COPD phenotypes and machine learning cluster analysis: A systematic review and future research agenda - 09/09/20
, Sebastiano Massaro a, b, Masoud Fakhimi a, Lampros Stergioulas a, David Price cAbstract |
Chronic Obstructive Pulmonary Disease (COPD) is a highly heterogeneous condition projected to become the third leading cause of death worldwide by 2030. To better characterize this condition, clinicians have classified patients sharing certain symptomatic characteristics, such as symptom intensity and history of exacerbations, into distinct phenotypes. In recent years, the growing use of machine learning algorithms, and cluster analysis in particular, has promised to advance this classification through the integration of additional patient characteristics, including comorbidities, biomarkers, and genomic information. This combination would allow researchers to more reliably identify new COPD phenotypes, as well as better characterize existing ones, with the aim of improving diagnosis and developing novel treatments. Here, we systematically review the last decade of research progress, which uses cluster analysis to identify COPD phenotypes. Collectively, we provide a systematized account of the extant evidence, describe the strengths and weaknesses of the main methods used, identify gaps in the literature, and suggest recommendations for future research.
Le texte complet de cet article est disponible en PDF.Highlights |
• | A systematic review of articles that use machine learning methods to identify clinically meaningful COPD phenotypes. |
• | It critically assesses the advantages and limitations of such methods. |
• | It highlights the clinical implications of using machine learning to better understand the natural history of COPD. |
• | It provides key methodological recommendations for identifying clinically meaningful COPD phenotypes. |
• | It puts forward future research avenues by highlighting distinct phenotypes not fully explored in the current literature. |
Keywords : Chronic respiratory disease, Subtypes, Statistical analysis
Plan
Vol 171
Article 106093- septembre 2020 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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