Evidence map›Paper›PMID 35755008›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Validation of a machine learning approach to estimate expanded disability status scale scores for multiple sclerosis.

Pedro Alves, Eric Green, Michelle Leavy, Haley Friedler, Gary Curhan, Carl Marci, Costas Boussios

Abstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

  1. Article
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  5. Review
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  11. Reply to Letter to the Editor: Machine learning to deal with missing disability status.Multiple sclerosis journal - experimental, translational and clinical
    Article
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.

Pedro AlvesData Science, OM1, Inc., Boston, MA, USA.
Eric GreenData Science, OM1, Inc., Boston, MA, USA.
Michelle LeavyResearch, OM1, Inc., Boston, MA, USA.ORCID https://orcid.org/0000-0003-1927-7248
Haley FriedlerResearch, OM1, Inc., Boston, MA, USA.ORCID https://orcid.org/0000-0003-4383-100X
Gary CurhanResearch, OM1, Inc., Boston, MA, USA.
Carl MarciMental Health and Neuroscience, OM1, Inc., Boston, MA, USA.
Costas BoussiosData Science, OM1, Inc., Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Disability assessment using the Expanded Disability Status Scale (EDSS) is important to inform treatment decisions and monitor the progression of multiple sclerosis. Yet, EDSS scores are documented infrequently in electronic medical records. Objective: To validate a machine learning model to estimate EDSS scores for multiple sclerosis patients using clinical notes from neurologists. Methods: A machine learning model was developed to estimate EDSS scores on specific encounter dates using clinical notes from neurologist visits. The OM1 MS Registry data were used to create a training cohort of 2632 encounters and a separate validation cohort of 857 encounters, all with clinician-recorded EDSS scores. Model performance was assessed using the area under the receiver-operating-characteristic curve (AUC), positive predictive value (PPV), and negative predictive value (NPV), calculated using a binarized version of the outcome. The Spearman Results: The model had a PPV of 0.85, NPV of 0.85, and AUC of 0.91. The model had a Spearman Conclusion: EDSS scores can be estimated with very good performance using a machine learning model applied to clinical notes, thus increasing the utility of real-world data sources for research purposes.

Indexed as

disability evaluationhealth services researchmachine learningMultiple sclerosisoutcome assessmentregistries

Identifiers

PMID35755008
PMCPMC9228644

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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.