Evidence map›Paper›PMID 35227128›Full record

ArticleGlobal spine journal2022

Artificial Learning and Machine Learning Applications in Spine Surgery: A Systematic Review.

Cesar D Lopez, Venkat Boddapati, Joseph M Lombardi, Nathan J Lee, Justin Mathew, Nicholas C Danford, Rajiv R Iyer, Marc D Dyrszka, Zeeshan M Sardar, Lawrence G Lenke and 1 more

Abstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

11 authors.

Cesar D LopezDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Venkat BoddapatiDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.ORCID https://orcid.org/0000-0002-3333-2234
Joseph M LombardiDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Nathan J LeeDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Justin MathewDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.ORCID https://orcid.org/0000-0002-7699-780X
Nicholas C DanfordDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.ORCID https://orcid.org/0000-0002-9620-2023
Rajiv R IyerDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Marc D DyrszkaDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Zeeshan M SardarDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Lawrence G LenkeDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New York-Presbyterian/Columbia University Irving Medical Center, New York, NY, USA.
Ronald A LehmanDepartment of Orthopaedic Surgery, The Spine Hospital, 21611New 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

objectivesThis current systematic review sought to identify and evaluate all current research-based spine surgery applications of AI/ML in optimizing preoperative patient selection, as well as predicting and managing postoperative outcomes and complications.

methodsA comprehensive search of publications was conducted through the EMBASE, Medline, and PubMed databases using relevant keywords to maximize the sensitivity of the search. No limits were placed on level of evidence or timing of the study. Findings were reported according to the PRISMA guidelines.

resultsAfter application of inclusion and exclusion criteria, 41 studies were included in this review. Bayesian networks had the highest average AUC (.80), and neural networks had the best accuracy (83.0%), sensitivity (81.5%), and specificity (71.8%). Preoperative planning/cost prediction models (.89,82.2%) and discharge/length of stay models (.80,78.0%) each reported significantly higher average AUC and accuracy compared to readmissions/reoperation prediction models (.67,70.2%) (

conclusionsGenerally, authors of the reviewed studies concluded that AI/ML offers a potentially beneficial tool for providers to optimize patient care and improve cost-efficiency. More specifically, AI/ML models performed best, on average, when optimizing preoperative patient selection and planning and predicting costs, hospital discharge, and length of stay. However, models were not as accurate in predicting postoperative complications, adverse events, and readmissions and reoperations. An understanding of AI/ML-based applications is becoming increasingly important, particularly in spine surgery, as the volume of reported literature, technology accessibility, and clinical applications continue to rapidly expand.

Indexed as

artificial intelligencedeep learningmachine learningorthopedic surgerypredictive modelingspine surgery

Identifiers

PMID35227128
PMCPMC9393994

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.