Evidence map›Paper›PMID 35250868›Full record

ArticleFrontiers in endocrinology2022

Machine Learning for Outcome Prediction in First-Line Surgery of Prolactinomas.

Markus Huber, Markus M Luedi, Gerrit A Schubert, Christian Musahl, Angelo Tortora, Janine Frey, Jürgen Beck, Luigi Mariani, Emanuel Christ, Lukas Andereggen

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 19 citations in OpenAlex.

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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

10 authors at 5 institutions in 2 countries.

Markus HuberDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Markus M LuediDepartment of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Gerrit A SchubertDepartment of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
Christian MusahlDepartment of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
Angelo TortoraDepartment of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
Janine FreyDepartment of Gynecology and Obstetrics, Kantonsspital Lucerne, Lucerne, Switzerland.
Jürgen BeckDepartment of Neurosurgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Luigi MarianiDepartment of Neurosurgery, University Hospital of Basel, Basel, Switzerland.
Emanuel ChristDepartment of Endocrinology, Diabetes and Metabolism, University Hospital of Basel, Basel, Switzerland.
Lukas AndereggenDepartment of Neurosurgery, Kantonsspital Aarau, Aarau, Switzerland.
Kantonsspital Aarau · CHUniversity of Bern · CHUniversity Hospital of Basel · CHLuzerner Kantonsspital · CHUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFirst-line surgery for prolactinomas has gained increasing acceptance, but the indication still remains controversial. Thus, accurate prediction of unfavorable outcomes after upfront surgery in prolactinoma patients is critical for the triage of therapy and for interdisciplinary decision-making.

objectiveTo evaluate whether contemporary machine learning (ML) methods can facilitate this crucial prediction task in a large cohort of prolactinoma patients with first-line surgery, we investigated the performance of various classes of supervised classification algorithms. The primary endpoint was ML-applied risk prediction of long-term dopamine agonist (DA) dependency. The secondary outcome was the prediction of the early and long-term control of hyperprolactinemia.

methodsBy jointly examining two independent performance metrics - the area under the receiver operating characteristic (AUROC) and the Matthews correlation coefficient (MCC) - in combination with a stacked

resultsWe demonstrate that for upfront surgery in prolactinoma patients there are not a

conclusionsThis study highlights the performance benefits of combining a diverse set of classification algorithms to predict the outcome of first-line surgery in prolactinoma patients. We demonstrate the added benefit of considering two performance metrics jointly to assess the discrimination capacity of a diverse set of classifiers.

Indexed as

HyperprolactinemiaPituitary NeoplasmsProlactinomaDopamine AgonistsHumansMachine LearningDopamine Agonistsdopamine agonistslong-term outcomemachine learningprediction modelingprimary surgical therapyprolactinoma

Identifiers

PMID35250868
PMCPMC8888454
OpenAlexW4213150448

What OpenQuestion holds

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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.