Evidence map›Paper›PMID 37588443›Full record

ReviewJSES reviews, reports, and techniques2023

Artificial intelligence-based applications in shoulder surgery leaves much to be desired: a systematic review.

Puneet Gupta, Heather S Haeberle, Zachary R Zimmer, William N Levine, Riley J Williams, Prem N Ramkumar

Abstract readReview
In one paragraph

Review in JSES reviews, reports, and techniques, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

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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

6 authors.

Puneet GuptaDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Heather S HaeberleDepartment of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Zachary R ZimmerDepartment of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
William N LevineDepartment of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Riley J WilliamsInstitute for Cartilage Repair, Hospital for Special Surgery, New York, NY, USA.
Prem N RamkumarInstitute for Cartilage Repair, Hospital for Special Surgery, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Artificial intelligence (AI) aims to simulate human intelligence using automated computer algorithms. There has been a rapid increase in research applying AI to various subspecialties of orthopedic surgery, including shoulder surgery. The purpose of this review is to assess the scope and validity of current clinical AI applications in shoulder surgery literature. Methods: A systematic literature review was conducted using PubMed for all articles published between January 1, 2010 and June 10, 2022. The search query used the terms as follows: Results: A total of 45 studies were included in the final analysis. Eighteen studies involved shoulder arthroplasty, 13 rotator cuff, and 14 other areas. Studies applying AI to shoulder surgery primarily involved (1) automated imaging analysis including identifying rotator cuff tears and shoulder implants (2) risk prediction analyses including perioperative complications, functional outcomes, and patient satisfaction. Highest model performance area under the curve ranged from 0.681 (poor) to 1.00 (perfect). Only 2 studies reported external validation. Conclusion: Applications of AI in the field of shoulder surgery are expanding rapidly and offer patient-specific risk stratification for shared decision-making and process automation for resource preservation. However, model performance is modest and external validation remains to be demonstrated, suggesting increased scientific rigor is warranted prior to deploying AI-based clinical applications.

Indexed as

Artificial intelligenceMachine learningOrthopedicsShoulderShoulder surgeryTechnology

Identifiers

PMID37588443
PMCPMC10426484

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.