Evidence map›Paper›PMID 35181700›Full record

Observational studyScientific reports2022

Dynamic personalized risk prediction in chronic heart failure patients: a longitudinal, clinical investigation of 92 biomarkers (Bio-SHiFT study).

Dominika Klimczak-Tomaniak, Marie de Bakker, Elke Bouwens, K Martijn Akkerhuis, Sara Baart, Dimitris Rizopoulos, Henk Mouthaan, Jan van Ramshorst, Tjeerd Germans, Alina Constantinescu and 4 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01851538 (Serial Biomarker Measurements and New Echocardiographic Techniques in Chronic Heart Failure Patients Result in Tailored Prediction of Prognosis), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

NCT01851538 completednot on this map

Serial Biomarker Measurements and New Echocardiographic Techniques in Chronic Heart Failure Patients Result in Tailored Prediction of Prognosis

TypeobservationalSponsorErasmus Medical CenterRan2011 to 2020Enrolled398ConditionsHeart FailureArmsObservational study, no intervention.
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Article
  9. Clinical Insights from Proteomics in Heart Failure.Current heart failure reports · 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

14 authors.

Dominika Klimczak-TomaniakDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Marie de BakkerDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Elke BouwensDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
K Martijn AkkerhuisDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Sara BaartDepartment of Biostatistics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Dimitris RizopoulosDepartment of Biostatistics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Henk MouthaanOlink Proteomics AB, Uppsala, Sweden.
Jan van RamshorstDepartment of Cardiology, Northwest Clinics, Alkmaar, The Netherlands.
Tjeerd GermansDepartment of Cardiology, Northwest Clinics, Alkmaar, The Netherlands.
Alina ConstantinescuDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Olivier ManintveldDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Victor UmansDepartment of Cardiology, Northwest Clinics, Alkmaar, The Netherlands.
Eric BoersmaDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Isabella KardysDepartment of Cardiology, Erasmus MC, University Medical Center Rotterdam, Room NA-316, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands. i.kardys@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of our observational study was to derive a small set out of 92 repeatedly measured biomarkers with optimal predictive capacity for adverse clinical events in heart failure, which could be used for dynamic, individual risk assessment in clinical practice. In 250 chronic HFrEF (CHF) patients, we collected trimonthly blood samples during a median of 2.2 years. We selected 537 samples for repeated measurement of 92 biomarkers with the Cardiovascular Panel III (Olink Proteomics AB). We applied Least Absolute Shrinkage and Selection Operator (LASSO) penalization to select the optimal set of predictors of the primary endpoint (PE). The association between repeatedly measured levels of selected biomarkers and the PE was evaluated by multivariable joint models (mvJM) with stratified fivefold cross validation of the area under the curve (cvAUC). The PE occurred in 66(27%) patients. The optimal set of biomarkers selected by LASSO included 9 proteins: NT-proBNP, ST2, vWF, FABP4, IGFBP-1, PAI-1, PON-3, transferrin receptor protein-1, and chitotriosidase-1, that yielded a cvAUC of 0.88, outperforming the discriminative ability of models consisting of standard biomarkers (NT-proBNP, hs-TnT, eGFR clinically adjusted) - 0.82 and performing equally well as an extended literature-based set of acknowledged biomarkers (NT-proBNP, hs-TnT, hs-CRP, GDF-15, ST2, PAI-1, Galectin 3) - 0.88. Nine out of 92 serially measured circulating proteins provided a multivariable model for adverse clinical events in CHF patients with high discriminative ability. These proteins reflect wall stress, remodelling, endothelial dysfunction, iron deficiency, haemostasis/fibrinolysis and innate immunity activation. A panel containing these proteins could contribute to dynamic, personalized risk assessment.Clinical Trial Registration: 10/05/2013 https://clinicaltrials.gov/ct2/show/NCT01851538?term=nCT01851538&draw=2&rank=1 .

Indexed as

Precision MedicineAgedAntigens, CDAryldialkylphosphataseBiomarkersChronic DiseaseFatty Acid-Binding ProteinsFemaleGalectin 3Growth Differentiation Factor 15Heart FailureHexosaminidasesHumansImmunity, InnateInsulin-Like Growth Factor Binding Protein 1Interleukin-1 Receptor-Like 1 ProteinAntigens, CDAryldialkylphosphataseBiomarkersCD71 antigenchitotriosidaseFABP4 protein, humanFatty Acid-Binding ProteinsGalectin 3Growth Differentiation Factor 15HexosaminidasesIL1RL1 protein, humanInsulin-Like Growth Factor Binding Protein 1Interleukin-1 Receptor-Like 1 ProteinNatriuretic Peptide, BrainPeptide FragmentsPlasminogen Activator Inhibitor 1PON3 protein, humanpro-brain natriuretic peptide (1-76)Receptors, Transferrin

Identifiers

PMID35181700
PMCPMC8857321

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Registered trials

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.