Evidence map›Paper›PMID 40008295›Full record

ArticleNature machine intelligence2025

A machine learning approach to leveraging electronic health records for enhanced omics analysis.

Samson J Mataraso, Camilo A Espinosa, David Seong, S Momsen Reincke, Eloise Berson, Jonathan D Reiss, Yeasul Kim, Marc Ghanem, Chi-Hung Shu, Tomin James and 10 more

Abstract read
In one paragraph

Article in Nature machine intelligence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 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

34 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Review
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  15. An Intelligent Magneto-Mechanical Platform for Cellular Sensing in 3D Microenvironments.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  16. Artificial intelligence-guided nutritional therapy in the ICU.Current opinion in clinical nutrition and metabolic care · 2026
    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

20 authors.

Samson J MatarasoDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Camilo A EspinosaDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.ORCID 0000-0003-1630-1564
David SeongDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
S Momsen ReinckeDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.ORCID 0000-0002-8132-3527
Eloise BersonDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Jonathan D ReissDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA USA.ORCID 0000-0003-1460-8570
Yeasul KimDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Marc GhanemDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Chi-Hung ShuDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.ORCID 0009-0009-3486-8856
Tomin JamesDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Yuqi TanDepartment of Pathology, Stanford University School of Medicine, Stanford, CA USA.
Sayane ShomeDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Ina A StelzerDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Dorien FeyaertsDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.
Ronald J WongDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA USA.ORCID 0000-0003-1205-6936
Gary M ShawDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA USA.
Martin S AngstDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.ORCID 0000-0002-1550-8136
Brice GaudilliereDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.ORCID 0000-0002-3475-5706
David K StevensonDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA USA.
Nima AghaeepourDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA USA.ORCID 0000-0002-6117-8764

Funding

Machine Learning for Integrative Modeling of the Immune System in Clinical SettingsR35GM138353 · NIGMS · STANFORD UNIVERSITY · PI AGHAEEPOUR, NIMA · 2020 to 2024
$2.2M
Neuromodulation of maternal immune adaptations in pregnancyR00HD105016 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STELZER, INA · 2023 to 2025
$745k
Gates Foundation INV-037517NICHD NIH HHS R00 HD105016NIGMS NIH HHS R35 GM138353
6 · The paper itself

Abstract

Omics studies produce a large number of measurements, enabling the development, validation and interpretation of systems-level biological models. Large cohorts are required to power these complex models; yet, the cohort size remains limited due to clinical and budgetary constraints. We introduce clinical and omics multimodal analysis enhanced with transfer learning (COMET), a machine learning framework that incorporates large, observational electronic health record databases and transfer learning to improve the analysis of small datasets from omics studies. By pretraining on electronic health record data and adaptively blending both early and late fusion strategies, COMET overcomes the limitations of existing multimodal machine learning methods. Using two independent datasets, we showed that COMET improved the predictive modelling performance and biological discovery compared with the analysis of omics data with traditional methods. By incorporating electronic health record data into omics analyses, COMET enables more precise patient classifications, beyond the simplistic binary reduction to cases and controls. This framework can be broadly applied to the analysis of multimodal omics studies and reveals more powerful biological insights from limited cohort sizes.

Indexed as

Cancer epidemiologyData integrationMachine learningPregnancy outcome

Identifiers

PMID40008295
PMCPMC11847705

What OpenQuestion holds

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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.