Evidence map›Paper›PMID 34075353›Full record

ArticleJAMIA open2021

Machine learning-based prediction of health outcomes in pediatric organ transplantation recipients.

Michael O Killian, Seyedeh Neelufar Payrovnaziri, Dipankar Gupta, Dev Desai, Zhe He

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in JAMIA open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Michael O KillianCollege of Social Work, Florida State University, Florida, USA.ORCID https://orcid.org/0000-0002-2287-9007
Seyedeh Neelufar PayrovnaziriSchool of Information, College of Communication and Information, Florida State University, Florida, USA.
Dipankar GuptaCongenital Heart Center, Shands Children's Hospital, University of Florida, Florida, USA.ORCID https://orcid.org/0000-0003-0143-7143
Dev DesaiUniversity of Texas Southwestern School of Medicine, Texas, USA.
Zhe HeSchool of Information, College of Communication and Information, Florida State University, Florida, USA.ORCID https://orcid.org/0000-0003-3608-0244
Florida State University · USThe University of Texas Southwestern Medical Center · USUF Health Shands Hospital · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Prediction of Health Outcomes and Adverse Events in Pediatric Organ Transplantation in FloridaR21LM013911 · NLM · FLORIDA STATE UNIVERSITY · PI HE, ZHE, KILLIAN, MICHAEL · 2022 to 2023
$395k
NCATS NIH HHS UL1 TR001427NLM NIH HHS R21 LM013911
6 · The paper itself

Abstract

objectivesPrediction of post-transplant health outcomes and identification of key factors remain important issues for pediatric transplant teams and researchers. Outcomes research has generally relied on general linear modeling or similar techniques offering limited predictive validity. Thus far, data-driven modeling and machine learning (ML) approaches have had limited application and success in pediatric transplant outcomes research. The purpose of the current study was to examine ML models predicting post-transplant hospitalization in a sample of pediatric kidney, liver, and heart transplant recipients from a large solid organ transplant program. MATERIALS AND

methodsVarious logistic regression, naive Bayes, support vector machine, and deep learning (DL) methods were used to predict 1-, 3-, and 5-year post-transplant hospitalization using patient and administrative data from a large pediatric organ transplant center.

resultsDL models generally outperformed traditional ML models across organtypes and prediction windows with area under the receiver operating characteristic curve values ranging from 0.750 to 0.851. Shapley additive explanations (SHAP) were used to increase the interpretability of DL model results. Various medical, patient, and social variables were identified as salient predictors across organ types. DISCUSSION: Results demonstrate the utility of DL modeling for health outcome prediction with pediatric patients, and its use represents an important development in the prediction of post-transplant outcomes in pediatric transplantation compared to prior research.

conclusionResults point to DL models as potentially useful tools in decision-support systems assisting physicians and transplant teams in identifying patients at a greater risk for poor post-transplant outcomes.

Indexed as

machine learningpediatric organ transplantationunited network for organ sharingUNOS

Identifiers

PMID34075353
PMCPMC7952224
OpenAlexW3136076121

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.