Evidence map›Paper›PMID 41635842›Full record

ArticleFrontiers in immunology2025

Machine learning-based prediction of one-year mortality after alloHCT identifies the impact of pre-transplant immunity and inflammation.

Thomas Meyer, Robert Meyer, Maren Hackenberg, Daniela Oelke, Laura Gengenbach, Christoph Rummelt, Hauke Wilcken, Kristina Maas-Bauer, Ralph Wäsch, Justus Duyster and 5 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. 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. Review
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

15 authors.

Thomas MeyerDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Robert MeyerAlcemy GmbH, Berlin, Germany.
Maren HackenbergInstitute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Daniela OelkeOffenburg University of Applied Sciences, Offenburg, Germany.
Laura GengenbachDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Christoph RummeltDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Hauke WilckenDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Kristina Maas-BauerDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Ralph WäschDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Justus DuysterDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Hartmut BertzDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Jesús Duque-AfonsoDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Jürgen FinkeDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Robert ZeiserDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Claudia WehrDepartment of Internal Medicine I, Hematology, Oncology and Stem Cell Transplantation, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate prediction of mortality after allogeneic hematopoietic stem cell transplantation (alloHCT) is essential for individualized treatment decisions, yet existing clinical risk scores capture only a limited number of variables and show modest predictive performance. In our single-center retrospective analysis, we included data from 909 adult patients with hematologic malignancies undergoing alloHCT. We used 31 features to build machine-learning models to predict death within the first year after alloHCT. These features included established clinical risk factors together with pre-transplant lymphocyte subsets and inflammatory markers. Among four models, a random forest algorithm showed the best performance (AUC = 0.773) and retained good generalizability in an independent test set (AUC = 0.748). SHapley Additive exPlanations (SHAP)-based interpretation of the machine-learning models showed that age together with five easily measurable pre-transplant immunological and inflammatory parameters influenced the outcome: pre-transplant CD4

Indexed as

Hematologic NeoplasmsHematopoietic Stem Cell TransplantationInflammationMachine LearningAdultFemaleHumansMaleMiddle AgedPrediction AlgorithmsPredictive Learning ModelsPrognosisRandom ForestRetrospective StudiesRisk FactorsTransplantation, HomologousalloHCTexplainable AIimmunocompetenceinflammationlymphocytesmachine learningone-year mortalityrisk prediction

Identifiers

PMID41635842
PMCPMC12861908

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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.