一个临床医生的指南,以了解临床预测模型中的临床偏差
João Matos1, Jack Gallifant2, Anand Chowdhury3
1University of Porto (FEUP), Porto, Portugal; Institute for Systems and Computer Engineering, Technology and Science (INESC TEC), Porto, Portugal; Laboratory for Computational Physiology, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA.
Critical care clinics
|September 1, 2024
概括
临床预测模型有助于做出关键护理决策,但可能包含偏见. 批判性评估和临床医师培训对于确保可信的人工智能 (AI) 和传统评分系统至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 医疗信息学医学信息学
- 医疗服务研究 医疗服务研究
背景情况:
- 临床预测模型越来越多地用于重症监护.
- 这些模型包括传统的分数和基于人工智能 (AI) 的系统.
- 这两种模型类型都有嵌入偏差的风险.
研究的目的:
- 审查临床预测模型在重症监护决策中的作用.
- 讨论传统和人工智能模型中的潜在偏见.
- 为管理人工智能模型中的偏见提供建议.
主要方法:
- 现有文献的叙述性审查.
- 专注于对预测模型的批判性评估.
- 来自重症监护机构的例子.
主要成果:
- 临床预测模型为决策提供了宝贵的支持.
- 偏差在传统模型和人工智能模型中都是一个重要的问题.
- 批判性评估对于建立对这些模型的信任至关重要.
结论:
- 需要加强临床医生的跨学科培训.
- 临床医生应该积极寻求资源,以了解和减轻偏见.
- 积极管理偏见对于在重症监护中负责任地使用人工智能至关重要.
相关概念视频
Bias in Epidemiological Studies
180
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
180
Bias
3.9K
Bias refers to any tendency that prevents a question from being considered unprejudiced. In research, bias occurs when one outcome or answer is selected or encouraged over others in sampling or testing. Bias can occur during any research phase, including study design, data collection, analysis, and publication.
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
In statistics, a sampling bias is created when a sample is collected from a population, and some members of the population are not as likely to be chosen as others (remember, each member...
3.9K
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
124
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
124
Sensitivity, Specificity, and Predicted Value
225
In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
Sensitivity is the...
Sensitivity is the...
225
Strategies for Assessing and Addressing Confounding
87
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
87
Assumptions of Survival Analysis
111
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
111


