Evidence map›Paper›PMID 31536581›Full record

ArticlePloS one2019

Development and verification of prediction models for preventing cardiovascular diseases.

Ji Min Sung, In-Jeong Cho, David Sung, Sunhee Kim, Hyeon Chang Kim, Myeong-Hun Chae, Maryam Kavousi, Oscar L Rueda-Ochoa, M Arfan Ikram, Oscar H Franco and 1 more

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

Ji Min SungIntegrative Research Center for Cerebrovascular and Cardiovascular diseases, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.
In-Jeong ChoDivision of Cardiology, Ewha University College of Medicine, Seoul, Korea.
David SungData Science Team of KT NexR, Seoul, Korea.ORCID 0000-0003-3475-3468
Sunhee KimYonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.ORCID 0000-0003-1762-6459
Hyeon Chang KimDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-7867-1240
Myeong-Hun ChaeAI R&D Lab. of Selvas AI Inc., Seoul, Korea.
Maryam KavousiDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.
Oscar L Rueda-OchoaDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0003-2684-9005
M Arfan IkramDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0003-0372-8585
Oscar H FrancoDepartment of Epidemiology, Erasmus MC, Rotterdam, the Netherlands.ORCID 0000-0002-4606-4929
Hyuk-Jae ChangDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-6139-7545

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCardiovascular disease (CVD) is one of the major causes of death worldwide. For improved accuracy of CVD prediction, risk classification was performed using national time-series health examination data. The data offers an opportunity to access deep learning (RNN-LSTM), which is widely known as an outstanding algorithm for analyzing time-series datasets. The objective of this study was to show the improved accuracy of deep learning by comparing the performance of a Cox hazard regression and RNN-LSTM based on survival analysis. METHODS AND

findingsWe selected 361,239 subjects (age 40 to 79 years) with more than two health examination records from 2002-2006 using the National Health Insurance System-National Health Screening Cohort (NHIS-HEALS). The average number of health screenings (from 2002-2013) used in the analysis was 2.9 ± 1.0. Two CVD prediction models were developed from the NHIS-HEALS data: a Cox hazard regression model and a deep learning model. In an internal validation of the NHIS-HEALS dataset, the Cox regression model showed a highest time-dependent area under the curve (AUC) of 0.79 (95% CI 0.70 to 0.87) for in females and 0.75 (95% CI 0.70 to 0.80) in males at 2 years. The deep learning model showed a highest time-dependent AUC of 0.94 (95% CI 0.91 to 0.97) for in females and 0.96 (95% CI 0.95 to 0.97) in males at 2 years. Layer-wise Relevance Propagation (LRP) revealed that age was the variable that had the greatest effect on CVD, followed by systolic blood pressure (SBP) and diastolic blood pressure (DBP), in that order.

conclusionThe performance of the deep learning model for predicting CVD occurrences was better than that of the Cox regression model. In addition, it was confirmed that the known risk factors shown to be important by previous clinical studies were extracted from the study results using LRP.

Indexed as

AlgorithmsDeep LearningModels, CardiovascularAdultBlood PressureCardiovascular DiseasesFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsRisk AssessmentRisk FactorsSurvival Analysis

Identifiers

PMID31536581
PMCPMC6752799

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.