Evidence map›Paper›PMID 35136091›Full record

ArticleScientific reports2022

Machine learning outperforms clinical experts in classification of hip fractures.

E A Murphy, B Ehrhardt, C L Gregson, O A von Arx, A Hartley, M R Whitehouse, M S Thomas, G Stenhouse, T J S Chesser, C J Budd and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
–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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Gender differences between smoking and the risk of hip fracture.Journal of bone and mineral metabolism · 2024
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
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  8. Review
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  10. Development and reporting of artificial intelligence in osteoporosis management.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Review
  11. Article
  12. Article
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  14. A deep learning approach using an ensemble model to autocreate an image-based hip fracture registry.OTA international : the open access journal of orthopaedic trauma · 2023
    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

11 authors.

E A MurphyInstitute for Mathematical Innovation, University of Bath, Bath, UK.
B EhrhardtInstitute for Mathematical Innovation, University of Bath, Bath, UK.
C L GregsonMusculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK.
O A von ArxRoyal United Hospital NHS Foundation Trust, Bath, UK.
A HartleyMusculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK.
M R WhitehouseMusculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK.
M S ThomasRoyal United Hospital NHS Foundation Trust, Bath, UK.
G StenhouseRoyal United Hospital NHS Foundation Trust, Bath, UK.
T J S ChesserDepartment of Trauma and Orthopaedics, North Bristol NHS Trust, Bristol, UK.
C J BuddInstitute for Mathematical Innovation, University of Bath, Bath, UK.
H S GillDepartment of Mechanical Engineering, University of Bath, Bath, UK. r.gill@bath.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip fractures are a major cause of morbidity and mortality in the elderly, and incur high health and social care costs. Given projected population ageing, the number of incident hip fractures is predicted to increase globally. As fracture classification strongly determines the chosen surgical treatment, differences in fracture classification influence patient outcomes and treatment costs. We aimed to create a machine learning method for identifying and classifying hip fractures, and to compare its performance to experienced human observers. We used 3659 hip radiographs, classified by at least two expert clinicians. The machine learning method was able to classify hip fractures with 19% greater accuracy than humans, achieving overall accuracy of 92%.

Indexed as

Machine LearningHealth Care CostsHip FracturesHip JointHumansRadiography

Identifiers

PMID35136091
PMCPMC8825848

What OpenQuestion holds

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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.