Evidence map›Paper›PMID 32554376›Full record

ArticleJMIR medical informatics2020

Summarizing Complex Graphical Models of Multiple Chronic Conditions Using the Second Eigenvalue of Graph Laplacian: Algorithm Development and Validation.

Syed Hasib Akhter Faruqui, Adel Alaeddini, Mike C Chang, Sara Shirinkam, Carlos Jaramillo, Peyman NajafiRad, Jing Wang, Mary Jo Pugh

Abstract read
In one paragraph

Article in JMIR medical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

3 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

8 authors.

Syed Hasib Akhter FaruquiDepartment of Mechanical Engineering, The University of Texas at San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0002-5073-8690
Adel Alaeddini *Department of Mechanical Engineering, The University of Texas at San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0003-4451-3150
Mike C ChangDepartment of Mechanical Engineering, The University of Texas at San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0003-0070-9119
Sara ShirinkamDepartment of Mathematics and Statistics, University of the Incarnate Word, San Antonio, TX, United States.ORCID https://orcid.org/0000-0002-8153-4754
Carlos JaramilloSouth Texas Veterans Health Care System, San Antonio, TX, United States.ORCID https://orcid.org/0000-0002-2424-6326
Peyman NajafiRadDepartment of Information Systems and Cyber Security, The University of Texas at San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0001-9671-577X
Jing WangSchool of Nursing, UT Health San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0002-4012-0977
Mary Jo PughVA Salt Lake City Health Care System, Salt Lake City, UT, United States.ORCID https://orcid.org/0000-0003-4196-7763

Funding

A Novel Probabilistic Methodology for Prediction of Emerging Diseases in Patients with Multiple Chronic ConditionsSC2GM118266 · NIGMS · UNIVERSITY OF TEXAS SAN ANTONIO · PI ALAEDDINI, ADEL · 2016 to 2018
$441k
Identifying and Validating Complex Comorbidity Clusters in OEF-OIF VeteransI01HX000329 · VA · SOUTH TEXAS VETERANS HEALTH CARE SYSTEM · PI PUGH, MARY JO · 2011 to 2015
–
HSRD VA I01 HX000329NIGMS NIH HHS SC2 GM118266
6 · The paper itself

Abstract

backgroundIt is important but challenging to understand the interactions of multiple chronic conditions (MCC) and how they develop over time in patients and populations. Clinical data on MCC can now be represented using graphical models to study their interaction and identify the path toward the development of MCC. However, the current graphical models representing MCC are often complex and difficult to analyze. Therefore, it is necessary to develop improved methods for generating these models.

objectiveThis study aimed to summarize the complex graphical models of MCC interactions to improve comprehension and aid analysis.

methodsWe examined the emergence of 5 chronic medical conditions (ie, traumatic brain injury [TBI], posttraumatic stress disorder [PTSD], depression [Depr], substance abuse [SuAb], and back pain [BaPa]) over 5 years among 257,633 veteran patients. We developed 3 algorithms that utilize the second eigenvalue of the graph Laplacian to summarize the complex graphical models of MCC by removing less significant edges. The first algorithm learns a sparse probabilistic graphical model of MCC interactions directly from the data. The second algorithm summarizes an existing probabilistic graphical model of MCC interactions when a supporting data set is available. The third algorithm, which is a variation of the second algorithm, summarizes the existing graphical model of MCC interactions with no supporting data. Finally, we examined the coappearance of the 100 most common terms in the literature of MCC to validate the performance of the proposed model.

resultsThe proposed summarization algorithms demonstrate considerable performance in extracting major connections among MCC without reducing the predictive accuracy of the resulting graphical models. For the model learned directly from the data, the area under the curve (AUC) performance for predicting TBI, PTSD, BaPa, SuAb, and Depr, respectively, during the next 4 years is as follows-year 2: 79.91%, 84.04%, 78.83%, 82.50%, and 81.47%; year 3: 76.23%, 80.61%, 73.51%, 79.84%, and 77.13%; year 4: 72.38%, 78.22%, 72.96%, 77.92%, and 72.65%; and year 5: 69.51%, 76.15%, 73.04%, 76.72%, and 69.99%, respectively. This demonstrates an overall 12.07% increase in the cumulative sum of AUC in comparison with the classic multilevel temporal Bayesian network.

conclusionsUsing graph summarization can improve the interpretability and the predictive power of the complex graphical models of MCC.

Indexed as

disease networkgraphical modelsgraph Laplaciangraph summarizationmultiple chronic conditions

Identifiers

PMID32554376
PMCPMC7330739

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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.