Evidence map›Paper›PMID 33328030›Full record

ArticleThe Lancet. Digital health2020

Time to reality check the promises of machine learning-powered precision medicine.

Jack Wilkinson, Kellyn F Arnold, Eleanor J Murray, Maarten van Smeden, Kareem Carr, Rachel Sippy, Marc de Kamps, Andrew Beam, Stefan Konigorski, Christoph Lippert and 2 more

Abstract read
In one paragraph

Article in The Lancet. Digital health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 4 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

99 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Trial
  6. Review
  7. Potential Roles of Neuroimaging in Motor Neuron Disease.Current neurology and neuroscience reports · 2026
    Review
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39 more citing papers are in PubMed but not listed here.

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

12 authors.

Jack WilkinsonCentre for Biostatistics, Manchester Academic Health Science Centre, Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK. Electronic address: jack.wilkinson@manchester.ac.uk.
Kellyn F ArnoldLeeds Institute for Data Analytics, University of Leeds, Leeds, UK; Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Eleanor J MurrayDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Maarten van SmedenDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, Netherlands.
Kareem CarrDepartment of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA, USA.
Rachel SippyInstitute for Global Health and Translational Science, SUNY Upstate Medical University, Syracuse, NY, USA; Department of Geography, University of Florida, Gainesville, FL, USA; Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.
Marc de KampsLeeds Institute for Data Analytics, University of Leeds, Leeds, UK; School of Computing, University of Leeds, Leeds, UK.
Andrew BeamDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
Stefan KonigorskiDigital Health & Machine Learning Research Group, Hasso Plattner Institut for Digital Engineering, Potsdam, Germany; Hasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Christoph LippertDigital Health & Machine Learning Research Group, Hasso Plattner Institut for Digital Engineering, Potsdam, Germany; Hasso Plattner Institute for Digital Health at Mount Sinai, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Mark S GilthorpeLeeds Institute for Data Analytics, University of Leeds, Leeds, UK; Faculty of Medicine and Health, University of Leeds, Leeds, UK; Alan Turing Institute, London, UK.
Peter W G TennantLeeds Institute for Data Analytics, University of Leeds, Leeds, UK; Faculty of Medicine and Health, University of Leeds, Leeds, UK; Alan Turing Institute, London, UK.

Funding

Predicting Pulmonary and Cardiac Morbidity in Preterm Infants with Deep LearningK01HL141771 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI BEAM, ANDREW L. · 2019 to 2023
$832k
NHLBI NIH HHS K01 HL141771Wellcome Trust
6 · The paper itself

Abstract

Machine learning methods, combined with large electronic health databases, could enable a personalised approach to medicine through improved diagnosis and prediction of individual responses to therapies. If successful, this strategy would represent a revolution in clinical research and practice. However, although the vision of individually tailored medicine is alluring, there is a need to distinguish genuine potential from hype. We argue that the goal of personalised medical care faces serious challenges, many of which cannot be addressed through algorithmic complexity, and call for collaboration between traditional methodologists and experts in medical machine learning to avoid extensive research waste.

Indexed as

Machine LearningDelivery of Health CareHumansPrecision Medicine

Identifiers

PMID33328030
PMCPMC9060421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.