Evidence map›Paper›PMID 39962412›Full record

ArticleBMC infectious diseases2025

Prediction of tuberculosis treatment outcomes using biochemical makers with machine learning.

Zheyue Wang, Zhenpeng Guo, Weijia Wang, Qiang Zhang, Suya Song, Yuan Xue, Zhixin Zhang, Jianming Wang

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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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

8 authors.

Zheyue Wang *Department of Epidemiology, Center for Global Health, School of Public Health, National Vaccine Innovation Platform, Nanjing Medical University, Nanjing, 211166, China.
Zhenpeng Guo *Department of Epidemiology, Center for Global Health, School of Public Health, National Vaccine Innovation Platform, Nanjing Medical University, Nanjing, 211166, China.
Weijia Wang *School of Information and Software, University of Electronic Science and Technology of China, Chengdu, 611731, China.
Qiang ZhangDepartment of Epidemiology, Center for Global Health, School of Public Health, National Vaccine Innovation Platform, Nanjing Medical University, Nanjing, 211166, China.
Suya SongChangzhou Medical Center, Nanjing Medical University, Changzhou, 213004, China.
Yuan XueChangzhou Medical Center, Nanjing Medical University, Changzhou, 213004, China.
Zhixin ZhangChangzhou Medical Center, Nanjing Medical University, Changzhou, 213004, China. zhixinzhang2006@163.com.
Jianming WangDepartment of Epidemiology, Center for Global Health, School of Public Health, National Vaccine Innovation Platform, Nanjing Medical University, Nanjing, 211166, China. jmwang@njmu.edu.cn.ORCID http://orcid.org/0000-0002-9151-284X

Funding

Changzhou Medical Center Grant CMCM202211Medical Research Project of Jiangsu Health Commission ZDB2020013Nanjing Major Science and Technology Specific Project 2021-11005National Natural Science Foundation of China 82473693
6 · The paper itself

Abstract

backgroundTuberculosis (TB) continues to pose a significant threat to global public health. Enhancing patient prognosis is essential for alleviating the disease burden.

objectiveThis study aims to evaluate TB prognosis by incorporating treatment discontinuation into the assessment framework, expanding beyond mortality and drug resistance.

methodsSeven feature selection methods and twelve machine learning algorithms were utilized to analyze admission test data from TB patients, identifying predictive features and building prognostic models. SHapley Additive exPlanations (SHAP) were applied to evaluate feature importance in top-performing models.

resultsAnalysis of 1,086 TB cases showed that a K-Nearest Neighbor classifier with Mutual Information feature selection achieved an area under the receiver operation curve (AUC) of 0.87 (95% CI: 0.83-0.92). Key predictors of treatment failure included elevated levels of 5'-nucleotidase, uric acid, globulin, creatinine, cystatin C, and aspartate transaminase. SHAP analysis highlighted 5'-nucleotidase, uric acid, and globulin as having the most significant influence on predicting treatment discontinuation.

conclusionOur model provides valuable insights into TB outcomes based on initial patient tests, potentially guiding prevention and control strategies. Elevated biomarker levels before therapy are associated with increased risk of treatment discontinuation, indicating their potential as early warning indicators.

Indexed as

Antitubercular AgentsBiomarkersMachine LearningTuberculosisAdultAgedAlgorithmsFemaleHumansMaleMiddle AgedPrognosisROC CurveTreatment OutcomeYoung AdultAntitubercular AgentsBiomarkersDiscontinuationMachine learningTreatment outcomesTuberculosis

Identifiers

PMID39962412
PMCPMC11834319

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.