Evidence map›Paper›PMID 33808743›Full record

ArticleInternational journal of environmental research and public health2021

Predicting Australian Adults at High Risk of Cardiovascular Disease Mortality Using Standard Risk Factors and Machine Learning.

Shelda Sajeev, Stephanie Champion, Alline Beleigoli, Derek Chew, Richard L Reed, Dianna J Magliano, Jonathan E Shaw, Roger L Milne, Sarah Appleton, Tiffany K Gill and 1 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

Shelda SajeevFlinders Digital Health Research Centre, College of Nursing & Health Sciences, Flinders University, Adelaide SA 5001, Australia.
Stephanie ChampionFlinders Digital Health Research Centre, College of Nursing & Health Sciences, Flinders University, Adelaide SA 5001, Australia.
Alline BeleigoliFlinders Digital Health Research Centre, College of Nursing & Health Sciences, Flinders University, Adelaide SA 5001, Australia.
Derek ChewCollege of Medicine and Public Health, Flinders University, Adelaide, SA 5001, Australia.
Richard L ReedCollege of Medicine and Public Health, Flinders University, Adelaide, SA 5001, Australia.
Dianna J MaglianoBaker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
Jonathan E ShawBaker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
Roger L MilneCancer Epidemiology Division, Cancer Council Victoria, 615 St Kilda Road, Melbourne, VIC 3004, Australia.
Sarah AppletonFlinders Health and Medical Research Institute (Sleep Health)/Adelaide Institute for Sleep Health (AISH), College of Medicine and Public Health, Flinders University, Adelaide, SA 5042, Australia.ORCID 0000-0001-7292-9714
Tiffany K GillAdelaide Medical School, The University of Adelaide, Adelaide, SA 5005, Australia.ORCID 0000-0002-2822-2436
Anthony MaederFlinders Digital Health Research Centre, College of Nursing & Health Sciences, Flinders University, Adelaide SA 5001, Australia.ORCID 0000-0002-7398-2581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective cardiovascular disease (CVD) prevention relies on timely identification and intervention for individuals at risk. Conventional formula-based techniques have been demonstrated to over- or under-predict the risk of CVD in the Australian population. This study assessed the ability of machine learning models to predict CVD mortality risk in the Australian population and compare performance with the well-established Framingham model. Data is drawn from three Australian cohort studies: the North West Adelaide Health Study (NWAHS), the Australian Diabetes, Obesity, and Lifestyle study, and the Melbourne Collaborative Cohort Study (MCCS). Four machine learning models for predicting 15-year CVD mortality risk were developed and compared to the 2008 Framingham model. Machine learning models performed significantly better compared to the Framingham model when applied to the three Australian cohorts. Machine learning based models improved prediction by 2.7% to 5.2% across three Australian cohorts. In an aggregated cohort, machine learning models improved prediction by up to 5.1% (area-under-curve (AUC) 0.852, 95% CI 0.837-0.867). Net reclassification improvement (NRI) was up to 26% with machine learning models. Machine learning based models also showed improved performance when stratified by sex and diabetes status. Results suggest a potential for improving CVD risk prediction in the Australian population using machine learning models.

Indexed as

Cardiovascular DiseasesAdultAustraliaCohort StudiesHumansMachine LearningReference StandardsRisk AssessmentRisk Factorsartificial intelligencecardiovascular diseasecardiovascular risk factorsclinical decision supportmachine learningrisk prediction

Identifiers

PMID33808743
PMCPMC8003399

What OpenQuestion holds

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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.