Evidence map›Paper›PMID 34135637›Full record

ArticleClinical epidemiology2021

Cardiovascular Disease Prediction by Machine Learning Algorithms Based on Cytokines in Kazakhs of China.

Yunxing Jiang, Xianghui Zhang, Rulin Ma, Xinping Wang, Jiaming Liu, Mulatibieke Keerman, Yizhong Yan, Jiaolong Ma, Yanpeng Song, Jingyu Zhang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Clinical epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  15. Systemic lupus erythematosus with high disease activity identification based on machine learning.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
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  20. Predicting the Physician's Specialty Using a Medical Prescription Database.Computational and mathematical methods in medicine · 2022
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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 1 institution in 1 country.

Yunxing Jiang *Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Xianghui Zhang *Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Rulin MaDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Xinping WangDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Jiaming LiuDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Mulatibieke KeermanDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Yizhong YanDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Jiaolong MaDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Yanpeng SongDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Jingyu ZhangDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.ORCID 0000-0001-6836-2225
Jia HeDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Shuxia GuoDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.ORCID 0000-0002-8139-2813
Heng GuoDepartment of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, People's Republic of China.
Shihezi University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) is the leading cause of mortality worldwide. Accurately identifying subjects at high-risk of CVD may improve CVD outcomes. We sought to systematically examine the feasibility and performance of 7 widely used machine learning (ML) algorithms in predicting CVD risks.

methodsThe final analysis included 1508 Kazakh subjects in China without CVD at baseline who completed follow-up. All subjects were randomly divided into the training set (80%) and the test set (20%). L1-penalized logistic regression (LR), support vector machine with radial basis function (SVM), decision tree (DT), random forest (RF), k-nearest neighbors (KNN), Gaussian naive Bayes (NB), and extreme gradient boosting (XGB) were employed for prediction CVD outcomes. Ten-fold cross-validation was used during model developing and hyperparameters tuning in the training set. Model performance was evaluated in the test set in light of discrimination, calibration, and clinical usefulness. RF was applied to obtain the variable importance of included variables. Twenty-two variables, including sociodemographic characteristics, medical history, cytokines, and synthetic indices, were used for model development.

resultsAmong 1508 subjects, 203 were diagnosed with CVD over a median follow-up of 5.17 years. All 7 models had moderate to excellent discrimination (AUC ranged from 0.770 to 0.872) and were well calibrated. LR and SVM performed identically with an AUC of 0.872 (95% CI: 0.829-0.907) and 0.868 (95% CI: 0.825-0.904), respectively. LR had the lowest Brier score (0.078) and the highest sensitivity (97.1%). Decision curve analysis indicated that SVM was slightly better than LR. The inflammatory cytokines, such as hs-CRP and IL-6, were identified as strong predictors of CVD.

conclusionSVM and LR can be applied to guide clinical decision-making in the Kazakh Chinese population, and further study is required to ensure their accuracies.

Indexed as

cardiovascular diseaseKazakh populationmachine learningprediction model

Identifiers

PMID34135637
PMCPMC8200454
OpenAlexW3169302078

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.