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Cluster Analysis

Clinical Research · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

A set of statistical methods used to group variables or observations into strongly inter-related subgroups.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (847 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A set of statistical methods used to group variables or observations into strongly inter-related subgroups. In epidemiology, it may be used to analyze a closely grouped series of events or cases of disease or other health-related phenomenon with well-defined distribution patterns in relation to time or place or both.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Analyses, Cluster; Analysis, Cluster; Cluster Analyses; Clustering; Clusterings.

Where it fits in the MeSH classification

Broader topics
Statistics as Topic
Narrower topics
Latent Class Analysis; Multidimensional Scaling Analysis; Small-Area Analysis

Research landscape

PubMed indexes 82,122 records tagged with the MeSH heading “Cluster Analysis” (counts retrieved 2026-10-29). 18,051 of them (22.0%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 41,404 records.

Reviews account for 1,808 records (2.2%) and meta-analyses for 278. Randomized controlled trials number 3,051 (3.7%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 2,636 records; 2000-2009: 20,031 records; 2010-2019: 41,404 records; 2020 onward: 18,051 records2,636through 199920,0312000-200941,4042010-201918,0512020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19992,636
2000-200920,031
2010-201941,404
2020 onward18,051
Share of records by publication typeReviews: 2.2 percent; Meta-analyses: 0.3 percent; Randomized controlled trials: 3.7 percentReviews2.2% (1,808)Meta-analyses0.3% (278)Randomized controlled trials3.7% (3,051)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 82,122 PubMed records
TypeRecordsShare
Reviews1,8082.2%
Meta-analyses2780.3%
Randomized controlled trials3,0513.7%

Method: PubMed query "Cluster Analysis"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in clinical research

Research methods determine how much a result can be trusted. Randomized trials guard against confounding, systematic reviews and meta-analyses combine many studies, and observational designs are valuable but can show only association. Reporting standards, trial registration and pre-specified outcomes reduce bias. When reading about a method, ask what problem it is designed to solve and which problems it does not solve.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Predicting multiple conformations via sequence clustering and AlphaFold2
Wayment-Steele HK, Ojoawo A, Otten R, Apitz JM, Pitsawong W, Hömberger M, et al.
2024Research article
Design not recorded in structured metadata
530cc by
PMID 37956700 · DOI · PMC10808063
VALENCIA: a nearest centroid classification method for vaginal microbial communities based on composition
France MT, Ma B, Gajer P, Brown S, Humphrys MS, Holm JB, et al.
2020Research article
Design not recorded in structured metadata
373cc by
PMID 33228810 · DOI · PMC7684964
Clustering predicted structures at the scale of the known protein universe
Barrio-Hernandez I, Yeo J, Jänes J, Mirdita M, Gilchrist CLM, Wein T, et al.
2023Research article
Design not recorded in structured metadata
356cc by
PMID 37704730 · DOI · PMC10584675
Bayesian Structural Equation Envelope Model
Wang C, Sun R, Feng X, Song X
2025Research article
Design not recorded in structured metadata
0cc by
PMID 40776484 · DOI · PMC12660024

Predicting multiple conformations via sequence clustering and AlphaFold2 [1]

Research article Wayment-Steele HK, Ojoawo A, Otten R, Apitz JM, Pitsawong W, Hömberger M, et al. · · 2024 · cited 530 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
AlphaFold2 (ref.
Closing excerpt
Further development of such bioinformatic methods in tandem with experiments will probably have a considerable impact on predicting protein energy landscapes, essential for illuminating biological function.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (201 words)

AlphaFold2 (ref. 1) has revolutionized structural biology by accurately predicting single structures of proteins. However, a protein's biological function often depends on multiple conformational substates2, and disease-causing point mutations often cause population changes within these substates3,4. We demonstrate that clustering a multiple-sequence alignment by sequence similarity enables AlphaFold2 to sample alternative states of known metamorphic proteins with high confidence. Using this method, named AF-Cluster, we investigated the evolutionary distribution of predicted structures for the metamorphic protein KaiB5 and found that predictions of both conformations were distributed in clusters across the KaiB family. We used nuclear magnetic resonance spectroscopy to confirm an AF-Cluster prediction: a cyanobacteria KaiB variant is stabilized in the opposite state compared with the more widely studied variant. To test AF-Cluster's sensitivity to point mutations, we designed and experimentally verified a set of three mutations predicted to flip KaiB from Rhodobacter sphaeroides from the ground to the fold-switched state. Finally, screening for alternative states in protein families without known fold switching identified a putative alternative state for the oxidoreductase Mpt53 in Mycobacterium tuberculosis. Further development of such bioinformatic methods in tandem with experiments will probably have a considerable impact on predicting protein energy landscapes, essential for illuminating biological function.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 37956700 · DOI · PMC10808063

