Evidence map›Paper›PMID 39028429›Full record

SynthesisJournal of medical systems2024

A Systematic Review of Artificial Intelligence Models for Time-to-Event Outcome Applied in Cardiovascular Disease Risk Prediction.

Achamyeleh Birhanu Teshale, Htet Lin Htun, Mor Vered, Alice J Owen, Rosanne Freak-Poli

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Evaluating artificial intelligence-enabled medical tests in cardiology: Best practice.International journal of cardiology. Heart & vasculature · 2025
    Review
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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

5 authors.

Achamyeleh Birhanu TeshaleSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0002-7572-9993
Htet Lin HtunSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0003-2307-0610
Mor VeredDepartment of Data Science and AI, Faculty of Information Technology, Monash University, Clayton, VIC, Australia.ORCID https://orcid.org/0000-0001-5286-6509
Alice J OwenSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0002-4807-6069
Rosanne Freak-PoliSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia. Rosanne.Freak-Poli@monash.edu.ORCID https://orcid.org/0000-0003-4072-8699

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence (AI) based predictive models for early detection of cardiovascular disease (CVD) risk are increasingly being utilised. However, AI based risk prediction models that account for right-censored data have been overlooked. This systematic review (PROSPERO protocol CRD42023492655) includes 33 studies that utilised machine learning (ML) and deep learning (DL) models for survival outcome in CVD prediction. We provided details on the employed ML and DL models, eXplainable AI (XAI) techniques, and type of included variables, with a focus on social determinants of health (SDoH) and gender-stratification. Approximately half of the studies were published in 2023 with the majority from the United States. Random Survival Forest (RSF), Survival Gradient Boosting models, and Penalised Cox models were the most frequently employed ML models. DeepSurv was the most frequently employed DL model. DL models were better at predicting CVD outcomes than ML models. Permutation-based feature importance and Shapley values were the most utilised XAI methods for explaining AI models. Moreover, only one in five studies performed gender-stratification analysis and very few incorporate the wide range of SDoH factors in their prediction model. In conclusion, the evidence indicates that RSF and DeepSurv models are currently the optimal models for predicting CVD outcomes. This study also highlights the better predictive ability of DL survival models, compared to ML models. Future research should ensure the appropriate interpretation of AI models, accounting for SDoH, and gender stratification, as gender plays a significant role in CVD occurrence.

Indexed as

Artificial IntelligenceCardiovascular DiseasesDeep LearningHeart Disease Risk FactorsHumansMachine LearningRisk AssessmentSex FactorsSocial Determinants of HealthArtificial IntelligenceCardiovascular DiseaseDeep LearningMachine LearningPrediction

Identifiers

PMID39028429
PMCPMC11271333

What OpenQuestion holds

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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.