Evidence map›Paper›PMID 31953409›Full record

ArticleNature communications2020

Machine learning can identify newly diagnosed patients with CLL at high risk of infection.

Rudi Agius, Christian Brieghel, Michael A Andersen, Alexander T Pearson, Bruno Ledergerber, Alessandro Cozzi-Lepri, Yoram Louzoun, Christen L Andersen, Jacob Bergstedt, Jakob H von Stemann and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing 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

52 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

20 authors.

Rudi AgiusDepartment of Mathematics and Computer Science, Technical University of Denmark, Lyngby, Denmark.
Christian BrieghelDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Michael A AndersenDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-9729-9974
Alexander T PearsonDepartment of Medicine, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-2801-7456
Bruno LedergerberUniversity of Zurich, Zurich, Switzerland.
Alessandro Cozzi-LepriUniversity College London, London, UK.
Yoram LouzounDepartment of Mathematics, Bar-Ilan University, Ramat Gan, Israel.ORCID http://orcid.org/0000-0003-1714-6148
Christen L AndersenDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jacob BergstedtHuman Evolutionary Genetics Unit, Institut Pasteur, Paris, France.ORCID http://orcid.org/0000-0002-9279-6936
Jakob H von StemannRigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Mette JørgensenCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-2804-0560
Man-Hung Eric TangCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-3483-0219
Magnus FontesCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jasmin BahloDepartment of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne, Germany.
Carmen D HerlingDepartment of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne, Germany.
Michael HallekDepartment of Internal Medicine and Center of Integrated Oncology Cologne Bonn, University Hospital, Cologne, Germany.
Jens LundgrenCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8901-7850
Cameron Ross MacPhersonCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Jan LarsenDepartment of Mathematics and Computer Science, Technical University of Denmark, Lyngby, Denmark.
Carsten U NiemannDepartment of Hematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark. Carsten.utoft.niemann@regionh.dk.ORCID http://orcid.org/0000-0001-9880-5242

Funding

A reasoned approach to combination therapy development in head and neck cancerK08DE026500 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PEARSON, ALEXANDER THOMAS · 2016 to 2020
$800k
NIDCR NIH HHS K08 DE026500
6 · The paper itself

Abstract

Infections have become the major cause of morbidity and mortality among patients with chronic lymphocytic leukemia (CLL) due to immune dysfunction and cytotoxic CLL treatment. Yet, predictive models for infection are missing. In this work, we develop the CLL Treatment-Infection Model (CLL-TIM) that identifies patients at risk of infection or CLL treatment within 2 years of diagnosis as validated on both internal and external cohorts. CLL-TIM is an ensemble algorithm composed of 28 machine learning algorithms based on data from 4,149 patients with CLL. The model is capable of dealing with heterogeneous data, including the high rates of missing data to be expected in the real-world setting, with a precision of 72% and a recall of 75%. To address concerns regarding the use of complex machine learning algorithms in the clinic, for each patient with CLL, CLL-TIM provides explainable predictions through uncertainty estimates and personalized risk factors.

Indexed as

Machine LearningRisk FactorsAgedAlgorithmsAntineoplastic AgentsBenchmarkingCohort StudiesDatabases, FactualFemaleHumansInfectionsKaplan-Meier EstimateLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedAntineoplastic Agents

Identifiers

PMID31953409
PMCPMC6969150

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.