Evidence map›Paper›PMID 36983368›Full record

ArticleJournal of clinical medicine2023

Approaching Artificial Intelligence in Orthopaedics: Predictive Analytics and Machine Learning to Prognosticate Arthroscopic Rotator Cuff Surgical Outcomes.

Anish G Potty, Ajish S R Potty, Nicola Maffulli, Lucas A Blumenschein, Deepak Ganta, R Justin Mistovich, Mario Fuentes, Patrick J Denard, Paul M Sethi, Anup A Shah and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Free tendon grafts for surgical management of chronic tears of the main body of the Achilles tendon: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Pooled it
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  18. Rotator cuff tears.Nature reviews. Disease primers · 2024
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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

11 authors.

Anish G PottySouth Texas Orthopedic Research Institute (STORI Inc.), Laredo, TX 78045, USA.ORCID 0000-0001-9894-1500
Ajish S R PottySouth Texas Orthopedic Research Institute (STORI Inc.), Laredo, TX 78045, USA.
Nicola MaffulliDepartment of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, 84084 Fisciano, Italy.ORCID 0000-0002-5327-3702
Lucas A BlumenscheinDepartment of Orthopaedics, School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
Deepak GantaSchool of Engineering, Texas A&M International University, Laredo, TX 78041, USA.ORCID 0000-0001-8486-5463
R Justin MistovichDepartment of Orthopaedics, School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
Mario FuentesSchool of Engineering, Texas A&M International University, Laredo, TX 78041, USA.
Patrick J DenardSouthern Oregon Orthopedics, Medford, OR 97504, USA.ORCID 0000-0002-2641-5920
Paul M SethiOrthopaedic & Neurosurgery Specialists, Greenwich, CT 06905, USA.
Anup A ShahKelsey-Seybold Clinic, Houston, TX 77584, USA.
Ashim GuptaSouth Texas Orthopedic Research Institute (STORI Inc.), Laredo, TX 78045, USA.ORCID 0000-0003-1224-2755

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Machine learning (ML) has not yet been used to identify factors predictive for post-operative functional outcomes following arthroscopic rotator cuff repair (ARCR). We propose a novel algorithm to predict ARCR outcomes using machine learning. This is a retrospective cohort study from a prospectively collected database. Data were collected from the Surgical Outcome System Global Registry (Arthrex, Naples, FL, USA). Pre-operative and 3-month, 6-month, and 12-month post-operative American Shoulder and Elbow Surgeons (ASES) scores were collected and used to develop a ML model. Pre-operative factors including demography, comorbidities, cuff tear, tissue quality, and fixation implants were fed to the ML model. The algorithm then produced an expected post-operative ASES score for each patient. The ML-produced scores were compared to actual scores using standard test-train machine learning principles. Overall, 631 patients who underwent shoulder arthroscopy from January 2011 to March 2020 met inclusion criteria for final analysis. A substantial number of the test dataset predictions using the XGBoost algorithm were within the minimal clinically important difference (MCID) and substantial clinical benefit (SCB) thresholds: 67% of the 12-month post-operative predictions were within MCID, while 84% were within SCB. Pre-operative ASES score, pre-operative pain score, body mass index (BMI), age, and tendon quality were the most important features in predicting patient recovery as identified using Shapley additive explanations (SHAP). In conclusion, the proposed novel machine learning algorithm can use pre-operative factors to predict post-operative ASES scores accurately. This can further supplement pre-operative counselling, planning, and resource allocation. Level of Evidence: III.

Indexed as

American Shoulder and Elbow Surgeons (ASES) scorearthroscopic rotator cuff repairartificial intelligencefunctional outcomesmachine learningorthopaedicspredictive modelling

Identifiers

PMID36983368
PMCPMC10056706

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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.