Evidence map›Paper›PMID 40756514›Full record

ArticleFrontiers in endocrinology2025

Machine learning algorithm based on combined clinical indicators for the prediction of infertility and pregnancy loss.

Rui Zhang, Yuanbing Guo, Xiaonan Zhai, Juan Wang, Xiaoyan Hao, Liu Yang, Lei Zhou, Jiawei Gao, Jiayun Liu

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Rui ZhangDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Yuanbing GuoDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Xiaonan ZhaiDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Juan WangDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Xiaoyan HaoDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Liu YangDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Lei ZhouDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jiawei GaoDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jiayun LiuDepartment of Clinical Laboratory Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives: Diagnosis and treatment of infertility and pregnancy loss are complicated by various factors. We aimed to develop a simpler, more efficient system for diagnosing infertility and pregnancy loss. Methods: This study included 333 female patients with infertility and 319 female patients with pregnancy loss, as well as 327 healthy individuals for modeling; 1264 female patients with infertility and 1030 female patients with pregnancy loss, as well as 1059 healthy individuals for validating the models. The average age and basic information were matched between the groups. Three methods were used for screening 100+ clinical indicators, and five machine learning algorithms were used to develop and evaluate diagnostic models based on the most relevant indicators. Results: Multivariate analysis revealed significant differences in several factors between the patients and the control group. 25-hydroxy vitamin D3 (25OHVD3) was the factor exhibiting the most prominent difference, and most patients presented deficiency in the levels of this vitamin. 25OHVD3 is associated with blood lipids, hormones, thyroid function, human papillomavirus infection, hepatitis B infection, sedimentation rate, renal function, coagulation function, and amino acids in patients with infertility. The model for infertility diagnosis included eleven factors and exhibited area under the curve (AUC), sensitivity, and specificity values higher than 0.958, 86.52%, and 91.23%, respectively. The model for potential pregnancy loss was also developed using five machine learning algorithms and was based on 7 indicators. According to the results obtained from the testing set, the sensitivity was higher than 92.02%, the specificity was higher than 95.18%, the accuracy was higher than 94.34%, and the AUC was higher than 0.972. Conclusion: The simplicity, good diagnostic performance, and high sensitivity of the models presented here may facilitate early detection, treatment, and prevention of infertility and pregnancy loss.

Indexed as

Abortion, SpontaneousAlgorithmsInfertility, FemaleMachine LearningAdultCase-Control StudiesFemaleHumansPregnancy25OHVD3diagnosisinfertilitymachine learningpregnancy loss

Identifiers

PMID40756514
PMCPMC12313480

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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.