机器学习用于预测关节镜术后的结果,并发症和资源利用情况:系统性审查
Madison Lee1, Vera Zakhari2, Ajaykumar Shanmugaraj3
1Rocky Vista University College of Osteopathic Medicine, Ivins, Utah, USA.
概括
用于关节镜术的机器学习模型显示出对结果和并发症的不同预测性能. 由于当前研究中的结果和报告标准不一致,应谨慎对待它们的应用.
科学领域:
- 整形外科手术 整形外科手术
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 机器学习 (ML) 在骨科手术中越来越多地被采用来预测结果.
- 在关节镜术中ML的特定实用性仍然被低估.
- 现有的ML领域的文献质量需要进行批判性评估.
研究的目的:
- 评估ML模型来预测关节镜术的结果,并发症和资源使用情况.
- 将ML模型的性能与传统的统计方法进行比较.
- 批判性地评估关节关节镜中ML研究的质量和报告标准.
主要方法:
- 在主要数据库 (PUBMED,MEDLINE,EMBASE,Cochrane) 中进行了系统的文献搜索.
- 包括使用ML用于关节透视中的临床预测的研究.
- 数据提取的重点是研究设计,结果,模型细节,验证和遵守TRIPOD指南.
主要成果:
- 分析了17项研究 (37549名患者),重点关注临床结果 (47.1%),不良事件 (47.1%) 和资源利用 (5.9%).
- 临床结果的中位数AUC为0.66和不良事件为0.7;资源利用率显示R2为0.8.
- 大多数研究显示了对TRIPOD指南的多变遵守 (平均达到12.3/22标准),很少有比较有利于ML而不是传统回归.
结论:
- ML模型在预测关节透视结果和并发症方面显示出可变的性能.
- 与传统的回归方法进行比较时,往往没有显著差异.
- 提高透明度和遵守报告准则 (例如,TRIPOD) 对未来的关节关节镜ML研究至关重要.
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