使用机器学习和牙科记录对牙周病的影响
J Patel1,2, M Badi3, R Katiyar1
1Center for Dental Informatics and Artificial Intelligence, Department of Oral Health Sciences, Temple University Kornberg School of Dentistry, Philadelphia, PA, USA.
Journal of dental research
|May 5, 2025
概括
健康的社会决定因素显著影响牙周病 (PD) 的进展. 机器学习分析确定了社会脆弱性,贫困和环境因素是关键预测因素,强调了口腔卫生保健中综合性SDoH评估的必要性.
科学领域:
- 口腔健康研究研究 口腔健康研究
- 公共卫生 公共卫生
- 数据科学数据科学数据科学
背景情况:
- 健康的社会决定因素 (SDoH) 极大地影响牙周病 (PD) 的结果.
- 了解SDoH可以为政策提供信息,并增强整体患者护理.
- 机器学习 (ML) 为复杂的健康数据提供了先进的分析能力.
研究的目的:
- 使用大数据分析来确定PD和SDoH之间的关联.
- 利用链接的牙科电子健康记录 (DEHR) 和人口普查数据与ML.
- 为了确定PD进展的关键SDoH预测因素.
主要方法:
- 利用了来自89,937名患者的纵向DEHR数据 (2007-2023年).
- 应用ML模型 (逻辑回归,天真贝叶斯,随机森林,XGBoost) 用于关联分析.
- 为了模型的可解释性,使用了夏普利添加式解释 (SHAP).
主要成果:
- 在预测PD结果方面,XGBoost模型实现了94%的准确性.
- 患病进展的关键预测因素包括社会脆弱性指数,贫困,人口密度和环境因素.
- 吸烟和并发症也与PD进展有显著的相关性.
结论:
- SDoH在PD进展和口腔健康不平等方面发挥着关键作用.
- 将SDoH整合到PD风险评估和管理中至关重要.
- 大数据分析和机器学习为口腔健康差异提供了宝贵的见解.
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