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Blood Test of 4 Biomarkers Predicts Death Within 5 Years

retroworks writes "The NHS and the Daily Telegraph report on two studies (original and repeat duplicating results) in Estonia and Finland which predict whether an apparently healthy human will likely die within 5 years. The four biomarkers that appeared to determine risk of mortality in the next five years were: alpha-1-acid glycoprotein – a protein that is raised during infection and inflammation; albumin – a protein that carries vital nutrients, hormones and proteins in the bloodstream; very-low-density lipoprotein (VLDL) particle size – usually known for being 'very bad' cholesterol; and citrate – a compound that is an essential part of the body's metabolism. Researchers found that people in the top 20% of the summary score range were 19 times more at risk of dying in the next five years than people in the lowest 20%." The NHS's summary of the news points out that "the implications of such a test are unclear. As this was an observational study, it can only show an association between the biomarkers and risk of death. It does not predict what the underlying cause of death would be for an individual and does not therefore provide an answer in terms of treatment."

26 of 104 comments (clear)

  1. Risk? by clm1970 · · Score: 2

    This should be very helpful to the insurance industry in determining risk.

    1. Re:Risk? by dcw3 · · Score: 2

      And, it should be the reason why those companies should never see the data. Everyone at high risk would likely be denied coverage.

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    2. Re:Risk? by alen · · Score: 2

      or you can like, change your lifestyle

      its not like this stuff happens magically

    3. Re:Risk? by Anonymous Coward · · Score: 3, Insightful

      It might have if not for the ACA. As it is, we've reformed our health-care so as to not deny insurance to sick people who need it. Fortunately most of us are compassionate people.

    4. Re:Risk? by Sique · · Score: 2

      At least the VLDL seems to be more or less predisposed and is not easily changed by a diet change.

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      .sig: Sique *sigh*
    5. Re:Risk? by geekoid · · Score: 2

      Well, sometime it's too late, and some times it's genetic, and yes sometimes it's a donut based issue.

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    6. Re:Risk? by mjr167 · · Score: 5, Interesting

      Cause "lifestyle choices" are why we all get sick and die? Really?

      News Flash: Everyone dies.

      While you can certainly make poor lifestyle choices that increase your risk, you can also make all the 'correct' choices, cut yourself while doing your healthy outdoor activities on something stupid, get flesh eating bacteria, and die.

      They are not saying "these activities" are high risk, but "these compounds that everyone has and fluctuate for a variety of reasons not all controlled by the individual" indicate risk. It's like saying something like "white people have a higher risk of this fatal disease (let's say... skin cancer) so lets drop all white people and tell them well, you should have known better than to be white".

    7. Re:Risk? by Anonymous Coward · · Score: 5, Insightful

      That's not compassionate, that's just stupid. No way we should be "insuring" people who are going to die within 5 years. Or at least not calling it "insurance", since it's not ensuring the person won't die. Call it end-of-life welfare, or terminal socialism, or something more accurate like that. My suspicion is it will make the Death Panels that the Republicans complained about a stark reality.

      Also, can you imagine the havoc this could wreak with people trying to go out with a bang and spending their life savings and settling old scores before they kick it? And the lawsuits that could be flying around after people spend all their money after false positives?

    8. Re:Risk? by gnick · · Score: 3, Interesting

      "Next" policy update? This year my company-provided insurance demanded full physicals for me and my wife (not the kids) including 3 vials of blood. That goes for EVERYONE in the company (~3000 in our branch, millions world-wide).

      That said, we are insured in spite of the fact that my (very blunt) doctors told me I would likely never leave the hospital. And, if I did, I wouldn't live more than 4 months without a $300k transplant - And it would take 6 months just to get me on the waiting list. That was a year ago last November and at this point they're saying a transplant would be unnecessarily dangerous compared to its benefits. Suffice it to say, the test results may have been accurate and properly interpreted, but the predictions indicated didn't play out as planned.

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    9. Re:Risk? by gnick · · Score: 4, Insightful

      Smoking? Choice. Drinking? Choice. Eating crappy foods? Mostly choice. Genetics? You're pretty much stuck with what you have. Unless you're proposing some 'final solution', some people just have it rough.

