Evidence map›Paper›PMID 31984350›Full record

ArticleJAMIA open2019

A probabilistic disease progression modeling approach and its application to integrated Huntington's disease observational data.

Zhaonan Sun, Soumya Ghosh, Ying Li, Yu Cheng, Amrita Mohan, Cristina Sampaio, Jianying Hu

Abstract read
In one paragraph

Article in JAMIA open, 2019. 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
–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

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

  1. Pooled it
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  13. Dynamic modeling of hospitalized COVID-19 patients reveals disease state-dependent risk factors.Journal of the American Medical Informatics Association : JAMIA · 2022
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  19. Modeling Disease Progression Trajectories from Longitudinal Observational Data.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
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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

7 authors.

Zhaonan SunCenter for Computational Health, IBM T. J. Watson Research Center, 1101 Route 134 Kitchawan Rd, Yorktown Heights, New York 10598, USA.
Soumya GhoshCenter for Computational Health, IBM T. J. Watson Research Center, 1101 Route 134 Kitchawan Rd, Yorktown Heights, New York 10598, USA.
Ying LiCenter for Computational Health, IBM T. J. Watson Research Center, 1101 Route 134 Kitchawan Rd, Yorktown Heights, New York 10598, USA.
Yu ChengCenter for Computational Health, IBM T. J. Watson Research Center, 1101 Route 134 Kitchawan Rd, Yorktown Heights, New York 10598, USA.
Amrita MohanCHDI Management/CHDI Foundation, 155 Village Boulevard, Suite 200, Princeton, New Jersey 08540, USA.
Cristina SampaioCHDI Management/CHDI Foundation, 155 Village Boulevard, Suite 200, Princeton, New Jersey 08540, USA.
Jianying HuCenter for Computational Health, IBM T. J. Watson Research Center, 1101 Route 134 Kitchawan Rd, Yorktown Heights, New York 10598, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic diseases often have long durations with slow, nonlinear progression and complex, and multifaceted manifestation. Modeling the progression of chronic diseases based on observational studies is challenging. We developed a framework to address these challenges by building probabilistic disease progression models to enable better understanding of chronic diseases and provide insights that could lead to better disease management. MATERIALS AND

methodsWe developed a framework to build probabilistic disease progression models using observational medical data. The framework consists of two steps. The first step determines the number of disease states. The second step builds a probabilistic disease progression model with the determined number of states. The model discovers typical states along the trajectory of the target disease, learns the characteristics of these states, and transition probabilities between the states. We applied the framework to an integrated observational HD dataset curated from four recent observational HD studies.

resultsThe resulting HD progression model identified nine disease states. Compared to state-of-art HD staging system, the model 1) covers wider range of HD progression; 2) is able to quantitatively describe complex changes around the time of clinical diagnosis; 3) discovers multiple potential HD progression pathways; and 4) reveals expected time durations of the identified states. DISCUSSION AND

conclusionThe proposed framework addresses practical challenges in observational data and can help enhance the understanding of progression of chronic diseases. The framework could be applied to other chronic diseases with the help of clinical knowledge.

Indexed as

continuous-time hidden Markov modelsdisease progression modelingHuntington’s diseaseobservational study

Identifiers

PMID31984350
PMCPMC6951948

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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.