Evidence map›Paper›PMID 34917716›Full record

ArticleArthroplasty today2022

Machine Learning Model Developed to Aid in Patient Selection for Outpatient Total Joint Arthroplasty.

Cesar D Lopez, Jessica Ding, David P Trofa, H John Cooper, Jeffrey A Geller, Thomas R Hickernell

Abstract read
In one paragraph

Article in Arthroplasty today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Review
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  14. Adapting Physical Therapy Practice for the "Short-Stay" Total Joint Arthroplasty Patient: A Commentary.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024
    Article
  15. Outpatient Total Joint Arthroplasty: Are We Closing the Racial Disparities Gap?Journal of racial and ethnic health disparities · 2023
    Article
  16. Review
  17. Review
  18. Article
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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

6 authors.

Cesar D LopezNew York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Jessica DingNew York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
David P TrofaNew York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
H John CooperNew York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Jeffrey A GellerNew York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Thomas R HickernellNew York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient selection for outpatient total joint arthroplasty (TJA) is important for optimizing patient outcomes. This study develops machine learning models that may aid in patient selection for outpatient TJA based on medical comorbidities and demographic factors.

methodsThis study queried elective total knee arthroplasty (TKA) and total hip arthroplasty (THA) cases during 2010-2018 in the American College of Surgeons National Surgical Quality Improvement Program. Artificial neural network models predicted same-day discharge and length of stay (LOS) fewer than 2 days (short LOS). Multiple linear and logistic regression analyses were used to identify variables significantly associated with predicted outcomes.

resultsA total of 284,731 TKA cases and 153,053 THA cases met inclusion criteria. For TKA, prediction of short LOS had an area under the receiver operating characteristic curve (AUC) of 0.767 and accuracy of 84.1%; prediction of same-day discharge had an AUC of 0.802 and accuracy of 89.2%. For THA, prediction of short LOS had an AUC of 0.757 and accuracy of 70.6%; prediction of same-day discharge had an AUC of 0.814 and accuracy of 78.8%.

conclusionThis study developed machine learning models for aiding patient selection for outpatient TJA, through accurately predicting short LOS or outpatient vs inpatient cases. As outpatient TJA expands, it will be important to optimize preoperative patient selection and effectively screen surgical candidates from a broader patient population. Incorporating models such as these into electronic medical records could aid in decision-making and resource planning in real time.

Indexed as

ACS-NSQIPArtificial intelligenceLength of stayMachine learningTotal hip arthroplastyTotal knee arthroplasty

Identifiers

PMID34917716
PMCPMC8666332

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Registered trials

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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.