VALENCIA: a nearest centroid classification method for vaginal microbial communities based on composition [2]

Research article France MT, Ma B, Gajer P, Brown S, Humphrys MS, Holm JB, et al. · · 2020 · cited 373 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundTaxonomic profiles of vaginal microbial communities can be sorted into a discrete number of categories termed community state types (CSTs).
Closing excerpt
Video abstract.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (307 words)

BackgroundTaxonomic profiles of vaginal microbial communities can be sorted into a discrete number of categories termed community state types (CSTs). This approach is advantageous because collapsing a hyper-dimensional taxonomic profile into a single categorical variable enables efforts such as data exploration, epidemiological studies, and statistical modeling. Vaginal communities are typically assigned to CSTs based on the results of hierarchical clustering of the pairwise distances between samples. However, this approach is problematic because it complicates between-study comparisons and because the results are entirely dependent on the particular set of samples that were analyzed. We sought to standardize and advance the assignment of samples to CSTs.ResultsWe developed VALENCIA (VAginaL community state typE Nearest CentroId clAssifier), a nearest centroid-based tool which classifies samples based on their similarity to a set of reference centroids. The references were defined using a comprehensive set of 13,160 taxonomic profiles from 1975 women in the USA. This large dataset allowed us to comprehensively identify, define, and characterize vaginal CSTs common to reproductive age women and expand upon the CSTs that had been defined in previous studies. We validated the broad applicability of VALENCIA for the classification of vaginal microbial communities by using it to classify three test datasets which included reproductive age eastern and southern African women, adolescent girls, and a racially/ethnically and geographically diverse sample of postmenopausal women. VALENCIA performed well on all three datasets despite the substantial variations in sequencing strategies and bioinformatics pipelines, indicating its broad application to vaginal microbiota. We further describe the relationships between community characteristics (vaginal pH, Nugent score) and participant demographics (race, age) and the CSTs defined by VALENCIA.ConclusionVALENCIA provides a much-needed solution for the robust and reproducible assignment of vaginal community state types. This will allow unbiased analysis of both small and large vaginal microbiota datasets, comparisons between datasets and meta-analyses that combine multiple datasets. Video abstract.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 33228810 · DOI · PMC7684964

Clustering predicted structures at the scale of the known protein universe [3]

Research article Barrio-Hernandez I, Yeo J, Jänes J, Mirdita M, Gilchrist CLM, Wein T, et al. · · 2023 · cited 356 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Proteins are key to all cellular processes and their structure is important in understanding their function and evolution.
Closing excerpt
On the basis of these analyses, we identify several examples of human immune-related proteins with putative remote homology in prokaryotic species, illustrating the value of this resource for studying protein function and evolution across the tree of life.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (200 words)

Proteins are key to all cellular processes and their structure is important in understanding their function and evolution. Sequence-based predictions of protein structures have increased in accuracy1, and over 214 million predicted structures are available in the AlphaFold database2. However, studying protein structures at this scale requires highly efficient methods. Here, we developed a structural-alignment-based clustering algorithm-Foldseek cluster-that can cluster hundreds of millions of structures. Using this method, we have clustered all of the structures in the AlphaFold database, identifying 2.30 million non-singleton structural clusters, of which 31% lack annotations representing probable previously undescribed structures. Clusters without annotation tend to have few representatives covering only 4% of all proteins in the AlphaFold database. Evolutionary analysis suggests that most clusters are ancient in origin but 4% seem to be species specific, representing lower-quality predictions or examples of de novo gene birth. We also show how structural comparisons can be used to predict domain families and their relationships, identifying examples of remote structural similarity. On the basis of these analyses, we identify several examples of human immune-related proteins with putative remote homology in prokaryotic species, illustrating the value of this resource for studying protein function and evolution across the tree of life.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 37704730 · DOI · PMC10584675

Bayesian Structural Equation Envelope Model [4]

Research article Wang C, Sun R, Feng X, Song X · · 2025

Abstract reading summary — source excerpts
Opening excerpt
The envelope model has gained significant attention since its proposal, offering a fresh perspective on dimension reduction in multivariate regression models and improving estimation efficiency.
Closing excerpt
This empirical application further highlights the practical utility of the proposed model in real-world scenarios.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (139 words)

