Evidence map›Paper›PMID 38879446›Full record

ArticleJournal of the American Heart Association2024

Improving the Detection of Potential Cases of Familial Hypercholesterolemia: Could Machine Learning Be Part of the Solution?

Christophe A T Stevens, Antonio J Vallejo-Vaz, Joana R Chora, Fotis Barkas, Julia Brandts, Alireza Mahani, Leila Abar, Mansour T A Sharabiani, Kausik K Ray

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 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
–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

4 citing papers in PubMed.

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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

9 authors.

Christophe A T StevensDepartment of Primary Care and Public Health School of Public Health, Imperial College London London United Kingdom.ORCID 0000-0002-7129-8524
Antonio J Vallejo-VazDepartment of Primary Care and Public Health School of Public Health, Imperial College London London United Kingdom.ORCID 0000-0001-7954-1253
Joana R ChoraNacional Institute of Health Dr. Ricardo Jorge Lisbon Portugal.ORCID 0000-0003-4942-1730
Fotis BarkasDepartment of Primary Care and Public Health School of Public Health, Imperial College London London United Kingdom.ORCID 0000-0002-5940-6895
Julia BrandtsDepartment of Primary Care and Public Health School of Public Health, Imperial College London London United Kingdom.ORCID 0000-0002-1141-1126
Alireza MahaniQuantitative Research Davidson Kempner Capital Management New York NY.
Leila AbarNational Institute of Cancer National Institute of Health Rockville MD.
Mansour T A SharabianiDepartment of Primary Care and Public Health School of Public Health, Imperial College London London United Kingdom.
Kausik K RayDepartment of Primary Care and Public Health School of Public Health, Imperial College London London United Kingdom.ORCID 0000-0002-7166-060X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamilial hypercholesterolemia (FH), while highly prevalent, is a significantly underdiagnosed monogenic disorder. Improved detection could reduce the large number of cardiovascular events attributable to poor case finding. We aimed to assess whether machine learning algorithms outperform clinical diagnostic criteria (signs, history, and biomarkers) and the recommended screening criteria in the United Kingdom in identifying individuals with FH-causing variants, presenting a scalable screening criteria for general populations. METHODS AND

resultsAnalysis included UK Biobank participants with whole exome sequencing, classifying them as having FH when (likely) pathogenic variants were detected in their

conclusionsOur machine learning-derived model provides a higher pretest probability of identifying individuals with a molecular diagnosis of FH compared with current approaches. This provides a promising, cost-effective scalable tool for implementation into electronic health records to prioritize potential FH cases for genetic confirmation.

Indexed as

Apolipoprotein B-100Hyperlipoproteinemia Type IIMachine LearningProprotein Convertase 9AdultExome SequencingFemaleGenetic Predisposition to DiseaseGenetic TestingHumansMaleMiddle AgedMutationPredictive Value of TestsReceptors, LDLUnited KingdomAPOB protein, humanApolipoprotein B-100LDLR protein, humanPCSK9 protein, humanProprotein Convertase 9Receptors, LDLcardiovascular disease preventionfamilial hypercholesterolemiageneticmachine learningscreening

Identifiers

PMID38879446
PMCPMC11255759

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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.