Evidence map›Paper›PMID 33142001›Full record

ArticleHead & neck2021

Machine learning models to predict length of stay and discharge destination in complex head and neck surgery.

Khodayar Goshtasbi, Tyler M Yasaka, Mehdi Zandi-Toghani, Hamid R Djalilian, William B Armstrong, Tjoson Tjoa, Yarah M Haidar, Mehdi Abouzari

Abstract read
In one paragraph

Article in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Artificial Intelligence Assurance in Head and Neck Surgery: Now and Next.Proceedings. IEEE International Symposium on Computer-Based Medical Systems · 2025
    Article
  5. Development of Multiservice Machine Learning Models to Predict Postsurgical Length of Stay and Discharge Disposition at the Time of Case Posting.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  6. Review
  7. Article
  8. An introduction to machine learning and generative artificial intelligence for otolaryngologists-head and neck surgeons: a narrative review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Khodayar GoshtasbiDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.ORCID 0000-0002-0045-2547
Tyler M YasakaDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.ORCID 0000-0002-8482-0369
Mehdi Zandi-ToghaniDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.
Hamid R DjalilianDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.
William B ArmstrongDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.
Tjoson TjoaDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.
Yarah M HaidarDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.
Mehdi AbouzariDepartment of Otolaryngology-Head and Neck Surgery, University of California, Irvine, California, USA.ORCID 0000-0002-3585-698X

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
NRSA Training CoreTL1TR001415 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI CAIOZZO, VINCENT JAMES, HEAD, ELIZABETH · 2015 to 2023
$4.2M
NCATS NIH HHS TL1 TR001415NCATS NIH HHS UL1 TR001414
6 · The paper itself

Abstract

backgroundThis study develops machine learning (ML) algorithms that use preoperative-only features to predict discharge-to-nonhome-facility (DNHF) and length-of-stay (LOS) following complex head and neck surgeries.

methodsPatients undergoing laryngectomy or composite tissue excision followed by free tissue transfer were extracted from the 2005 to 2017 NSQIP database.

resultsAmong the 2786 included patients, DNHF and mean LOS were 421 (15.1%) and 11.7 ± 8.8 days. Four classification models for predicting DNHF with high specificities (range, 0.80-0.84) were developed. The generalized linear and gradient boosting machine models performed best with receiver operating characteristic (ROC), accuracy, and negative predictive value (NPV) of 0.72-0.73, 0.75-0.76, and 0.88-0.89. Four regression models for predicting LOS in days were developed, where all performed similarly with mean absolute error and root mean-squared errors of 3.95-3.98 and 5.14-5.16. Both models were developed into an encrypted web-based interface: https://uci-ent.shinyapps.io/head-neck/.

conclusionNovel and proof-of-concept ML models to predict DNHF and LOS were developed and published as web-based interfaces.

Indexed as

Machine LearningPatient DischargeAlgorithmsHumansLength of StayPredictive Value of Testsartificial intelligencedischargelength of staymachine learningprediction

Identifiers

PMID33142001
PMCPMC7904593

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.