Evidence map›Paper›PMID 34199892›Full record

ArticleJournal of cardiovascular development and disease2021

Machine Learning for Predicting Mortality in Transcatheter Aortic Valve Implantation: An Inter-Center Cross Validation Study.

Marco Mamprin, Ricardo R Lopes, Jo M Zelis, Pim A L Tonino, Martijn S van Mourik, Marije M Vis, Svitlana Zinger, Bas A J M de Mol, Peter H N de With

Abstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 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

9 authors.

Marco MamprinDepartment of Electrical Engineering, Eindhoven University of Technology, 5612 AE Eindhoven, The Netherlands.ORCID 0000-0002-9366-4353
Ricardo R LopesDepartment of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0001-5515-1488
Jo M ZelisDepartment of Cardiology, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.ORCID 0000-0003-2110-4901
Pim A L ToninoDepartment of Cardiology, Catharina Hospital, 5623 EJ Eindhoven, The Netherlands.
Martijn S van MourikHeart Centre, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0001-8994-8946
Marije M VisHeart Centre, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Svitlana ZingerDepartment of Electrical Engineering, Eindhoven University of Technology, 5612 AE Eindhoven, The Netherlands.
Bas A J M de MolHeart Centre, Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Peter H N de WithDepartment of Electrical Engineering, Eindhoven University of Technology, 5612 AE Eindhoven, The Netherlands.

Funding

ITEA3 16017
6 · The paper itself

Abstract

Current prognostic risk scores for transcatheter aortic valve implantation (TAVI) do not benefit yet from modern machine learning techniques, which can improve risk stratification of one-year mortality of patients before TAVI. Despite the advancement of machine learning in healthcare, data sharing regulations are very strict and typically prevent exchanging patient data, without the involvement of ethical committees. A very robust validation approach, including 1300 and 631 patients per center, was performed to validate a machine learning model of one center at the other external center with their data, in a mutual fashion. This was achieved without any data exchange but solely by exchanging the models and the data processing pipelines. A dedicated exchange protocol was designed to evaluate and quantify the model's robustness on the data of the external center. Models developed with the larger dataset offered similar or higher prediction accuracy on the external validation. Logistic regression, random forest and CatBoost lead to areas under curve of the ROC of 0.65, 0.67 and 0.65 for the internal validation and of 0.62, 0.66, 0.68 for the external validation, respectively. We propose a scalable exchange protocol which can be further extended on other TAVI centers, but more generally to any other clinical scenario, that could benefit from this validation approach.

Indexed as

aortic valve diseaseinter-center cross-validationmachine learningone-year mortality predictionoutcome predictionprognosisTAVItranscatheter aortic valve implantation

Identifiers

PMID34199892
PMCPMC8227005

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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.