Evidence map›Paper›PMID 33062235›Full record

ArticleTherapeutic advances in chronic disease2020

Higher-order clinical risk factor interaction analysis for overall mortality in maintenance hemodialysis patients.

Cheng-Hong Yang, Sin-Hua Moi, Li-Yeh Chuang, Jin-Bor Chen

Abstract read
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Article in Therapeutic advances in chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Cheng-Hong YangDepartment of Electronic Engineering, National Kaohsiung University of Applied Sciences, Kaohsiung Ph.D. Program in Biomedical Engineering, Kaohsiung Medical University, Kaohsiung Drug Development and Value Creation Research Center, Kaohsiung Medical University, Kaohsiung.ORCID https://orcid.org/0000-0002-2741-0072
Sin-Hua MoiDepartment of Chemical Engineering and Institute of Biotechnology and Chemical Engineering, I-Shou University, Kaohsiung.
Li-Yeh ChuangDepartment of Chemical Engineering and Institute of Biotechnology and Chemical Engineering, I-Shou University, Kaohsiung 84004.
Jin-Bor ChenDivision of Nephrology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 DaPei Rd, Niao Song Dist, Kaohsiung 83301.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsIn Taiwan, approximately 90% of patients with end-stage renal disease receive maintenance hemodialysis. Although studies have reported the survival predictability of multiclinical factors, the higher-order interactions among these factors have rarely been discussed. Conventional statistical approaches such as regression analysis are inadequate for detecting higher-order interactions. Therefore, this study integrated receiver operating characteristic, logistic regression, and balancing functions for adjusting the ratio in risk classes and classification errors for imbalanced cases and controls using multifactor-dimensionality reduction (MDR-ER) analyses to examine the impact of interaction effects between multiclinical factors on overall mortality in patients on maintenance hemodialysis. METERIALS AND

methodsIn total, 781 patients who received outpatient hemodialysis dialysis three times per week before 1 January 2009 were included; their baseline clinical factor and mortality outcome data were retrospectively collected using an approved data protocol (201800595B0).

resultsConsistent with conventional statistical approaches, the higher-order interaction model could indicate the impact of potential risk combination unique to patients on maintenance hemodialysis on the survival outcome, as described previously. Moreover, the MDR-based higher-order interaction model facilitated higher-order interaction effect detection among multiclinical factors and could determine more detailed mortality risk characteristics combinations.

conclusionTherefore, higher-order clinical risk interaction analysis is a reasonable strategy for detecting non-traditional risk factor interaction effects on survival outcome unique to patients on maintenance hemodialysis and thus clinically achieving whole-scale patient care.

Indexed as

end-stage renal diseaseHemodialysisinteraction effectsmultifactor-dimensionality reductionoverall mortality

Identifiers

PMID33062235
PMCPMC7534064

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