Evidence map›Paper›PMID 38879852›Full record

ArticleArchives of toxicology2024

Development and validation of an automatic machine learning model to predict abnormal increase of transaminase in valproic acid-treated epilepsy.

Hongying Ma, Sihui Huang, Fengxin Li, Zicheng Pang, Jian Luo, Danfeng Sun, Junsong Liu, Zhuoming Chen, Jian Qu, Qiang Qu

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Archives of toxicology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Article
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  3. Machine-learning methods for epilepsy diagnosis and therapeutic prevention: advances, setbacks, and opportunities.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

10 authors.

Hongying Ma *Department of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Sihui Huang *Department of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Fengxin LiDepartment of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Zicheng PangDepartment of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Jian LuoDepartment of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Danfeng SunDepartment of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Junsong LiuDepartment of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Zhuoming ChenDepartment of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China.
Jian QuDepartment of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, 410013, China.
Qiang QuDepartment of Pharmacy, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, China. quqiang@csu.edu.cn.ORCID 0000-0002-1661-3261

Funding

Degree & Postgraduate Education Reform Project of Central South University 2023JGB123Degree & Postgraduate Education Reform Project of Central South University 2024ALK024Degree & Postgraduate Education Reform Project of Central South University 2024JGB061Health Commission of Hunan Province 202113010170National Natural Science Foundation of China 82073944Natural Science Foundation of Changsha kq2202386Natural Science Foundation of Hunan Province 2022JJ30834Natural Science Foundation of Hunan Province 2022JJ80119Natural Science Foundation of Hunan Province 2023JJ60517
6 · The paper itself

Abstract

Valproic acid (VPA) is a primary medication for epilepsy, yet its hepatotoxicity consistently raises concerns among individuals. This study aims to establish an automated machine learning (autoML) model for forecasting the risk of abnormal increase of transaminase levels while undergoing VPA therapy for 1995 epilepsy patients. The study employed the two-tailed T test, Chi-square test, and binary logistic regression analysis, selecting six clinical parameters, including age, stature, leukocyte count, Total Bilirubin, oral dosage of VPA, and VPA concentration. These variables were used to build a risk prediction model using "H2O" autoML platform, achieving the best performance (AUC training = 0.855, AUC test = 0.789) in the training and testing data set. The model also exhibited robust accuracy (AUC valid = 0.742) in an external validation set, underscoring its credibility in anticipating VPA-induced transaminase abnormalities. The significance of the six variables was elucidated through importance ranking, partial dependence, and the TreeSHAP algorithm. This novel model offers enhanced versatility and explicability, rendering it suitable for clinicians seeking to refine parameter adjustments and address imbalanced data sets, thereby bolstering classification precision. To summarize, the personalized prediction model for VPA-treated epilepsy, established with an autoML model, displayed commendable predictive capability, furnishing clinicians with valuable insights for fostering pharmacovigilance.

Indexed as

AnticonvulsantsEpilepsyMachine LearningValproic AcidAdolescentAdultAgedChemical and Drug Induced Liver InjuryChildChild, PreschoolFemaleHumansMaleMiddle AgedTransaminasesYoung AdultAnticonvulsantsTransaminasesValproic AcidAbnormal increase of transaminaseAutomatic machine learningEpilepsyValproic acid

Identifiers

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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.