Evidence map›Paper›PMID 34007046›Full record

ArticleLeukemia2021

Survival prediction and treatment optimization of multiple myeloma patients using machine-learning models based on clinical and gene expression data.

Adrián Mosquera Orgueira, Marta Sonia González Pérez, José Ángel Díaz Arias, Beatriz Antelo Rodríguez, Natalia Alonso Vence, Ángeles Bendaña López, Aitor Abuín Blanco, Laura Bao Pérez, Andrés Peleteiro Raíndo, Miguel Cid López and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 50 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Adrián Mosquera OrgueiraHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.ORCID http://orcid.org/0000-0003-4838-6750
Marta Sonia González PérezHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
José Ángel Díaz AriasHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Beatriz Antelo RodríguezHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Natalia Alonso VenceHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Ángeles Bendaña LópezHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Aitor Abuín BlancoHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Laura Bao PérezHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Andrés Peleteiro RaíndoHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Miguel Cid LópezHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Manuel Mateo Pérez EncinasHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.ORCID http://orcid.org/0000-0001-9943-4404
José Luis Bello LópezHealth Research Institute of Santiago de Compostela (IDIS), Compostela, Spain.
Maria Victoria Mateos MantecaHospital Universitario de Salamanca, Instituto de Investigación Biomédica de Salamanca (IBSAL), Centro de Investigación del Cancer (IBMCC-USAL, CSIC), Salamanca, Spain. mvmateos@usal.es.ORCID http://orcid.org/0000-0003-2390-1218
Complejo Hospitalario Universitario de Santiago · ESUniversidade de Santiago de Compostela · ESInstituto de Investigación Biomédica de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple myeloma (MM) remains mostly an incurable disease with a heterogeneous clinical evolution. Despite the availability of several prognostic scores, substantial room for improvement still exists. Promising results have been obtained by integrating clinical and biochemical data with gene expression profiling (GEP). In this report, we applied machine learning algorithms to MM clinical and RNAseq data collected by the CoMMpass consortium. We created a 50-variable random forests model (IAC-50) that could predict overall survival with high concordance between both training and validation sets (c-indexes, 0.818 and 0.780). This model included the following covariates: patient age, ISS stage, serum B2-microglobulin, first-line treatment, and the expression of 46 genes. Survival predictions for each patient considering the first line of treatment evidenced that those individuals treated with the best-predicted drug combination were significantly less likely to die than patients treated with other schemes. This was particularly important among patients treated with a triplet combination including bortezomib, an immunomodulatory drug (ImiD), and dexamethasone. Finally, the model showed a trend to retain its predictive value in patients with high-risk cytogenetics. In conclusion, we report a predictive model for MM survival based on the integration of clinical, biochemical, and gene expression data with machine learning tools.

Indexed as

AlgorithmsGene Expression Regulation, NeoplasticMachine LearningAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCohort StudiesFemaleFollow-Up StudiesGene Expression ProfilingHumansMaleMiddle AgedMultiple MyelomaPrognosisSurvival RateBiomarkers, Tumor

Identifiers

PMID34007046
OpenAlexW3160525673

What OpenQuestion holds

Textmetadata
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.