Evidence map›Paper›PMID 32083957›Full record

ArticleJCO clinical cancer informatics2020

Predicting Acute Graft-Versus-Host Disease Using Machine Learning and Longitudinal Vital Sign Data From Electronic Health Records.

Shengpu Tang, Grant T Chappell, Amanda Mazzoli, Muneesh Tewari, Sung Won Choi, Jenna Wiens

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
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  4. Blood science (Baltimore, Md.) · 2025
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  16. Assessment of risk factors for acute graft-Therapeutic advances in hematology · 2023
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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

6 authors.

Shengpu TangDivision of Computer Science and Engineering, Department of Electronic Engineering and Computer Science, University of Michigan, Ann Arbor, MI.
Grant T ChappellDivision of Hematology/Oncology, Department of Pediatrics, University of Michigan, Ann Arbor, MI.
Amanda MazzoliDivision of Hematology/Oncology, Department of Pediatrics, University of Michigan, Ann Arbor, MI.
Muneesh TewariDivision of Hematology/Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
Sung Won ChoiDivision of Hematology/Oncology, Department of Pediatrics, University of Michigan, Ann Arbor, MI.
Jenna WiensDivision of Computer Science and Engineering, Department of Electronic Engineering and Computer Science, University of Michigan, Ann Arbor, MI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute graft-versus-host disease (aGVHD) remains a significant complication of allogeneic hematopoietic cell transplantation (HCT) and limits its broader application. The ability to predict grade II to IV aGVHD could potentially mitigate morbidity and mortality. To date, researchers have focused on using snapshots of a patient (eg, biomarkers at a single time point) to predict aGVHD onset. We hypothesized that longitudinal data collected and stored in electronic health records (EHRs) could distinguish patients at high risk of developing aGVHD from those at low risk. PATIENTS AND

methodsThe study included a cohort of 324 patients undergoing allogeneic HCT at the University of Michigan C.S. Mott Children's Hospital during 2014 to 2017. Using EHR data, specifically vital sign measurements collected within the first 10 days of transplantation, we built a predictive model using penalized logistic regression for identifying patients at risk for grade II to IV aGVHD. We compared the proposed model with a baseline model trained only on patient and donor characteristics collected at the time of transplantation and performed an analysis of the importance of different input features.

resultsThe proposed model outperformed the baseline model, with an area under the receiver operating characteristic curve of 0.659 versus 0.512 (

conclusionLeveraging readily available clinical data from EHRs, we developed a machine-learning model for aGVHD prediction in patients undergoing HCT. Continuous monitoring of vital signs, such as temperature, could potentially help clinicians more accurately identify patients at high risk for aGVHD.

Indexed as

Machine LearningVital SignsAdolescentAdultAgedBiomarkersChildChild, PreschoolElectronic Health RecordsFemaleFollow-Up StudiesGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansInfantBiomarkers

Identifiers

PMID32083957
PMCPMC7049247

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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.