Evidence map›Paper›PMID 41433036›Full record

SynthesisJournal of medical Internet research2025

Machine Learning in the Prediction of Venous Thromboembolism: Systematic Review and Meta-Analysis.

Ruyi Ma, Weifeng Yu, Jian Tian, Yunyan Tang, Hua Fang, Xin Ming, Hua Liu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of medical Internet research, 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. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. 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.

Ruyi MaSchool of Nursing, Jilin University, Changchun, China.ORCID http://orcid.org/0009-0004-4114-1720
Weifeng YuSchool of Mathematics, Jilin University, Changchun, China.ORCID http://orcid.org/0009-0000-9603-1503
Jian TianChina-Japan Union Hospital of Jilin University, Jilin, Changchun, 130033, China, 86 13271865951.ORCID http://orcid.org/0009-0001-7373-9290
Yunyan TangChina-Japan Union Hospital of Jilin University, Jilin, Changchun, 130033, China, 86 13271865951.ORCID http://orcid.org/0009-0000-3530-4336
Hua FangChina-Japan Union Hospital of Jilin University, Jilin, Changchun, 130033, China, 86 13271865951.ORCID http://orcid.org/0009-0007-1314-1848
Xin MingChina-Japan Union Hospital of Jilin University, Jilin, Changchun, 130033, China, 86 13271865951.ORCID http://orcid.org/0009-0009-1165-3465
Hua LiuChina-Japan Union Hospital of Jilin University, Jilin, Changchun, 130033, China, 86 13271865951.ORCID http://orcid.org/0009-0003-8203-2208

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the increasing use of machine learning (ML)-based risk prediction models for venous thromboembolism (VTE) in patients, the quality and applicability of these models in practice and future research remain unknown. The prediction mechanism of ML and the number of selected factors have been research hotspots in VTE prediction. Objective: This study aimed to systematically review the literature on the predictive value of ML for VTE. Methods: PubMed, Web of Science, MEDLINE, Embase, CINAHL, and Cochrane Library databases were searched for studies published up to March 26, 2025. Studies that developed and validated an ML model for VTE prediction in the patient population and were published in English were eligible, and studies with duplicate data were excluded. The Prediction Model Risk of Bias Assessment Tool was used to assess the risk of bias in the included studies. Meta-analyses were performed to evaluate the C-index, sensitivity, and specificity. Results: A total of 27 studies with 596,092 patients reported the assessment value of ML models for predicting VTE. The risk of bias assessment yielded 18 (67%) studies with a high risk of bias, 8 (30%) with an unclear risk of bias, and 1 (4%) with a low risk of bias. The pooled sensitivity and specificity were 0.79 (95% CI 0.78-0.80) and 0.82 (95% CI 0.81-0.82), respectively. The positive likelihood ratio was 5.02 (95% CI 3.81-6.60), the negative likelihood ratio was 0.27 (95% CI 0.22-0.33), and the diagnostic odds ratio was 20.14 (95% CI 13.69-29.63; P<.001). A random-effects model was leveraged for meta-analysis of the C-index, which was 0.84 (95% CI 0.80-0.88). The most significant predictors for VTE were age, D-dimer level, and VTE history. Conclusions: ML has been shown to effectively predict VTE in patients. However, a high risk of bias was identified in most of the included studies (18/27, 67%), primarily due to shortcomings in handling missing data and reporting the study design. Consequently, future research must prioritize external validation and address methodological rigor to facilitate the translation of these models into routine clinical practice.

Indexed as

Machine LearningVenous ThromboembolismHumansRisk AssessmentRisk Factorsartificial intelligencemachine learningpredictionvenous thromboembolismvenous thrombosis

Identifiers

PMID41433036
PMCPMC12724482

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.