Evidence map›Paper›PMID 39257289›Full record

ArticleJournal of surgical oncology2024

Development of Machine Learning Models for Predicting the 1-Year Risk of Reoperation After Lower Limb Oncological Resection and Endoprosthetic Reconstruction Based on Data From the PARITY Trial.

Jiawen Deng, Myron Moskalyk, Matthew Shammas-Toma, Ahmed Aoude, Michelle Ghert, Sahir Bhatnagar, Anthony Bozzo

Abstract read
In one paragraph

Article in Journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Jiawen DengTemerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-8274-6468
Myron MoskalykBiostatistics Division, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Matthew Shammas-TomaTemerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Ahmed AoudeDivision of Orthopaedic Surgery, McGill University, Montréal, Québec, Canada.
Michelle GhertDivision of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
Sahir BhatnagarDepartment of Epidemiology and Biostatistics, McGill University, Montréal, Québec, Canada.
Anthony BozzoDivision of Orthopaedic Surgery, McGill University, Montréal, Québec, Canada.ORCID http://orcid.org/0000-0001-8195-2086

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

backgroundOncological resection and reconstruction involving the lower extremities commonly lead to reoperations that impact patient outcomes and healthcare resources. This study aimed to develop a machine learning (ML) model to predict this reoperation risk.

methodsThis study was conducted according to TRIPOD + AI. Data from the PARITY trial was used to develop ML models to predict the 1-year reoperation risk following lower extremity oncological resection and reconstruction. Six ML algorithms were tuned and calibrated based on fivefold cross-validation. The best-performing model was identified using classification and calibration metrics.

resultsThe polynomial support vector machine (SVM) model was chosen as the best-performing model. During internal validation, the SVM exhibited an AUC-ROC of 0.73 and a Brier score of 0.17. Using an optimal threshold that balances all quadrants of the confusion matrix, the SVM exhibited a sensitivity of 0.45 and a specificity of 0.81. Using a high-sensitivity threshold, the SVM exhibited a sensitivity of 0.68 and a specificity of 0.68. Total operative time was the most important feature for reoperation risk prediction.

conclusionThe models may facilitate reoperation risk stratification, allowing for better patient counseling and for physicians to implement measures that reduce surgical risks.

Indexed as

Bone NeoplasmsLower ExtremityMachine LearningPlastic Surgery ProceduresReoperationFemaleHumansMaleMiddle AgedRisk AssessmentSupport Vector Machineendoprosthetic reconstructionmachine learningmalignant bone tumorprognostic modeling

Identifiers

PMID39257289
PMCPMC11849712

What OpenQuestion holds

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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.