Evidence map›Paper›PMID 39113482›Full record

ArticleAsian spine journal2024

A machine learning-based approach for individualized prediction of short-term outcomes after anterior cervical corpectomy.

Mert Karabacak, Alexander Schupper, Matthew Carr, Konstantinos Margetis

Abstract read
In one paragraph

Article in Asian spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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.

Mert KarabacakDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, USA.
Alexander SchupperDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, USA.
Matthew CarrDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, USA.
Konstantinos MargetisDepartment of Neurosurgery, Mount Sinai Health System, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective machine learning (ML) classification study for prognostic modeling after anterior cervical corpectomy (ACC). PURPOSE: To evaluate the effectiveness of ML in predicting ACC outcomes and develop an accessible, user-friendly tool for this purpose. OVERVIEW OF LITERATURE: Based on our literature review, no study has examined the capability of ML algorithms to predict major shortterm ACC outcomes, such as prolonged length of hospital stay (LOS), non-home discharge, and major complications.

methodsThe American College of Surgeons' National Surgical Quality Improvement Program database was used to identify patients who underwent ACC. Prolonged LOS, non-home discharges, and major complications were assessed as the outcomes of interest. ML models were developed with the TabPFN algorithm and integrated into an open-access website to predict these outcomes.

resultsThe models for predicting prolonged LOS, non-home discharges, and major complications demonstrated mean areas under the receiver operating characteristic curve (AUROC) of 0.802, 0.816, and 0.702, respectively. These findings highlight the discriminatory capacities of the models: fair (AUROC >0.7) for differentiating patients with major complications from those without, and good (AUROC >0.8) for distinguishing between those with and without prolonged LOS and non-home discharges. According to the SHapley Additive Explanations analysis, single- versus multiple-level surgery, age, body mass index, preoperative hematocrit, and American Society of Anesthesiologists physical status repetitively emerged as the most important variables for each outcome.

conclusionsThis study has considerably enhanced the prediction of postoperative results after ACC surgery by implementing advanced ML techniques. A major contribution is the creation of an accessible web application, highlighting the practical value of the developed models. Our findings imply that ML can serve as an invaluable supplementary tool to stratify patient risk for this procedure and can predict diverse postoperative adverse outcomes.

Indexed as

Anterior cervical corpectomyCervical vertebraeDegenerative spine diseaseMachine learning

Identifiers

PMID39113482
PMCPMC11366553

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