Evidence map›Paper›PMID 37753930›Full record

ArticleThe American journal of gastroenterology2024

Achieving Value by Risk Stratification With Machine Learning Model or Clinical Risk Score in Acute Upper Gastrointestinal Bleeding: A Cost Minimization Analysis.

Dennis L Shung, John K Lin, Loren Laine

Open access · greenAbstract read
In one paragraph

Article in The American journal of gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 4 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

3 authors at 3 institutions in 2 countries.

Dennis L ShungSection of Digestive Diseases, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-8226-1842
John K LinDivision of Cancer Prevention and Population Sciences, Department of Health Services Research, University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA.ORCID 0000-0003-2490-4453
Loren LaineSection of Digestive Diseases, Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Fo Guang Shan · TWThe University of Texas MD Anderson Cancer Center · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Postdoctoral Training in Health Services ResearchT32HS026116 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI GROENEVELD, PETER W., WERNER, RACHEL M · 2018 to 2024
$3.8M
Deep Learning Approaches to Risk Stratification in Acute Gastrointestinal BleedingK23DK125718 · NIDDK · YALE UNIVERSITY · PI SHUNG, DENNIS · 2021 to 2025
$969k
Training in Healthcare Financing, Organization and Delivery for Aging PopulationsT32AG051090 · NIA · UNIVERSITY OF PENNSYLVANIA · PI PAULY, MARK, WERNER, RACHEL M · 2015 to 2019
$652k
AHRQ HHS T32 HS026116NCATS NIH HHS UL1 TR001863NIA NIH HHS T32 AG051090NIDDK NIH HHS K23 DK125718NIH HHS DK125718
6 · The paper itself

Abstract

introductionWe estimate the economic impact of applying risk assessment tools to identify very low-risk patients with upper gastrointestinal bleeding who can be safely discharged from the emergency department using a cost minimization analysis.

methodsWe compare triage strategies (Glasgow-Blatchford score = 0/0-1 or validated machine learning model) with usual care using a Markov chain model from a US health care payer perspective.

resultsOver 5 years, the Glasgow-Blatchford score triage strategy produced national cumulative savings over usual care of more than $2.7 billion and the machine learning strategy of more than $3.4 billion. DISCUSSION: Implementing risk assessment models for upper gastrointestinal bleeding reduces costs, thereby increasing value.

Indexed as

Gastrointestinal HemorrhageMachine LearningAcute DiseaseCosts and Cost AnalysisHumansRisk AssessmentRisk FactorsSeverity of Illness Index

Identifiers

PMID37753930
PMCPMC10872988
OpenAlexW4387077682

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.