Machine Learning Predicts Implant-Based Reconstruction Complications
By Elana Gotkine HealthDay Reporter
WEDNESDAY, Nov. 29, 2023 -- Machine learning (ML) algorithms can accurately predict periprosthetic infection and explantation following implant-based reconstruction (IBR), according to a study published in the November issue of Plastic and Reconstructive Surgery.
Abbas M. Hassan, M.D., from The University of Texas MD Anderson Cancer Center in Houston, and colleagues conducted a comprehensive review of patients who underwent IBR from January 2018 to December 2019 to develop, validate, and assess the use of ML algorithms to predict IBR complications using readily available perioperative clinical data. Nine supervised ML algorithms were developed; patient data were classified into training and testing sets (80 and 20 percent, respectively).
Data were included for 481 patients who were followed for a mean of 16.1 months. The researchers found that 113 of the reconstructions (16.3 percent) resulted in periprosthetic infection, and explantation was required with 82 (11.8 percent). Good discriminatory performance was seen for predicting periprosthetic infection and explantation with ML (area under the receiver operating characteristic curve, 0.73 and 0.78, respectively); nine and 12 significant predictors of periprosthetic infection and explantation were identified, respectively.
"Our study provides proof of the feasibility, effectiveness, and applicability of artificial intelligence in predicting complications of IBR and should encourage the incorporation of ML in the perioperative assessment of patients undergoing IBR to provide data-driven, patient-specific risk assessment to aid in individualized patient counseling, shared decision-making, and presurgical optimization," the authors write.
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2024 HealthDay. All rights reserved.
Posted November 2023
Read this next
GLP1 Receptor Agonists Do Not Up Risk for Complications After Emergency Surgery
THURSDAY, April 25, 2024 -- The risk for postoperative respiratory complications is similar among patients undergoing emergency surgery regardless of preoperative glucagon-like...
Wearable Technology During Surgery Provides Neurosurgeons With Postural Info
WEDNESDAY, April 24, 2024 -- Wearable technology is feasible to assess postural ergonomics and provide objective biofeedback to neurosurgeons, according to a pilot study published...
Knee Osteoarthritis Symptoms Common After ACL Reconstruction
TUESDAY, April 23, 2024 -- Nearly one-quarter of patients show persistent early knee osteoarthritis (OA) symptoms six to 12 months after anterior cruciate ligament reconstruction...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.