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Machine learning-derived phenotypic trajectories of asthma and allergy in children and adolescents : protocol for a systematic review

Lisik, Daniil ; Milani, Gregorio Paolo ; Salisu, Michael ; Özuygur Ermis, Saliha Selin ; Goksör, Emma ; Basna, Rani LU orcid ; Wennergren, Göran ; Kankaanranta, Hannu and Nwaru, Bright I. (2024) In BMJ Open 14(8). p.1-8
Abstract

INTRODUCTION: Development of asthma and allergies in childhood/adolescence commonly follows a sequential progression termed the 'atopic march'. Recent reports indicate, however, that these diseases are composed of multiple distinct phenotypes, with possibly differential trajectories. We aim to synthesise the current literature in the field of machine learning-based trajectory studies of asthma/allergies in children and adolescents, summarising the frequency, characteristics and associated risk factors and outcomes of identified trajectories and indicating potential directions for subsequent research in replicability, pathophysiology, risk stratification and personalised management. Furthermore, methodological approaches and quality will... (More)

INTRODUCTION: Development of asthma and allergies in childhood/adolescence commonly follows a sequential progression termed the 'atopic march'. Recent reports indicate, however, that these diseases are composed of multiple distinct phenotypes, with possibly differential trajectories. We aim to synthesise the current literature in the field of machine learning-based trajectory studies of asthma/allergies in children and adolescents, summarising the frequency, characteristics and associated risk factors and outcomes of identified trajectories and indicating potential directions for subsequent research in replicability, pathophysiology, risk stratification and personalised management. Furthermore, methodological approaches and quality will be critically appraised, highlighting trends, limitations and future perspectives. METHODS AND ANALYSES: 10 databases (CAB Direct, CINAHL, Embase, Google Scholar, PsycInfo, PubMed, Scopus, Web of Science, WHO Global Index Medicus and WorldCat Dissertations and Theses) will be searched for observational studies (including conference abstracts and grey literature) from the last 10 years (2013-2023) without restriction by language. Screening, data extraction and assessment of quality and risk of bias (using a custom-developed tool) will be performed independently in pairs. The characteristics of the derived trajectories will be narratively synthesised, tabulated and visualised in figures. Risk factors and outcomes associated with the trajectories will be summarised and pooled estimates from comparable numerical data produced through random-effects meta-analysis. Methodological approaches will be narratively synthesised and presented in tabulated form and figure to visualise trends. ETHICS AND DISSEMINATION: Ethical approval is not warranted as no patient-level data will be used. The findings will be published in an international peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42023441691.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Allergy, Asthma, Meta-Analysis, Risk Factors, Systematic Review
in
BMJ Open
volume
14
issue
8
article number
e080263
pages
1 - 8
publisher
BMJ Publishing Group
external identifiers
  • pmid:39214659
  • scopus:85203113171
ISSN
2044-6055
DOI
10.1136/bmjopen-2023-080263
language
English
LU publication?
yes
additional info
Publisher Copyright: © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.
id
875ab5c6-1b7a-4b0d-985d-09728121f8d4
date added to LUP
2024-09-13 09:54:13
date last changed
2024-09-14 03:00:06
@article{875ab5c6-1b7a-4b0d-985d-09728121f8d4,
  abstract     = {{<p>INTRODUCTION: Development of asthma and allergies in childhood/adolescence commonly follows a sequential progression termed the 'atopic march'. Recent reports indicate, however, that these diseases are composed of multiple distinct phenotypes, with possibly differential trajectories. We aim to synthesise the current literature in the field of machine learning-based trajectory studies of asthma/allergies in children and adolescents, summarising the frequency, characteristics and associated risk factors and outcomes of identified trajectories and indicating potential directions for subsequent research in replicability, pathophysiology, risk stratification and personalised management. Furthermore, methodological approaches and quality will be critically appraised, highlighting trends, limitations and future perspectives. METHODS AND ANALYSES: 10 databases (CAB Direct, CINAHL, Embase, Google Scholar, PsycInfo, PubMed, Scopus, Web of Science, WHO Global Index Medicus and WorldCat Dissertations and Theses) will be searched for observational studies (including conference abstracts and grey literature) from the last 10 years (2013-2023) without restriction by language. Screening, data extraction and assessment of quality and risk of bias (using a custom-developed tool) will be performed independently in pairs. The characteristics of the derived trajectories will be narratively synthesised, tabulated and visualised in figures. Risk factors and outcomes associated with the trajectories will be summarised and pooled estimates from comparable numerical data produced through random-effects meta-analysis. Methodological approaches will be narratively synthesised and presented in tabulated form and figure to visualise trends. ETHICS AND DISSEMINATION: Ethical approval is not warranted as no patient-level data will be used. The findings will be published in an international peer-reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42023441691.</p>}},
  author       = {{Lisik, Daniil and Milani, Gregorio Paolo and Salisu, Michael and Özuygur Ermis, Saliha Selin and Goksör, Emma and Basna, Rani and Wennergren, Göran and Kankaanranta, Hannu and Nwaru, Bright I.}},
  issn         = {{2044-6055}},
  keywords     = {{Allergy; Asthma; Meta-Analysis; Risk Factors; Systematic Review}},
  language     = {{eng}},
  month        = {{08}},
  number       = {{8}},
  pages        = {{1--8}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ Open}},
  title        = {{Machine learning-derived phenotypic trajectories of asthma and allergy in children and adolescents : protocol for a systematic review}},
  url          = {{http://dx.doi.org/10.1136/bmjopen-2023-080263}},
  doi          = {{10.1136/bmjopen-2023-080263}},
  volume       = {{14}},
  year         = {{2024}},
}