Evidence map›Paper›PMID 33241287›Full record

ArticleGigaScience2020

Trajectories, bifurcations, and pseudo-time in large clinical datasets: applications to myocardial infarction and diabetes data.

Sergey E Golovenkin, Jonathan Bac, Alexander Chervov, Evgeny M Mirkes, Yuliya V Orlova, Emmanuel Barillot, Alexander N Gorban, Andrei Zinovyev

Abstract read
In one paragraph

Article in GigaScience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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  9. Navigating the Progression of Chronic Obstructive Pulmonary Disease.American journal of respiratory and critical care medicine · 2025
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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.

Sergey E GolovenkinProf. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia.
Jonathan BacInstitut Curie, PSL Research University, F-75005 Paris, France.
Alexander ChervovInstitut Curie, PSL Research University, F-75005 Paris, France.
Evgeny M MirkesCentre for Artificial Intelligence, Data Analytics and Modelling, University of Leicester, LE1 7RH Leicester, UK.
Yuliya V OrlovaProf. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, 660022 Krasnoyarsk, Russia.
Emmanuel BarillotInstitut Curie, PSL Research University, F-75005 Paris, France.
Alexander N GorbanCentre for Artificial Intelligence, Data Analytics and Modelling, University of Leicester, LE1 7RH Leicester, UK.
Andrei ZinovyevInstitut Curie, PSL Research University, F-75005 Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLarge observational clinical datasets are becoming increasingly available for mining associations between various disease traits and administered therapy. These datasets can be considered as representations of the landscape of all possible disease conditions, in which a concrete disease state develops through stereotypical routes, characterized by "points of no return" and "final states" (such as lethal or recovery states). Extracting this information directly from the data remains challenging, especially in the case of synchronic (with a short-term follow-up) observations.

resultsHere we suggest a semi-supervised methodology for the analysis of large clinical datasets, characterized by mixed data types and missing values, through modeling the geometrical data structure as a bouquet of bifurcating clinical trajectories. The methodology is based on application of elastic principal graphs, which can address simultaneously the tasks of dimensionality reduction, data visualization, clustering, feature selection, and quantifying the geodesic distances (pseudo-time) in partially ordered sequences of observations. The methodology allows a patient to be positioned on a particular clinical trajectory (pathological scenario) and the degree of progression along it to be characterized with a qualitative estimate of the uncertainty of the prognosis. We developed a tool ClinTrajan for clinical trajectory analysis implemented in the Python programming language. We test the methodology in 2 large publicly available datasets: myocardial infarction complications and readmission of diabetic patients data.

conclusionsOur pseudo-time quantification-based approach makes it possible to apply the methods developed for dynamical disease phenotyping and illness trajectory analysis (diachronic data analysis) to synchronic observational data.

Indexed as

Diabetes MellitusMyocardial InfarctionCluster AnalysisHumansclinical dataclinical trajectorydata analysisdiabetesdimensionality reductiondynamical diseases phenotypingmyocardial infarctionpatient disease pathwayprincipal treespseudo-time

Identifiers

PMID33241287
PMCPMC7688475

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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.