Evidence map›Paper›PMID 36764713›Full record

ArticleBMJ open2023

Developing a machine learning algorithm to predict probability of retear and functional outcomes in patients undergoing rotator cuff repair surgery: protocol for a retrospective, multicentre study.

Laurens J H Allaart, Sanne van Spanning, Laurent Lafosse, Thibault Lafosse, Alexandre Ladermann, George S Athwal, Laurent A M Hendrickx, Job N Doornberg, Michel P J van den Bekerom, Geert Alexander Buijze and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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

Laurens J H AllaartOrthopaedic Surgery, Clinique Générale Annecy, Annecy, Auvergne-Rhône-Alpes, France laurensallaart@gmail.com.ORCID 0000-0002-7211-183X
Sanne van SpanningDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Laurent LafosseOrthopaedic Surgery, Clinique Générale Annecy, Annecy, Auvergne-Rhône-Alpes, France.
Thibault LafosseOrthopaedic Surgery, Clinique Générale Annecy, Annecy, Auvergne-Rhône-Alpes, France.
Alexandre LadermannDivision of Orthopaedics and Trauma Surgery, La Tour Hopital Prive SA, Meyrin, Switzerland.
George S AthwalRoth McFarlane Hand and Upper Limb Center, Schulich School of Medicine and Dentistry, London, Ontario, Canada.
Laurent A M HendrickxDepartment of Orthopedic Surgery, University of Amsterdam, Amsterdam, The Netherlands.
Job N DoornbergOrthopaedic and Trauma Surgery, Flinders University, Adelaide, South Australia, Australia.
Michel P J van den BekeromDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-5146-6148
Geert Alexander BuijzeOrthopaedic Surgery, Clinique Générale Annecy, Annecy, Auvergne-Rhône-Alpes, France.
Machine Learning Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe effectiveness of rotator cuff tear repair surgery is influenced by multiple patient-related, pathology-centred and technical factors, which is thought to contribute to the reported retear rates between 17% and 94%. Adequate patient selection is thought to be essential in reaching satisfactory results. However, no clear consensus has been reached on which factors are most predictive of successful surgery. A clinical decision tool that encompassed all aspects is still to be made. Artificial intelligence (AI) and machine learning algorithms use complex self-learning models that can be used to make patient-specific decision-making tools. The aim of this study is to develop and train an algorithm that can be used as an online available clinical prediction tool, to predict the risk of retear in patients undergoing rotator cuff repair. METHODS AND ANALYSIS: This is a retrospective, multicentre, cohort study using pooled individual patient data from multiple studies of patients who have undergone rotator cuff repair and were evaluated by advanced imaging for healing at a minimum of 6 months after surgery. This study consists of two parts. Part one: collecting all potential factors that might influence retear risks from retrospective multicentre data, aiming to include more than 1000 patients worldwide. Part two: combining all influencing factors into a model that can clinically be used as a prediction tool using machine learning. ETHICS AND DISSEMINATION: For safe multicentre data exchange and analysis, our Machine Learning Consortium adheres to the WHO regulation 'Policy on Use and Sharing of Data Collected by WHO in Member States Outside the Context of Public Health Emergencies'. The study results will be disseminated through publication in a peer-reviewed journal. Institutional Review Board approval does not apply to the current study protocol.

Indexed as

Artificial IntelligenceRotator CuffArthroscopyCohort StudiesHumansMachine LearningMagnetic Resonance ImagingMulticenter Studies as TopicProbabilityRetrospective StudiesTreatment OutcomeOrthopaedic & trauma surgeryORTHOPAEDIC & TRAUMA SURGERYShoulder

Identifiers

PMID36764713
PMCPMC9923257

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.