Evidence map›Paper›PMID 36791900›Full record

ArticleJournal of biomedical informatics2023

APLUS: A Python library for usefulness simulations of machine learning models in healthcare.

Michael Wornow, Elsie Gyang Ross, Alison Callahan, Nigam H Shah

Open access · hybridAbstract read
In one paragraph

Article in Journal of biomedical informatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
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  7. Developing a Research Center for Artificial Intelligence in Medicine.Mayo Clinic proceedings. Digital health · 2024
    Article
  8. Ensuring useful adoption of generative artificial intelligence in healthcare.Journal of the American Medical Informatics Association : JAMIA · 2024
    Review
  9. Article
  10. 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

4 authors at 3 institutions in 1 country.

Michael WornowDepartment of Computer Science, Stanford University, Stanford, CA, USA. Electronic address: mwornow@stanford.edu.
Elsie Gyang RossCenter for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, CA, USA; Department of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Alison CallahanCenter for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, CA, USA.
Nigam H ShahCenter for Biomedical Informatics Research, Stanford University School of Medicine, Stanford, CA, USA; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA; Clinical Excellence Research Center, Stanford University School of Medicine, Stanford, CA, USA; Technology and Digital Services, Stanford Health Care, Palo Alto, CA, USA.
Stanford University · USStanford Health Care · USStanford Medicine · US

Funding

Using Artificial Intelligence to Enable Early Identification and Treatment of Peripheral Artery DiseaseK01HL148639 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROSS, ELSIE GYANG · 2019 to 2023
$807k
NHLBI NIH HHS K01 HL148639
6 · The paper itself

Abstract

Despite the creation of thousands of machine learning (ML) models, the promise of improving patient care with ML remains largely unrealized. Adoption into clinical practice is lagging, in large part due to disconnects between how ML practitioners evaluate models and what is required for their successful integration into care delivery. Models are just one component of care delivery workflows whose constraints determine clinicians' abilities to act on models' outputs. However, methods to evaluate the usefulness of models in the context of their corresponding workflows are currently limited. To bridge this gap we developed APLUS, a reusable framework for quantitatively assessing via simulation the utility gained from integrating a model into a clinical workflow. We describe the APLUS simulation engine and workflow specification language, and apply it to evaluate a novel ML-based screening pathway for detecting peripheral artery disease at Stanford Health Care.

Indexed as

Delivery of Health CareMachine LearningComputer SimulationHumansLanguageWorkflowClinical workflowsDiscrete-event simulationMachine learningModel deploymentUsefulness assessmentUtility

Identifiers

PMID36791900
PMCPMC10309067
OpenAlexW4320487057

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.