Evidence map›Paper›PMID 41479444›Full record

ArticleArXiv2026

Predicting Metabolic Dysfunction-Associated Steatotic Liver Disease using Machine Learning Methods: A Retrospective Cohort Study.

Mary E An, Paul M Griffin, Jonathan G Stine, Balakrishnan S Ramakrishna, Soundar Rt Kumara

Abstract readPreprint
In one paragraph

Article in ArXiv, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mary E AnHarold and Marcus Inge Department of Industrial and Manufacturing Engineering, The Pennsylvania State University, University Park, PA, US.
Paul M GriffinHarold and Marcus Inge Department of Industrial and Manufacturing Engineering, The Pennsylvania State University, University Park, PA, US.
Jonathan G StinePenn State College of Medicine, The Pennsylvania State University, Hershey, PA, US.
Balakrishnan S RamakrishnaDepartment of Gastroenterology, SRM Institutes for Medical Science, Chennai, Tamil Nadu, IN.
Soundar Rt KumaraHarold and Marcus Inge Department of Industrial and Manufacturing Engineering, The Pennsylvania State University, University Park, PA, US.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) affects 30%-40% of US adults and is the most common chronic liver disease. Although often asymptomatic, progression can lead to cirrhosis. Objective: The objective of the study was to develop and evaluate an electronic health record (EHR) based prediction model to support early detection of MASLD in primary care settings. Methods: We evaluated LASSO logistic regression, random forest, XGBoost, and a neural network model for MASLD prediction using clinical feature subsets from a large EHR database, including the top 10 ranked features. To reduce disparities in true positive rates across racial and ethnic subgroups, we applied an equal opportunity postprocessing method in a prediction model called MASLD EHR Static Risk Prediction (MASER). Results: This retrospective cohort study included 59,492 participants in the training data, 24,198 in the validating data, and 25,188 in the testing data. The LASSO logistic regression model with the top 10 features was selected for its interpretability and comparable performance. Before fairness adjustment, the model achieved AUROC of 0.84, accuracy of 78%, sensitivity of 72%, specificity of 79%, and F1-score of 0.617. After equal opportunity postprocessing, accuracy modestly increased to 81% and specificity to 94%, while sensitivity decreased to 41% and F1-score to 0.515, reflecting the fairness trade-off. Conclusions: MASER achieved competitive performance for MASLD prediction, comparable to previously reported ensemble and tree-based models, while using a limited and routinely collected feature set and a diverse study population. The model is designed to support early detection and potential integration into primary care workflows. MASER demonstrates HER-ready MASLD prediction with fairness adjustments, supporting future primary care implementation pending prospective validation.

Indexed as

early detectionEHRelectronic health recordsepidemiologyequal opportunity modellogistic regressionMASLDmetabolic dysfunction-associated steatotic liver disease

Identifiers

PMID41479444
PMCPMC12755246

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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.