The envelope model has gained significant attention since its proposal, offering a fresh perspective on dimension reduction in multivariate regression models and improving estimation efficiency. One of its appealing features is its adaptability to diverse regression contexts. This article introduces the integration of envelope methods into the factor analysis model. In contrast to previous research primarily focused on the frequentist approach, the study proposes a Bayesian approach for estimation and envelope dimension selection. A Metropolis-within-Gibbs sampling algorithm is developed to draw posterior samples for Bayesian inference. A simulation study is conducted to illustrate the effectiveness of the proposed method. Additionally, the proposed methodology is applied to the ADNI dataset to explore the relationship between cognitive decline and the changes occurring in various brain regions. This empirical application further highlights the practical utility of the proposed model in real-world scenarios.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40776484 · DOI · PMC12660024

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Practitioner's Guide to Latent Class Analysis: Methodological Considerations and Common Pitfalls [5]
    Sinha P, Calfee CS, Delucchi KL · Crit Care Med · 2021 · cited 882 times (Europe PMC)
  • Research article Empirically derived eating patterns using factor or cluster analysis: a review [6]
    Newby PK, Tucker KL · Nutr Rev · 2004 · cited 624 times (Europe PMC)
  • Research article Simple sample size calculation for cluster-randomized trials [7]
    Hayes RJ, Bennett S · Int J Epidemiol · 1999 · cited 623 times (Europe PMC)
  • Research article Design and analysis of group-randomized trials: a review of recent methodological developments [8]
    Murray DM, Varnell SP, Blitstein JL · Am J Public Health · 2004 · cited 434 times (Europe PMC)
  • Research article Statistics notes. Trials randomised in clusters [9]
    Bland JM, Kerry SM · BMJ · 1997 · cited 413 times (Europe PMC)
  • Research article Machine learning and its applications to biology [10]
    Tarca AL, Carey VJ, Chen XW, Romero R, Drăghici S · PLoS Comput Biol · 2007 · cited 365 times (Europe PMC)

References

  1. Wayment-Steele HK, Ojoawo A, Otten R, Apitz JM, Pitsawong W, Hömberger M, et al.. Predicting multiple conformations via sequence clustering and AlphaFold2. . 2024. PMID 37956700 · DOI · PMC10808063
  2. France MT, Ma B, Gajer P, Brown S, Humphrys MS, Holm JB, et al.. VALENCIA: a nearest centroid classification method for vaginal microbial communities based on composition. . 2020. PMID 33228810 · DOI · PMC7684964
  3. Barrio-Hernandez I, Yeo J, Jänes J, Mirdita M, Gilchrist CLM, Wein T, et al.. Clustering predicted structures at the scale of the known protein universe. . 2023. PMID 37704730 · DOI · PMC10584675
  4. Wang C, Sun R, Feng X, Song X. Bayesian Structural Equation Envelope Model. . 2025. PMID 40776484 · DOI · PMC12660024
  5. Sinha P, Calfee CS, Delucchi KL. Practitioner's Guide to Latent Class Analysis: Methodological Considerations and Common Pitfalls. Crit Care Med. 2021. PMID 33165028 · DOI · PMC7746621
  6. Newby PK, Tucker KL. Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev. 2004. PMID 15212319 · DOI
  7. Hayes RJ, Bennett S. Simple sample size calculation for cluster-randomized trials. Int J Epidemiol. 1999. PMID 10342698 · DOI
  8. Murray DM, Varnell SP, Blitstein JL. Design and analysis of group-randomized trials: a review of recent methodological developments. Am J Public Health. 2004. PMID 14998806 · DOI
  9. Bland JM, Kerry SM. Statistics notes. Trials randomised in clusters. BMJ. 1997. PMID 9302962 · DOI · PMC2127388
  10. Tarca AL, Carey VJ, Chen XW, Romero R, Drăghici S. Machine learning and its applications to biology. PLoS Comput Biol. 2007. PMID 17604446 · DOI · PMC1904382

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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All 98 articles in Clinical Research →

At a glance

82,122
PubMed records on this heading
22%
published since 2020
1,808
review articles
3,051
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Discriminant AnalysisClinical Research
  • Multivariate AnalysisClinical Research
  • Survival AnalysisClinical Research
  • Spatial AnalysisClinical Research
  • ROC CurveClinical Research

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