Evidence map›Paper›PMID 40456293›Full record

ArticlePharmacopsychiatry2026

Ensemble Machine Learning Model for Real-Time Valproic Acid Prediction in Epilepsy Treatment.

Jiangchuan Xie, Pan Ma, Xinmei Pan, Liya Cao, Ruixiang Liu, Lirong Xiong, Hongqian Wang, Xin Zhang, Linli Xie, Yongchuan Chen

Abstract read
In one paragraph

Article in Pharmacopsychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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  3. 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

10 authors.

Jiangchuan XieDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Pan MaDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Xinmei PanDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Liya CaoDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Ruixiang LiuDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Lirong XiongDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Hongqian WangMedical Big Data and Artificial Intelligence Center, the First Affiliated Hospital of Army Medical University, Chongqing, China.
Xin ZhangDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Linli XieDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.
Yongchuan ChenDepartment of pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: To develop an optimal model to predict valproic acid (VPA) concentrations by machine learning, ensuring that the VPA plasma concentration is in the effective treatment range, and thus effectively control the patient's epilepsy. Methods: This single-center, retrospective study included patients diagnosed with epilepsy from January 2014 to January 2022. Patients receiving VPA and having undergone therapeutic drug monitoring were enrolled. Top three algorithms exhibiting superior model performance were selected to establish the ensemble prediction model, with Shapley Additive exPlanations (SHAP) employed for model interpretation. An independent dataset was collected as a clinical validation group to verify the prediction model performance. Results: The algorithms chosen for the ensemble model-Light Gradient Boosting, Categorical Boosting, and Gradient Boosted Regression Trees-demonstrated high Conclusion: The innovative application harnesses advanced multi-algorithm mining methodologies to forecast VPA concentrations in adult epileptic patients. Furthermore, it employs SHAP to elucidate the nuanced influence of each feature within the integrated prediction model, thereby providing a robust and plausible explanation for the determinants affecting VPA concentration predictions.

Indexed as

AnticonvulsantsEpilepsyMachine LearningValproic AcidAdolescentAdultAlgorithmsDrug MonitoringFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultAnticonvulsantsValproic Acid

Identifiers

PMID40456293
PMCPMC13288425

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.