Evidence map›Paper›PMID 37316853›Full record

ArticleCardiovascular diabetology2023

Machine learning-based models to predict one-year mortality among Chinese older patients with coronary artery disease combined with impaired glucose tolerance or diabetes mellitus.

Yan Li, Lixun Guan, Chaoxue Ning, Pei Zhang, Yali Zhao, Qiong Liu, Ping Ping, Shihui Fu

Open access · goldFull text read
In one paragraph

Article in Cardiovascular diabetology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 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

8 authors at 5 institutions in 2 countries.

Yan Li *Department of Endocrinology, People's Hospital of Macheng City, Hubei, China.
Lixun Guan *Hematology Department, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China.
Chaoxue Ning *Central Laboratory, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China.
Pei Zhang *School of Life Science, Beijing Institute of Technology, Beijing, China.
Yali ZhaoCentral Laboratory, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China. zhaoyl301@163.com.
Qiong LiuMedical Care Center, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China. liuqiong301hp@126.com.
Ping PingGeneral Station for Drug and Instrument Supervision and Control, Joint Logistic Support Force of Chinese People's Liberation Army, Beijing, China. pingping301@126.com.
Shihui FuDepartment of Cardiology, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China. xiaoxiao091@126.com.
Hainan 301 Hospital · CNBeijing Institute of Technology · CNChinese People's Liberation Army · CNChinese PLA General Hospital · CNZoucheng People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAn accurate prediction of survival prognosis is beneficial to guide clinical decision-making. This prospective study aimed to develop a model to predict one-year mortality among older patients with coronary artery disease (CAD) combined with impaired glucose tolerance (IGT) or diabetes mellitus (DM) using machine learning techniques.

methodsA total of 451 patients with CAD combined with IGT and DM were finally enrolled, and those patients randomly split 70:30 into training cohort (n = 308) and validation cohort (n = 143).

resultsThe one-year mortality was 26.83%. The least absolute shrinkage and selection operator (LASSO) method and ten-fold cross-validation identified that seven characteristics were significantly associated with one-year mortality with creatine, N-terminal pro-B-type natriuretic peptide (NT-proBNP), and chronic heart failure being risk factors and hemoglobin, high density lipoprotein cholesterol, albumin, and statins being protective factors. The gradient boosting machine model outperformed other models in terms of Brier score (0.114) and area under the curve (0.836). The gradient boosting machine model also showed favorable calibration and clinical usefulness based on calibration curve and clinical decision curve. The Shapley Additive exPlanations (SHAP) found that the top three features associated with one-year mortality were NT-proBNP, albumin, and statins. The web-based application could be available at https://starxueshu-online-application1-year-mortality-main-49cye8.streamlitapp.com/ .

conclusionsThis study proposes an accurate model to stratify patients with a high risk of one-year mortality. The gradient boosting machine model demonstrates promising prediction performance. Some interventions to affect NT-proBNP and albumin levels, and statins, are beneficial to improve survival outcome among patients with CAD combined with IGT or DM.

Indexed as

Coronary Artery DiseaseDiabetes MellitusGlucose IntoleranceHydroxymethylglutaryl-CoA Reductase InhibitorsAlbuminsEast Asian PeopleHumansMachine LearningProspective StudiesAlbuminsHydroxymethylglutaryl-CoA Reductase InhibitorsCoronary artery diseaseDiabetes mellitusImpaired glucose toleranceMachine learning techniquesOlder patientsOne-year mortality

Identifiers

PMID37316853
PMCPMC10268354
OpenAlexW4380684090

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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.