Evidence map›Paper›PMID 40993714›Full record

ArticleJournal of translational medicine2025

Revolutionizing Wilson disease prognosis: a machine learning approach to predict acute-on-chronic liver failure.

Zhihong Rao, Wenming Yang, Yulong Yang, Yue Yang, Yongsheng Han, Xiang Li, Siyang Lu, Yuchen Li, Hu Xi, Ke Diao and 3 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. [Development and validation of a machine learning-based prediction model for fatty liver in Wilson disease].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026
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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

13 authors.

Zhihong RaoDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Wenming YangDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China. yangwm8810@126.com.
Yulong YangDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Yue YangDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Yongsheng HanInstitute of Neurology, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Xiang LiDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Siyang LuDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Yuchen LiDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Hu XiWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Ke DiaoResource Center for Chinese Medicinal Materials, China Academy of Chinese Medical Sciences, Beijing, China.
Shuzhen FangDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Wei HeDepartment of Neurology, The First Affiliated Hospital of Anhui University of Chinese Medicine, 117 Meishan Road, Hefei, 230031, Anhui, China.
Sihuan ZhuAnhui University of Chinese Medicine, Hefei, Anhui, China.

Funding

the Anhui Province Clinical Medical Research Transformation Special Project 2022042951070-2006the Anhui Province Traditional Chinese Medicine Science and Technology Research Special Project 202303a07020004the following grants: the Regional Innovation and Development Joint Fund of NSFC U22A20366
6 · The paper itself

Abstract

BACKGROUND AND

objectivesWilson disease (WD), an inherited copper metabolism disorder, is a cause of acute-on-chronic liver failure (ACLF), posing life-threatening risks due to rapid progression. This study aimed to develop a machine learning (ML)-based model to predict ACLF risk in WD patients.

methodsWe retrospectively analyzed 3692 WD patients (Leipzig score ≥ 4) from The First Affiliated Hospital of Anhui University of Chinese Medicine (2014-2024), including 104 ACLF and 104 non-ACLF cases. The original data set was randomly divided into the training and test cohorts in a ratio of 7:3. Demographic, biochemical, and ultrasound data were collected. Six ML algorithms (LR, SVM, KNN, ExtraTrees, XGBoost, LightGBM) were applied to construct a predictive model, with SHAP explaining feature importance.

resultsThe XGBoost model achieved optimal performance (AUC: 0.998, accuracy: 0.968). Key predictors included TBA, APTT, diagnosis age, onset age, Hb. Elevated TBA, APTT and diagnosis age correlated with higher ACLF risk, while reduced onset age and Hb indicated poorer outcomes. Additional parameters (TT, Cl

conclusionsThe ML-based model effectively predicts WD-ACLF risk, with XGBoost demonstrating superior performance. TBA, APTT, diagnosis age, onset age and Hb emerged as critical biomarkers, offering actionable insights for early clinical intervention.

Indexed as

Acute-On-Chronic Liver FailureHepatolenticular DegenerationMachine LearningAdolescentAdultChildFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesROC CurveYoung AdultAcute-on-chronic liver failureMachine learningSHAPWilson diseaseXGBoost

Identifiers

PMID40993714
PMCPMC12462144

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.