Evidence map›Paper›PMID 39499554›Full record

ArticleJournal of medical Internet research2024

Machine Learning-Based Prediction for Incident Hypertension Based on Regular Health Checkup Data: Derivation and Validation in 2 Independent Nationwide Cohorts in South Korea and Japan.

Seung Ha Hwang, Hayeon Lee, Jun Hyuk Lee, Myeongcheol Lee, Ai Koyanagi, Lee Smith, Sang Youl Rhee, Dong Keon Yon, Jinseok Lee

Abstract readValidation Study
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Seung Ha Hwang *Department of Biomedical Engineering, Kyung Hee University, Yongin, Republic of Korea.ORCID 0009-0004-0066-3047
Hayeon Lee *Department of Biomedical Engineering, Kyung Hee University, Yongin, Republic of Korea.ORCID 0009-0000-2403-6241
Jun Hyuk Lee *Health and Human Science, University of Southern California, Los Angeles, CA, United States.ORCID 0009-0006-0358-4760
Myeongcheol LeeCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea.ORCID 0009-0006-7185-9471
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Deu, Barcelona, Spain.ORCID 0000-0002-9565-5004
Lee SmithCentre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, United Kingdom.ORCID 0000-0002-5340-9833
Sang Youl RheeCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-0119-5818
Dong Keon YonCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-1628-9948
Jinseok LeeDepartment of Biomedical Engineering, Kyung Hee University, Yongin, Republic of Korea.ORCID 0000-0002-8580-490X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorldwide, cardiovascular diseases are the primary cause of death, with hypertension as a key contributor. In 2019, cardiovascular diseases led to 17.9 million deaths, predicted to reach 23 million by 2030.

objectiveThis study presents a new method to predict hypertension using demographic data, using 6 machine learning models for enhanced reliability and applicability. The goal is to harness artificial intelligence for early and accurate hypertension diagnosis across diverse populations.

methodsData from 2 national cohort studies, National Health Insurance Service-National Sample Cohort (South Korea, n=244,814), conducted between 2002 and 2013 were used to train and test machine learning models designed to anticipate incident hypertension within 5 years of a health checkup involving those aged ≥20 years, and Japanese Medical Data Center cohort (Japan, n=1,296,649) were used for extra validation. An ensemble from 6 diverse machine learning models was used to identify the 5 most salient features contributing to hypertension by presenting a feature importance analysis to confirm the contribution of each future.

resultsThe Adaptive Boosting and logistic regression ensemble showed superior balanced accuracy (0.812, sensitivity 0.806, specificity 0.818, and area under the receiver operating characteristic curve 0.901). The 5 key hypertension indicators were age, diastolic blood pressure, BMI, systolic blood pressure, and fasting blood glucose. The Japanese Medical Data Center cohort dataset (extra validation set) corroborated these findings (balanced accuracy 0.741 and area under the receiver operating characteristic curve 0.824). The ensemble model was integrated into a public web portal for predicting hypertension onset based on health checkup data.

conclusionsComparative evaluation of our machine learning models against classical statistical models across 2 distinct studies emphasized the former's enhanced stability, generalizability, and reproducibility in predicting hypertension onset.

Indexed as

HypertensionMachine LearningAdultAgedCohort StudiesFemaleHumansJapanMaleMiddle AgedRepublic of Koreaartificial intelligencecardiovascular diseasecardiovascular riskcause of deathhypertensionmachine learningpredictive analytics

Identifiers

PMID39499554
PMCPMC11576616

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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.