Evidence map›Paper›PMID 38435084›Full record

ArticleProceedings of machine learning research2023

Continuous-Time Decision Transformer for Healthcare Applications.

Zhiyue Zhang, Hongyuan Mei, Yanxun Xu

Abstract read
In one paragraph

Article in Proceedings of machine learning research, 2023. 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
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Diffusion Policies with Offline and Inverse Reinforcement Learning for Promoting Physical Activity in Older Adults Using Wearable Sensors.Proceedings of the ... International Conference on Machine Learning and Applications. International Conference on Machine Learning and Applications · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Advances in neural information processing systems · 2024
    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

3 authors.

Zhiyue ZhangJohns Hopkins University.
Hongyuan MeiToyota Technological Institute at Chicago.
Yanxun XuJohns Hopkins University.

Funding

Bayesian Methods for Optimizing Combination Antiretroviral Therapy for Mentalhealth in People with HIVR01MH128085 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Yanxun Xu · 2022 to 2026
$2.0M
NIMH NIH HHS R01 MH128085
6 · The paper itself

Abstract

Offline reinforcement learning (RL) is a promising approach for training intelligent medical agents to learn treatment policies and assist decision making in many healthcare applications, such as scheduling clinical visits and assigning dosages for patients with chronic conditions. In this paper, we investigate the potential usefulness of Decision Transformer (Chen et al., 2021)-a new offline RL paradigm-in medical domains where decision making in continuous time is desired. As Decision Transformer only handles discrete-time (or turn-based) sequential decision making scenarios, we generalize it to Continuous-Time Decision Transformer that not only considers the past clinical measurements and treatments but also the timings of previous visits, and learns to suggest the timings of future visits as well as the treatment plan at each visit. Extensive experiments on synthetic datasets and simulators motivated by real-world medical applications demonstrate that Continuous-Time Decision Transformer is able to outperform competitors and has clinical utility in terms of improving patients' health and prolonging their survival by learning high-performance policies from logged data generated using policies of different levels of quality.

Identifiers

PMID38435084
PMCPMC10907982

What OpenQuestion holds

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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.