Evidence map›Paper›PMID 36532301›Full record

ArticlePLOS digital health2022

Ideal algorithms in healthcare: Explainable, dynamic, precise, autonomous, fair, and reproducible.

Tyler J Loftus, Patrick J Tighe, Tezcan Ozrazgat-Baslanti, John P Davis, Matthew M Ruppert, Yuanfang Ren, Benjamin Shickel, Rishikesan Kamaleswaran, William R Hogan, J Randall Moorman and 3 more

Abstract read
In one paragraph

Article in PLOS digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

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

13 authors.

Tyler J LoftusDepartment of Surgery, University of Florida Health, Gainesville, Florida, United States of America.ORCID 0000-0001-5354-443X
Patrick J TigheDepartments of Anesthesiology, Orthopedics, and Information Systems/Operations Management, University of Florida Health, Gainesville, Florida, United States of America.ORCID 0000-0002-1881-9941
Tezcan Ozrazgat-BaslantiPrecision and Intelligent Systems in Medicine (PrismaP), University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-1158-9928
John P DavisDepartment of Surgery, University of Virginia, Charlottesville, Virginia, United States of America.
Matthew M RuppertPrecision and Intelligent Systems in Medicine (PrismaP), University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0001-9757-4454
Yuanfang RenPrecision and Intelligent Systems in Medicine (PrismaP), University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-4716-2408
Benjamin ShickelPrecision and Intelligent Systems in Medicine (PrismaP), University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-5304-7027
Rishikesan KamaleswaranDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID 0000-0001-8366-4811
William R HoganDepartment of Health Outcomes & Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-9881-1017
J Randall MoormanDepartment of Medicine, University of Virginia, Charlottesville, Virginia, United States of America.
Gilbert R UpchurchDepartment of Surgery, University of Florida Health, Gainesville, Florida, United States of America.
Parisa RashidiPrecision and Intelligent Systems in Medicine (PrismaP), University of Florida, Gainesville, Florida, United States of America.
Azra BihoracPrecision and Intelligent Systems in Medicine (PrismaP), University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-5745-2863

Funding

Integrating data, algorithms and clinical reasoning for surgical risk assessmentR01GM110240 · NIGMS · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2016 to 2025
$5.1M
(MEnD-AKI) Multicenter Implementation of an Electronic Decision Support System for Drug-associated AKIR01DK121730 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BIHORAC, AZRA, KANE-GILL, SANDRA L · 2021 to 2025
$3.2M
ADAPT: Autonomous Delirium Monitoring and Adaptive PreventionR01NS120924 · NINDS · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2021 to 2025
$2.9M
Finding Good TEMporal PostOperative pain Signatures (TEMPOS)R01GM114290 · NIGMS · UNIVERSITY OF FLORIDA · PI TIGHE, PATRICK J · 2015 to 2019
$2.5M
Intelligent Intensive Care Unit (I2CU): Pervasive Sensing and Artificial Intelligence for Augmented Clinical Decision-makingR01EB029699 · NIBIB · UNIVERSITY OF FLORIDA · PI BIHORAC, AZRA, RASHIDI, PARISA · 2021 to 2024
$2.4M
The circadian clock protein BMAL and post-translational regulation of ENaC in the kidneyR01DK123078 · NIDDK · UNIVERSITY OF FLORIDA · PI ALLI, ABDEL AYUBE · 2020 to 2024
$1.7M
Aligning Patient Acuity with Intensity of Care after SurgeryK23GM140268 · NIGMS · UNIVERSITY OF FLORIDA · PI LOFTUS, TYLER J · 2020 to 2023
$619k
Development and Validation of Computational Algorithms to Assess Kidney Health in Electronic Health RecordsK01DK120784 · NIDDK · UNIVERSITY OF FLORIDA · PI OZRAZGAT BASLANTI, TEZCAN · 2020 to 2023
$580k
Autonomous Pain Recognition in Non-Verbal and Critically Ill PatientsR21EB027344 · NIBIB · UNIVERSITY OF FLORIDA · PI RASHIDI, PARISA · 2019 to 2022
$577k
NIBIB NIH HHS R01 EB029699NIBIB NIH HHS R21 EB027344NIDDK NIH HHS K01 DK120784NIDDK NIH HHS R01 DK121730NIDDK NIH HHS R01 DK123078NIGMS NIH HHS K23 GM140268NIGMS NIH HHS R01 GM110240NIGMS NIH HHS R01 GM114290NINDS NIH HHS R01 NS120924
6 · The paper itself

Abstract

Established guidelines describe minimum requirements for reporting algorithms in healthcare; it is equally important to objectify the characteristics of ideal algorithms that confer maximum potential benefits to patients, clinicians, and investigators. We propose a framework for ideal algorithms, including 6 desiderata: explainable (convey the relative importance of features in determining outputs), dynamic (capture temporal changes in physiologic signals and clinical events), precise (use high-resolution, multimodal data and aptly complex architecture), autonomous (learn with minimal supervision and execute without human input), fair (evaluate and mitigate implicit bias and social inequity), and reproducible (validated externally and prospectively and shared with academic communities). We present an ideal algorithms checklist and apply it to highly cited algorithms. Strategies and tools such as the predictive, descriptive, relevant (PDR) framework, the Standard Protocol Items: Recommendations for Interventional Trials-Artificial Intelligence (SPIRIT-AI) extension, sparse regression methods, and minimizing concept drift can help healthcare algorithms achieve these objectives, toward ideal algorithms in healthcare.

Identifiers

PMID36532301
PMCPMC9754299

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.