Evidence map›Paper›PMID 41507247›Full record

ArticleScientific reports2026

In silico perturbations provide multivariate interpretability in predicting post-lung transplant outcomes.

Lucy Luo, Marcin Możejko, Nikolay S Markov, Alec Peltekian, Suror Mohsin, Mary Carn, Phillip Cooper, Jeffrey Lysne, Anthony Joudi, Alan Betensley and 9 more

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

19 authors.

Lucy LuoDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA. lucy.luo@northwestern.edu.
Marcin MożejkoFaculty of Mathematics, Informatics and Mechanics, University of Warsaw, Warsaw, Poland.
Nikolay S MarkovDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Alec PeltekianDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Suror MohsinDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Mary CarnDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Phillip CooperDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Jeffrey LysneDepartment of Computer Science, Northwestern University McCormick School of Engineering and Applied Science, Chicago, IL, USA.
Anthony JoudiDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Alan BetensleyDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Bradford C BemissDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Catherine MyersDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Ankit BharatDepartment of Computer Science, Northwestern University McCormick School of Engineering and Applied Science, Chicago, IL, USA.
Rade TomicDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Ambalavanan ArunachalamDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Ewa SzczurekFaculty of Mathematics, Informatics and Mechanics, University of Warsaw, Warsaw, Poland.
G R Scott BudingerDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Alexander V MisharinDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.
Mrinalini Venkata SubramaniDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Simpson Querrey Lung Institute for Translational Sciences, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung transplantation is a life-saving therapy for end-stage lung disease but has the poorest survival among solid organ transplants. We analyzed standardized electronic health record (EHR) data from the United Network for Organ Sharing (UNOS) to predict one-, three-, and five-year survival and favorable long-term outcomes post-lung transplant. We applied two multivariate machine learning approaches, XGBoost or a tabular BERT model called EHRFormer, to data from 43,869 first-time lung transplant recipients (1987–2022). XGBoost and EHRFormer identified features that align closely with established risk factors for worse outcomes such as length of index stay, recipient age, and creatinine at the time of transplant. We developed a simple perturbation method with EHRFormer to probe in silico multivariate interactions between features that influence model prediction. Despite their attention to known risk factors, machine learning applied to EHR data collected by UNOS poorly predict one-, three-, and five-year mortality after lung transplant.

Indexed as

Lung TransplantationBoosting Machine Learning AlgorithmsComputer SimulationElectronic Health RecordsFemaleHumansMachine LearningMultivariate AnalysisPredictive Learning ModelsRisk FactorsTreatment Outcome

Identifiers

PMID41507247
PMCPMC12852796

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.