Evidence map›Paper›PMID 40604554›Full record

SynthesisBMC pregnancy and childbirth2025

Methodological conduct and risk of bias in studies on prenatal birthweight prediction models using machine learning techniques: a systematic review.

Jing Gao, Yujun Yao, Jingdong Xue, Ruiyao Chen, XingYu Yang, Jie Xu, Weiwei Cheng

Abstract readSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Jing Gao *International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.ORCID http://orcid.org/0000-0003-4265-8276
Yujun Yao *Shanghai Artificial Intelligence Laboratory, Shanghai, 200030, China.ORCID http://orcid.org/0000-0003-3526-341X
Jingdong Xue *Department of Urology, School of Medicine, Tongji Hospital, Tongji University, Shanghai, 200030, China.
Ruiyao ChenShanghai Artificial Intelligence Laboratory, Shanghai, 200030, China.
XingYu YangInternational Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.
Jie XuShanghai Artificial Intelligence Laboratory, Shanghai, 200030, China. xujie@pjlab.org.cn.ORCID http://orcid.org/0000-0001-9233-4363
Weiwei ChengInternational Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China. wwcheng29@shsmu.edu.cn.ORCID http://orcid.org/0009-0000-3595-2915

Funding

scientific research project of the Shanghai Municipal Health Commission Project NO. 20244Y0133
6 · The paper itself

Abstract

objectiveTo assess the methodological quality and the risk of bias, of studies that developed prediction models using Machine Learning (ML) techniques to estimate prenatal birthweight. STUDY DESIGN AND

methodsWe conducted a systematic review, searching the PubMed databases between 01/01/2018 and 01/08/2022, for studies that developed fetal weight prediction models using ML. We used the Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) statement to assess the reporting quality of included publications and the Prediction Model Risk of Bias Assessment Tool (PROBAST) to assess the risk of bias. We measured the overall adherence to the TRIPOD reporting checklist, provided a detailed analysis of the methodological quality of each study, and examined risk of bias in specific domains, including participant, predictor, outcome and analysis.

resultsFourteen studies were included and the adherence to the TRIPOD reporting items ranged from 34.62% to 80.77%, with a median adherence of 63.19%. The studies showed significant variation in their methodological rigor, with a particularly high risk of bias in the selection of participants and predictors. Notably, issues related to missing data, sample size adequacy, performance evaluation, and model validation were prominent across studies. Several studies showed limited model transparency and reproducibility.

conclusionMethodological quality of the ML-based prediction models for prenatal birthweight estimation was generally poor, with most studies at high risk of bias. There is an urgent need for improvements in the design and reporting of these studies. The adaptation of the TRIPOD and PROBAST statements specifically for ML models should be promoted to enhance transparency and reproducibility, which would facilitate the wider clinical application of ML-based prediction models and reduce research waste.

Indexed as

Birth WeightMachine LearningResearch DesignBiasFemaleFetal WeightHumansInfant, NewbornPregnancyReproducibility of ResultsFetal weightMachine learningMethodological qualityPrediction modelRisk of biasSystematic review

Identifiers

PMID40604554
PMCPMC12225210

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.