Evidence map›Paper›PMID 34556746›Full record

ArticleScientific reports2021

Predicting medication adherence using ensemble learning and deep learning models with large scale healthcare data.

Yingqi Gu, Akshay Zalkikar, Mingming Liu, Lara Kelly, Amy Hall, Kieran Daly, Tomas Ward

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Multimodal Sensing and Modeling of Endocrine Therapy Adherence in Breast Cancer Survivors.Proceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies · 2025
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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

7 authors.

Yingqi GuThe Insight Centre for Data Analytics, Dublin City University, Dublin 9, Ireland.
Akshay ZalkikarHealthBeacon Ltd, Dublin, Ireland.
Mingming LiuThe Insight Centre for Data Analytics, Dublin City University, Dublin 9, Ireland. mingming.liu@dcu.ie.
Lara KellyHealthBeacon Ltd, Dublin, Ireland.
Amy HallThe Insight Centre for Data Analytics, Dublin City University, Dublin 9, Ireland.
Kieran DalyHealthBeacon Ltd, Dublin, Ireland.
Tomas WardThe Insight Centre for Data Analytics, Dublin City University, Dublin 9, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical studies from WHO have demonstrated that only 50-70% of patients adhere properly to prescribed drug therapy. Such adherence failure can impact therapeutic efficacy for the patients in question and compromises data quality around the population-level efficacy of the drug for the indications targeted. In this study, we applied various ensemble learning and deep learning models to predict medication adherence among patients. Our contribution to this endeavour involves targeting the problem of adherence prediction for a particularly challenging class of patients who self-administer injectable medication at home. Our prediction pipeline, based on event history, comprises a connected sharps bin which aims to help patients better manage their condition and improve outcomes. In other words, the efficiency of interventions can be significantly improved by prioritizing the patients who are most likely to be non-adherent. The collected data comprising a rich event feature set may be exploited for the purposes of predicting the status of the next adherence state for individual patients. This paper reports on how this concept can be realized through an investigation using a wide range of ensemble learning and deep learning models on a real-world dataset collected from such a system. The dataset investigated comprises 342,174 historic injection disposal records collected over the course of more than 5 years. A comprehensive comparison of different models is given in this paper. Moreover, we demonstrate that the selected best performer, long short-term memory (LSTM), generalizes well by deploying it in a true future testing dataset. The proposed end-to-end pipeline is capable of predicting patient failure in adhering to their therapeutic regimen with 77.35 % accuracy (Specificity: 78.28 %, Sensitivity: 76.42%, Precision: 77.87%,F1 score: 0.7714, ROC AUC: 0.8390).

Indexed as

Deep LearningDrug MonitoringDatasets as TopicForecastingHumans

Identifiers

PMID34556746
PMCPMC8460813

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LicenceCC BY
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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.