Evidence map›Paper›PMID 36713604›Full record

ArticleEuropean heart journal. Digital health2021

Development of an accessible 10-year Digital CArdioVAscular (DiCAVA) risk assessment: a UK Biobank study.

Nikola Dolezalova, Angus B Reed, Aleksa Despotovic, Bernard Dillon Obika, Davide Morelli, Mert Aral, David Plans

Abstract read
In one paragraph

Article in European heart journal. Digital health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. A digital tool for self-reporting cardiovascular risk factors: The RADICAL study.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Article
  7. Observational
  8. Adopting artificial intelligence in cardiovascular medicine: a scoping review.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. 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.

Nikola DolezalovaDepartment of Research and Development, Huma Therapeutics Limited, Millbank Tower, 21-24 Millbank, London SW1P 4QP, UK.
Angus B ReedDepartment of Research and Development, Huma Therapeutics Limited, Millbank Tower, 21-24 Millbank, London SW1P 4QP, UK.
Aleksa DespotovicDepartment of Research and Development, Huma Therapeutics Limited, Millbank Tower, 21-24 Millbank, London SW1P 4QP, UK.
Bernard Dillon ObikaDepartment of Research and Development, Huma Therapeutics Limited, Millbank Tower, 21-24 Millbank, London SW1P 4QP, UK.
Davide MorelliDepartment of Research and Development, Huma Therapeutics Limited, Millbank Tower, 21-24 Millbank, London SW1P 4QP, UK.
Mert AralDepartment of Research and Development, Huma Therapeutics Limited, Millbank Tower, 21-24 Millbank, London SW1P 4QP, UK.
David PlansDepartment of Research and Development, Huma Therapeutics Limited, Millbank Tower, 21-24 Millbank, London SW1P 4QP, UK.ORCID https://orcid.org/0000-0002-0476-3342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Cardiovascular diseases (CVDs) are among the leading causes of death worldwide. Predictive scores providing personalized risk of developing CVD are increasingly used in clinical practice. Most scores, however, utilize a homogenous set of features and require the presence of a physician. The aim was to develop a new risk model (DiCAVA) using statistical and machine learning techniques that could be applied in a remote setting. A secondary goal was to identify new patient-centric variables that could be incorporated into CVD risk assessments. Methods and results: Across 466 052 participants, Cox proportional hazards (CPH) and DeepSurv models were trained using 608 variables derived from the UK Biobank to investigate the 10-year risk of developing a CVD. Data-driven feature selection reduced the number of features to 47, after which reduced models were trained. Both models were compared to the Framingham score. The reduced CPH model achieved a c-index of 0.7443, whereas DeepSurv achieved a c-index of 0.7446. Both CPH and DeepSurv were superior in determining the CVD risk compared to Framingham score. Minimal difference was observed when cholesterol and blood pressure were excluded from the models (CPH: 0.741, DeepSurv: 0.739). The models show very good calibration and discrimination on the test data. Conclusion: We developed a cardiovascular risk model that has very good predictive capacity and encompasses new variables. The score could be incorporated into clinical practice and utilized in a remote setting, without the need of including cholesterol. Future studies will focus on external validation across heterogeneous samples.

Indexed as

Cardiovascular diseaseLifestyleMachine learningPredictionRisk modelling

Identifiers

PMID36713604
PMCPMC9707906

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.