Evidence map›Paper›PMID 40382465›Full record

ArticleScientific reports2025

Flexible imputation toolkit for electronic health records.

Alireza Vafaei Sadr, Jiang Li, Wenke Hwang, Mohammed Yeasin, Ming Wang, Harold Lehmann, Ramin Zand, Vida Abedi

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 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.

Alireza Vafaei SadrDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, Hershey, PA, USA.
Jiang LiDepartment of Molecular and Functional Genomics, Weis Center for Research, Geisinger Health System, Danville, PA, 17822, USA.
Wenke HwangDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, Hershey, PA, USA.
Mohammed YeasinDepartment of EECE, University of Memphis, Memphis, TN, 38152, USA.
Ming WangDepartment of Population and Quantitative Health Sciences, School of Medicine Case Western Reserve University Cleveland, Cleveland, OH, USA.
Harold LehmannDivision of Health Sciences Informatics, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ramin ZandDepartment of Neurology, Milton S. Hershey Medical Center, Penn State Health, Hershey, PA, USA.
Vida AbediDepartment of Public Health Sciences, College of Medicine, Pennsylvania State University, Hershey, PA, USA. vabedi@pennstatehealth.psu.edu.

Funding

Machine Learning Prediction of 1-Year Mortality and Recurrence after Ischemic Stroke Using Enriched EHR dataR01NS128986 · NINDS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI Vida Abedi, Ramin Zand · 2023 to 2026
$2.6M
NIH HHS R01NS128986NINDS NIH HHS R01 NS128986
6 · The paper itself

Abstract

Missing data in electronic health records (EHRs) poses a significant challenge for analysis. This study introduces Pympute, a comprehensive Python package designed for efficient and robust missing value imputation for EHRs. Pympute's core algorithm, Flexible, intelligently selects the optimal imputation method for each variable based on its characteristics. Pympute offers a comprehensive suite of functionalities. It benchmarks the performance of ten existing machine learning imputation algorithms against Flexible on real-world EHR datasets containing laboratory measurements. Additionally, Pympute facilitates data simulation, generating realistic datasets mimicking real-world data distributions for controlled evaluation of imputation performance. Finally, Pympute investigates how missingness and skewness, influence the selection of optimal imputation algorithms within the Flexible framework. Our findings validate that Pympute's Flexible method significantly improves imputation performance compared to the single model approach. Notably, simulating data solely based on covariance does not accurately reflect real-world selection behavior. Furthermore, skewness in the data distribution prompts Flexible to favor nonlinear imputation models. This study highlights the importance of considering data distribution patterns when selecting imputation algorithms. Pympute addresses this challenge by offering a versatile and user-friendly solution for diverse EHR data scenarios.

Indexed as

Electronic Health RecordsSoftwareAlgorithmsHumansMachine LearningData imputationElectronic health recordsMachine learningMissing data

Identifiers

PMID40382465
PMCPMC12085562

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.