Evidence map›Paper›PMID 34001210›Full record

ArticleBMC research notes2021

A model-agnostic approach for understanding heart failure risk factors.

Seyed M Miran, Stuart J Nelson, Qing Zeng-Treitler

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

3 authors at 1 institution in 1 country.

Seyed M MiranBiomedical Informatics Center, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA. miran@gwu.edu.
Stuart J NelsonBiomedical Informatics Center, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
Qing Zeng-TreitlerBiomedical Informatics Center, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA.
George Washington University · US

Funding

Clinical and Translational Science Institute at Childrens NationalUL1TR001876 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI BELL, MICHAEL J · 2016 to 2021
$25.6M
Feasibility of a Therapeutic Intent OntologyR21LM012929 · NLM · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI NELSON, STUART JAMES · 2018 to 2019
$386k
HSRD VA I01 HX002422HSRD VA I01 HX002679NCATS NIH HHS UL1 TR001876NIH HHS 1UL1TR001876NIH HHS R21LM012929NLM NIH HHS R21 LM012929
6 · The paper itself

Abstract

objectiveUnderstanding the risk factors for developing heart failure among patients with type 2 diabetes can contribute to preventing deterioration of quality of life for those persons. Electronic health records (EHR) provide an opportunity to use sophisticated machine learning models to understand and compare the effect of different risk factors for developing HF. As the complexity of the model increases, however, the transparency of the model often decreases. To interpret the results, we aimed to develop a model-agnostic approach to shed light on complex models and interpret the effect of features on developing heart failure. Using the HealthFacts EHR database of the Cerner EHR, we extracted the records of 723 patients with at least 6 yeas of follow up of type 2 diabetes, of whom 134 developed heart failure. Using age and comorbidities as features and heart failure as the outcome, we trained logistic regression, random forest, XGBoost, neural network, and then applied our proposed approach to rank the effect of each factor on developing heart failure.

resultsCompared to the "importance score" built-in function of XGBoost, our proposed approach was more accurate in ranking the effect of the different risk factors on developing heart failure.

Indexed as

Diabetes Mellitus, Type 2Heart FailureElectronic Health RecordsHumansMachine LearningQuality of LifeRisk FactorsExplainable AIHeart failureModel-agnostic approach

Identifiers

PMID34001210
PMCPMC8130447
OpenAlexW3156584732

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.