机器学习技术预测肺癌患者护理的及时性
Arul Earnest1, Getayeneh Antehunegn Tesema1, Robert G Stirling2,3
1School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.
Healthcare (Basel, Switzerland)
|October 28, 2023
概括
机器学习模型可以及时预测肺癌护理,识别需要及时干预的患者. 这通过确保提供优质护理来改善预后和生存率.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 机器学习 机器学习
背景情况:
- 肺癌患者护理的延迟会对预后和生存率产生负面影响.
- 护理的质量和及时性对于改善肺癌结果至关重要.
- 需要预测模型来主动识别潜在的护理延误.
研究的目的:
- 开发和评估用于预测肺癌护理质量和及时性的机器学习模型.
- 为了识别有不符合护理及时性指标的风险的肺癌患者.
- 为了使未来的干预措施能够改善患者的治疗结果.
主要方法:
- 从2011-2022年维多利亚州肺癌登记处 (VLCR) 使用的数据.
- 应用机器学习技术:随机森林,k-最近邻居,神经网络和支持向量机器.
- 评估模型使用20%的样本外交叉验证 (AUC) 和10倍交叉验证进行参数选择.
主要成果:
- 支持矢量机 (SVM) 模型实现了0.89的样本外AUC,用于在转诊后28天内预测诊断.
- 在K-近邻 (KNN) 模型中,相同指标的样本外AUC为0.85.
- 这些模型显示了肺癌护理关键质量指标的高预测准确度.
结论:
- 机器学习模型,特别是SVM和KNN,可以有效地预测肺癌护理的质量和及时性.
- 在注册数据库中实施可以帮助医疗保健工作者前性地识别有风险的患者.
- 这些模型所促进的及时干预可能会改善患者的预后和生存率.
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