepartment of Bioengineering, Rice University, Houston, TX, USA.
Biykem BozkurtMichael E. DeBakey VA Medical Center, Houston, TX, USA.
Christie M BallantyneSection of Cardiology, Baylor College of Medicine, Houston, TX, USA.
Ximena SanchezDepartment of Bioengineering, Rice University, Houston, TX, USA.
Nicolaos ChristodoulidesDepartment of Bioengineering, Rice University, Houston, TX, USA.
Glennon SimmonsDepartment of Bioengineering, Rice University, Houston, TX, USA.
Vijay NambiMichael E. DeBakey VA Medical Center, Houston, TX, USA.
Arunima MisraBen Taub General Hospital, Houston, TX, USA.
Craig S MillerDepartment of Oral Health Practice, Center for Oral Health Research, College of Dentistry University of Kentucky, Lexington, KY, USA.
Jeffrey L EbersoleDepartment of Oral Health Practice, Center for Oral Health Research, College of Dentistry University of Kentucky, Lexington, KY, USA.
Charles CampbellDepartment of Cardiology, Erlanger Health System, Chattanooga, TN, USA.
John T McDevittDepartment of Bioengineering, Rice University, Houston, TX, USA.
Rice University · USBaylor College of Medicine · USUniversity of Kentucky · USBen Taub Hospital · USErlanger Health System · USMichael E. DeBakey VA Medical Center · USNew York University · US

Funding

Effects of Oral Inflammation on the Levels of Salivary Biomarkers of AMIU01DE017793 · NIDCR · UNIVERSITY OF TEXAS AT AUSTIN · PI MCDEVITT, JOHN T · 2006 to 2012
$13.0M
NIDCR NIH HHS U01 DE017793
6 · The paper itself

Abstract

Clinical decision support systems (CDSSs) have the potential to save lives and reduce unnecessary costs through early detection and frequent monitoring of both traditional risk factors and novel biomarkers for cardiovascular disease (CVD). However, the widespread adoption of CDSSs for the identification of heart diseases has been limited, likely due to the poor interpretability of clinically relevant results and the lack of seamless integration between measurements and disease predictions. In this paper we present the Cardiac ScoreCard-a multivariate index assay system with the potential to assist in the diagnosis and prognosis of a spectrum of CVD. The Cardiac ScoreCard system is based on lasso logistic regression techniques which utilize both patient demographics and novel biomarker data for the prediction of heart failure (HF) and cardiac wellness. Lasso logistic regression models were trained on a merged clinical dataset comprising 579 patients with 6 traditional risk factors and 14 biomarker measurements. The prediction performance of the Cardiac ScoreCard was assessed with 5-fold cross-validation and compared with reference methods. The experimental results reveal that the ScoreCard models improved performance in discriminating disease versus non-case (AUC = 0.8403 and 0.9412 for cardiac wellness and HF, respectively), and the models exhibit good calibration. Clinical insights to the prediction of HF and cardiac wellness are provided in the form of logistic regression coefficients which suggest that augmenting the traditional risk factors with a multimarker panel spanning a diverse cardiovascular pathophysiology provides improved performance over reference methods. Additionally, a framework is provided for seamless integration with biomarker measurements from point-of-care medical microdevices, and a lasso-based feature selection process is described for the down-selection of biomarkers in multimarker panels.

Indexed as

biomarkerscardiac wellnessCardiovascular disease (CVD)heart failure (HF)lasso logistic regressionprogrammable bio-nano-chip (p-BNC)

Identifiers

PMID31467464
PMCPMC6715313
OpenAlexW2252227385

What OpenQuestion holds

Textmetadata
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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.