Evidence map›Paper›PMID 35373623›Full record

ArticleGlobal spine journal2023

Leveraging Artificial Intelligence and Synthetic Data Derivatives for Spine Surgery Research.

Jacob K Greenberg, Joshua M Landman, Michael P Kelly, Brenton H Pennicooke, Camilo A Molina, Randi E Foraker, Wilson Z Ray

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
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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

7 authors at 1 institution in 1 country.

Jacob K GreenbergDepartments of Neurological Surgery, Medicine and Orthopaedic Surgery, Washington University School of Medicine in St Louis, St Louis, MO, USA.ORCID 0000-0003-2675-5658
Joshua M LandmanDepartments of Neurological Surgery, Medicine and Orthopaedic Surgery, Washington University School of Medicine in St Louis, St Louis, MO, USA.
Michael P KellyOrthopaedic Surgery, Washington University, St Louis, MO, USA.ORCID 0000-0001-6221-7406
Brenton H PennicookeDepartments of Neurological Surgery, Medicine and Orthopaedic Surgery, Washington University School of Medicine in St Louis, St Louis, MO, USA.ORCID 0000-0002-4304-9141
Camilo A MolinaDepartments of Neurological Surgery, Medicine and Orthopaedic Surgery, Washington University School of Medicine in St Louis, St Louis, MO, USA.
Randi E ForakerOrthopaedic Surgery, Washington University, St Louis, MO, USA.
Wilson Z RayDepartments of Neurological Surgery, Medicine and Orthopaedic Surgery, Washington University School of Medicine in St Louis, St Louis, MO, USA.
Washington University in St. Louis · US

Funding

Validation and Implementation of Clinical Decision Support for Managing Children with Mild Head Injuries and Intracranial InjuryF32HS027075 · AHRQ · WASHINGTON UNIVERSITY · PI GREENBERG, JACOB · 2020 to 2021
$88k
AHRQ HHS F32 HS027075
6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesLeveraging electronic health records (EHRs) for spine surgery research is impeded by concerns regarding patient privacy and data ownership. Synthetic data derivatives may help overcome these limitations. This study's objective was to validate the use of synthetic data for spine surgery research.

methodsData came from the EHR from 15 hospitals. Patients that underwent anterior cervical or posterior lumbar fusion (2010-2020) were included. Real data were obtained from the EHR. Synthetic data was generated to simulate the properties of the real data, without maintaining a one-to-one correspondence with real patients. Within each cohort, ability to predict 30-day readmissions and 30-day complications was evaluated using logistic regression and extreme gradient boosting machines (XGBoost).

resultsWe identified 9,072 real and 9,088 synthetic cervical fusion patients. Descriptive characteristics were nearly identical between the 2 datasets. When predicting readmission, models built using real and synthetic data both had c-statistics of .69-.71 using logistic regression and XGBoost. Among 12,111 real and 12,126 synthetic lumbar fusion patients, descriptive characteristics were nearly the same for most variables. Using logistic regression and XGBoost to predict readmission, discrimination was similar with models built using real and synthetic data (c-statistics .66-.69). When predicting complications, models derived using real and synthetic data showed similar discrimination in both cohorts. Despite some differences, the most influential predictors were similar in the real and synthetic datasets.

conclusionSynthetic data replicate most descriptive and predictive properties of real data, and therefore may expand EHR research in spine surgery.

Indexed as

artificial intelligenceelectronic health recordsmachine learningmedical informaticsspine surgerysynthetic data derivativestreatment outcome

Identifiers

PMID35373623
PMCPMC10538345
OpenAlexW4226116630

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.