Evidence map›Paper›PMID 31659583›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

The hidden information in patient-reported outcomes and clinician-assessed outcomes: multiple sclerosis as a proof of concept of a machine learning approach.

Giampaolo Brichetto, Margherita Monti Bragadin, Samuele Fiorini, Mario Alberto Battaglia, Giovanna Konrad, Michela Ponzio, Ludovico Pedullà, Alessandro Verri, Annalisa Barla, Andrea Tacchino

Open access · hybridAbstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
  6. The administration of the paper and electronic versions of the Manual Ability Measure-36 (MAM-36) and Fatigue Severity Scale (FSS) is equivalent in people with multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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  7. Review
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  10. Observational
  11. Article
  12. Article
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  16. Italian validation of the Arm Function in Multiple Sclerosis Questionnaire (AMSQ).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  17. Review
  18. Italian translation and psychometric validation of the Manual Ability Measure-36 (MAM-36) and its correlation with an objective measure of upper limb function in patients with multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  19. 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

10 authors at 4 institutions in 2 countries.

Giampaolo BrichettoDepartment of Research, Italian Multiple Sclerosis Foundation, Genoa, Italy. giampaolo.brichetto@aism.it.ORCID http://orcid.org/0000-0003-2026-3572
Margherita Monti BragadinDepartment of Research, Italian Multiple Sclerosis Foundation, Genoa, Italy.
Samuele FioriniDepartment of Informatics, Bioengineering, Robotics and System Engineering, University of Genoa, Genoa, Italy.
Mario Alberto BattagliaDepartment of Life Science, University of Siena, Siena, Italy.
Giovanna KonradAISM Rehabilitation Center of Liguria, Genoa, Italy.
Michela PonzioDepartment of Research, Italian Multiple Sclerosis Foundation, Genoa, Italy.
Ludovico PedullàDepartment of Research, Italian Multiple Sclerosis Foundation, Genoa, Italy.
Alessandro VerriDepartment of Informatics, Bioengineering, Robotics and System Engineering, University of Genoa, Genoa, Italy.
Annalisa BarlaDepartment of Informatics, Bioengineering, Robotics and System Engineering, University of Genoa, Genoa, Italy.
Andrea TacchinoDepartment of Research, Italian Multiple Sclerosis Foundation, Genoa, Italy.
Associazione Italiana Sclerosi Multipla · ITUniversity of Genoa · ITMultiple Sclerosis Foundation · USUniversity of Siena · IT

Funding

Fondazione Italiana Sclerosi Multipla FISM/2014/S3
6 · The paper itself

Abstract

Machine learning (ML) applied to patient-reported (PROs) and clinical-assessed outcomes (CAOs) could favour a more predictive and personalized medicine. Our aim was to confirm the important role of applying ML to PROs and CAOs of people with relapsing-remitting (RR) and secondary progressive (SP) form of multiple sclerosis (MS), to promptly identifying information useful to predict disease progression. For our analysis, a dataset of 3398 evaluations from 810 persons with MS (PwMS) was adopted. Three steps were provided: course classification; extraction of the most relevant predictors at the next time point; prediction if the patient will experience the transition from RR to SP at the next time point. The Current Course Assignment (CCA) step correctly assigned the current MS course with an accuracy of about 86.0%. The MS course at the next time point can be predicted using the predictors selected in CCA. PROs/CAOs Evolution Prediction (PEP) followed by Future Course Assignment (FCA) was able to foresee the course at the next time point with an accuracy of 82.6%. Our results suggest that PROs and CAOs could help the clinician decision-making in their practice.

Indexed as

Disease ProgressionMachine LearningSeverity of Illness IndexAdultFemaleHumansMaleMiddle AgedMultiple SclerosisOutcome Assessment, Health CarePatient Reported Outcome MeasuresPrognosisProof of Concept StudyDisease courseDisease predictionMachine learningMultiple sclerosisPatient-reported outcome

Identifiers

PMID31659583
PMCPMC7005074
OpenAlexW2982383748

What OpenQuestion holds

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LicenceCC BY
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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.