Evidence map›Paper›PMID 35887611›Full record

ArticleJournal of personalized medicine2022

Revisiting the Risk Factors for Endometriosis: A Machine Learning Approach.

Ido Blass, Tali Sahar, Adi Shraibman, Dan Ofer, Nadav Rappoport, Michal Linial

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 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

6 authors at 4 institutions in 2 countries.

Ido BlassThe Rachel and Selim Benin School of Computer Science and Engineering, The Hebrew University of Jerusalem, Jerusalem 91904, Israel.
Tali SaharAlan Edwards Pain Management Unit, McGill University Health Centre, Montreal, QC H3G 1A4, Canada.
Adi ShraibmanDepartment of Computer Science, The Academic College of Tel Aviv-Yaffo, Tel Aviv 69978, Israel.
Dan OferDepartment of Software and Information Systems Engineering, Faculty of Engineering Sciences, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel.ORCID 0000-0001-5136-8014
Nadav RappoportDepartment of Biological Chemistry, Institute of Life Sciences, The Hebrew University of Jerusalem, Jerusalem 91904, Israel.ORCID 0000-0002-7218-2558
Michal LinialDepartment of Software and Information Systems Engineering, Faculty of Engineering Sciences, Ben-Gurion University of the Negev, Be'er Sheva 84105, Israel.ORCID 0000-0002-9357-4526
Ben-Gurion University of the Negev · ILHebrew University of Jerusalem · ILAcademic College of Tel Aviv-Yafo · ILMcGill University Health Centre · CA

Funding

Israel Science Foundation 2753/20Medical Research Council MC_PC_17228Medical Research Council MC_QA137853The Louise and Alan Edwards Foundation 2021
6 · The paper itself

Abstract

Endometriosis is a condition characterized by implants of endometrial tissues into extrauterine sites, mostly within the pelvic peritoneum. The prevalence of endometriosis is under-diagnosed and is estimated to account for 5-10% of all women of reproductive age. The goal of this study was to develop a model for endometriosis based on the UK-biobank (UKB) and re-assess the contribution of known risk factors to endometriosis. We partitioned the data into those diagnosed with endometriosis (5924; ICD-10: N80) and a control group (142,723). We included over 1000 variables from the UKB covering personal information about female health, lifestyle, self-reported data, genetic variants, and medical history prior to endometriosis diagnosis. We applied machine learning algorithms to train an endometriosis prediction model. The optimal prediction was achieved with the gradient boosting algorithms of CatBoost for the data-combined model with an area under the ROC curve (ROC-AUC) of 0.81. The same results were obtained for women from a mixed ethnicity population of the UKB (7112; ICD-10: N80). We discovered that, prior to being diagnosed with endometriosis, affected women had significantly more ICD-10 diagnoses than the average unaffected woman. We used SHAP, an explainable AI tool, to estimate the marginal impact of a feature, given all other features. The informative features ranked by SHAP values included irritable bowel syndrome (IBS) and the length of the menstrual cycle. We conclude that the rich population-based retrospective data from the UKB are valuable for developing unified machine learning endometriosis models despite the limitations of missing data, noisy medical input, and participant age. The informative features of the model may improve clinical utility for endometriosis diagnosis.

Indexed as

CatBoostfeatures engineeringmachine learningpelvic painUK-Biobankwomen’s health

Identifiers

PMID35887611
PMCPMC9317820
OpenAlexW4284891101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.