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    10. Re:Risk? by interkin3tic · · Score: 2

      And you presumably imagine that stupidity means something close to "deserves to die." And you evidently imagine yourself to be not stupid. I'm sure that just world fallacy will never steer you wrong.

    11. Re:Risk? by coolsnowmen · · Score: 3, Insightful

      What is wrong with death panels? Seriously. Aside from the name. When medical science advances so that with enough money we could keep someone alive indefinitely. Then the question is, is it worth it? Years ago, and mostly today, this question didn't exist, because we didn't have technology and know how to do it. But eventually we will, and it will be a hard question. Also, I agree about the name- It is "health care" not "health insurance". I just don't get hung up on it.

    12. Re:Risk? by GerryGilmore · · Score: 4, Insightful

      I'll ignore the snark about Obama, but - trust me on this, white man - once you've watched a loved one like, say, your mother going through years and years of pain, confusion, terror and misery from Alzheimer's because there IS NO OTHER OPTION LEGALLY ALLOWED, you just might change your alleged mind on the subject. Have a nice day and I hope you never have to confront reality.

    13. Re:Risk? by Mashdar · · Score: 2

      My mother regularly says she'd want to die were she in the throws of dementia. It's a sad state of affairs that we give dogs a more humane death than humans...

  2. Re:Bad Links? by squiggleslash · · Score: 2

    Looks like the NHS link was missing a dash: http://www.nhs.uk/news/2014/02...

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  3. Heinlein by Stargoat · · Score: 2

    Didn't Heinlein write a short story about something similar? "Life-Line" I think it was called.

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    Hoist Number One and Number Six.
    1. Re:Heinlein by Applehu+Akbar · · Score: 2

      In fact, this was his very first published story.

  4. Correlation != Causation by sinij · · Score: 4, Insightful

    First, correlation will not tell you causes. Second, correlation does not necessary make individual outcome predictions possible.

    For example, out of population that have bad scores on this test mortality may be 19 times higher, but for any given individual it does not necessary means they are going to die in 5 years, or event that they are significantly more likely to die in 5 years.

  5. Likely death not likely by hweimer · · Score: 4, Informative

    Death is a quite rare thing; ignoring age and other factors, the probability of someone to die within five years is less than 5%. Even when you belong to the top 20% in terms of risk, the probability of death is just 15%, so you're much more likely to be alive than dead after this time. And for what it's worth, the biomarkers are strongly correlated with other factors like "does this person have cancer?", so that in the end the authors say that their new model is just 4% better than previously used models.

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    1. Re:Likely death not likely by neurovish · · Score: 2

      19x a tiny number is still a tiny number. These kinds of headlines always disappoint me since the pertinent information is buried far beneath the hyperbole. Thanks for digging it up.

  6. Re:"death" or curable condition by oracleofbargth · · Score: 2

    What it definitly is not is some sort of quantum state indicating that the body is about to undergo soul removal.

    Unless it also predicts that the person in question will become a politician within the next 5 years.

  7. Re:I've got a better one by Anonymous Coward · · Score: 3, Informative
  8. Re:Please update the links! by drdread66 · · Score: 2

    Here is a link to the Daily Telegraph article.

  9. Re:Please update the links! by drdread66 · · Score: 2

    ...and here's the link to the article on NHS.

  10. Worthless study by Dcnjoe60 · · Score: 2

    Of the top 10 causes of death in the world, according to the WHO, ischemic heart disease and stroke kill more people than the other 8 combined. Doctors already knew that bad cholesterol (ldl/vldl) and inflamation were the leading cause of both of those and have known for decades. The study doesn't show anything that wasn't already known and just adds sensationalism, probably to get increased funding.

  11. Gotta love /. headlines by Registered+Coward+v2 · · Score: 2

    The study doesn't "predict death within 5 years" it doesn't even predict death for those with the biomarkers. All it says is people who had higher levels of the biomarkers exhibited a greater risk of dying within 5 years than those with lower levels; according the TFA the study didn't even claim a causal relationship between the markers and a cause of death. Of course, a headline that reads "Study should some people have a higher risk of dying in 5 years than others..." wouldn't be as catchy.

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