Evidence map›Paper›PMID 37591680›Full record

ArticleHealthcare informatics research2023

Development and Verification of Time-Series Deep Learning for Drug-Induced Liver Injury Detection in Patients Taking Angiotensin II Receptor Blockers: A Multicenter Distributed Research Network Approach.

Suncheol Heo, Jae Yong Yu, Eun Ae Kang, Hyunah Shin, Kyeongmin Ryu, Chungsoo Kim, Yebin Chegal, Hyojung Jung, Suehyun Lee, Rae Woong Park and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Healthcare informatics research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Suncheol HeoDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.
Jae Yong YuDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.
Eun Ae KangMedical Informatics Collaborative Unit, Department of Research Affairs, Yonsei University College of Medicine, Seoul, Korea.
Hyunah ShinHealthcare Data Science Center, Konyang University Hospital, Daejeon, Korea.
Kyeongmin RyuHealthcare Data Science Center, Konyang University Hospital, Daejeon, Korea.
Chungsoo KimDepartment of Biomedical Sciences, Ajou University Graduate School of Medicine, Seoul, Korea.
Yebin ChegalDepartment of Statistics, Korea University, Suwon, Korea.
Hyojung JungHealthcare AI Team, National Cancer Center, Goyang, Korea.
Suehyun LeeHealthcare Data Science Center, Konyang University Hospital, Daejeon, Korea.
Rae Woong ParkDepartment of Biomedical Sciences, Ajou University Graduate School of Medicine, Seoul, Korea.
Kwangsoo KimTransdisciplinary Department of Medicine & Advanced Technology, Seoul National University Hospital, Seoul, Korea.
Yul HwangboHealthcare AI Team, National Cancer Center, Goyang, Korea.
Jae-Hyun LeeDivision of Allergy and Immunology, Department of Internal Medicine, Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea.
Yu Rang ParkDepartment of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KRKonyang University Hospital · KRAjou University · KRNational Cancer Center · KRSeoul National University Hospital · KRStatistics Korea · KR

Funding

Ministry of Trade, Industry and Energy 20014841
6 · The paper itself

Abstract

objectivesThe objective of this study was to develop and validate a multicenter-based, multi-model, time-series deep learning model for predicting drug-induced liver injury (DILI) in patients taking angiotensin receptor blockers (ARBs). The study leveraged a national-level multicenter approach, utilizing electronic health records (EHRs) from six hospitals in Korea.

methodsA retrospective cohort analysis was conducted using EHRs from six hospitals in Korea, comprising a total of 10,852 patients whose data were converted to the Common Data Model. The study assessed the incidence rate of DILI among patients taking ARBs and compared it to a control group. Temporal patterns of important variables were analyzed using an interpretable timeseries model.

resultsThe overall incidence rate of DILI among patients taking ARBs was found to be 1.09%. The incidence rates varied for each specific ARB drug and institution, with valsartan having the highest rate (1.24%) and olmesartan having the lowest rate (0.83%). The DILI prediction models showed varying performance, measured by the average area under the receiver operating characteristic curve, with telmisartan (0.93), losartan (0.92), and irbesartan (0.90) exhibiting higher classification performance. The aggregated attention scores from the models highlighted the importance of variables such as hematocrit, albumin, prothrombin time, and lymphocytes in predicting DILI.

conclusionsImplementing a multicenter-based timeseries classification model provided evidence that could be valuable to clinicians regarding temporal patterns associated with DILI in ARB users. This information supports informed decisions regarding appropriate drug use and treatment strategies.

Indexed as

Adverse Drug ReactionCommon Data ModelDistributed Research NetworkMulticenter StudyTime-Series Classification

Identifiers

PMID37591680
PMCPMC10440200
OpenAlexW4385623308

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.