Evidence map›Paper›PMID 36138035›Full record

ArticleScientific reports2022

Development of early prediction model for pregnancy-associated hypertension with graph-based semi-supervised learning.

Seung Mi Lee, Yonghyun Nam, Eun Saem Choi, Young Mi Jung, Vivek Sriram, Jacob S Leiby, Ja Nam Koo, Ig Hwan Oh, Byoung Jae Kim, Sun Min Kim and 10 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-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

7 citing papers in PubMed, 16 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

20 authors at 8 institutions in 2 countries.

Seung Mi Lee *Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Yonghyun Nam *Department of Biostatistics, Epidemiology and Informatics, The Perelman School of Medicine, University of Pennsylvania, B304 Richards Building, 3700 Hamilton Walk, Philadelphia, PA, 19104-6116, USA.
Eun Saem ChoiDepartment of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, South Korea.
Young Mi JungDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Vivek SriramDepartment of Biostatistics, Epidemiology and Informatics, The Perelman School of Medicine, University of Pennsylvania, B304 Richards Building, 3700 Hamilton Walk, Philadelphia, PA, 19104-6116, USA.
Jacob S LeibyDepartment of Biostatistics, Epidemiology and Informatics, The Perelman School of Medicine, University of Pennsylvania, B304 Richards Building, 3700 Hamilton Walk, Philadelphia, PA, 19104-6116, USA.
Ja Nam KooSeoul Women's Hospital, Incheon, South Korea.
Ig Hwan OhSeoul Women's Hospital, Incheon, South Korea.
Byoung Jae KimDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Sun Min KimDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Sang Youn KimDepartment of Radiology, Seoul National University College of Medicine, Seoul, South Korea.
Gyoung Min KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, South Korea.
Sae Kyung JooDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Sue ShinDepartment of Laboratory Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Errol R NorwitzDepartment of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, MA, USA.
Chan-Wook ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Jong Kwan JunDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea.
Won KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Dokyoon KimDepartment of Biostatistics, Epidemiology and Informatics, The Perelman School of Medicine, University of Pennsylvania, B304 Richards Building, 3700 Hamilton Walk, Philadelphia, PA, 19104-6116, USA. dokyoon.kim@pennmedicine.upenn.edu.
Joong Shin ParkDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, South Korea. jsparkmd@snu.ac.kr.
Seoul National University · KRSeoul National University Hospital · KRUniversity of Pennsylvania · USIncheon Medical Center · KRSeoul Metropolitan Government · KRSNUH SMG-SNU Boramae Medical Center · KRTufts University · USYonsei University · KR

Funding

Integrating Neuroimaging, Multi-omics, and Clinical Data in Complex DiseaseR01LM012535 · NLM · INDIANA UNIVERSITY INDIANAPOLIS · PI NHO, KWANGSIK TIMOTHY · 2017 to 2021
$1.7M
NLM NIH HHS R01 LM012535
6 · The paper itself

Abstract

Clinical guidelines recommend several risk factors to identify women in early pregnancy at high risk of developing pregnancy-associated hypertension. However, these variables result in low predictive accuracy. Here, we developed a prediction model for pregnancy-associated hypertension using graph-based semi-supervised learning. This is a secondary analysis of a prospective study of healthy pregnant women. To develop the prediction model, we compared the prediction performances across five machine learning methods (semi-supervised learning with both labeled and unlabeled data, semi-supervised learning with labeled data only, logistic regression, support vector machine, and random forest) using three different variable sets: [a] variables from clinical guidelines, [b] selected important variables from the feature selection, and [c] all routine variables. Additionally, the proposed prediction model was compared with placental growth factor, a predictive biomarker for pregnancy-associated hypertension. The study population consisted of 1404 women, including 1347 women with complete follow-up (labeled data) and 57 women with incomplete follow-up (unlabeled data). Among the 1347 with complete follow-up, 2.4% (33/1347) developed pregnancy-associated HTN. Graph-based semi-supervised learning using top 11 variables achieved the best average prediction performance (mean area under the curve (AUC) of 0.89 in training set and 0.81 in test set), with higher sensitivity (72.7% vs 45.5% in test set) and similar specificity (80.0% vs 80.5% in test set) compared to risk factors from clinical guidelines. In addition, our proposed model with graph-based SSL had a higher performance than that of placental growth factor for total study population (AUC, 0.71 vs. 0.80, p < 0.001). In conclusion, we could accurately predict the development pregnancy-associated hypertension in early pregnancy through the use of routine clinical variables with the help of graph-based SSL.

Indexed as

Hypertension, Pregnancy-InducedSupervised Machine LearningBiomarkersFemaleHumansPlacenta Growth FactorPregnancyProspective StudiesBiomarkersPlacenta Growth Factor

Identifiers

PMID36138035
PMCPMC9499925
OpenAlexW4296613528

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.