Evidence map›Paper›PMID 39272655›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Validating the Accuracy of a Patient-Facing Clinical Decision Support System in Predicting Lumbar Disc Herniation: Diagnostic Accuracy Study.

Fatima Badahman, Mashael Alsobhi, Almaha Alzahrani, Mohamed Faisal Chevidikunnan, Ziyad Neamatallah, Abdullah Alqarni, Umar Alabasi, Ahmed Abduljabbar, Reem Basuodan, Fayaz Khan

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

10 authors.

Fatima BadahmanDepartment of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22252, Saudi Arabia.
Mashael AlsobhiDepartment of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22252, Saudi Arabia.ORCID 0000-0002-8458-2487
Almaha AlzahraniDepartment of Physical Therapy, King Faisal Hospital, Makkah 24236, Saudi Arabia.
Mohamed Faisal ChevidikunnanDepartment of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22252, Saudi Arabia.ORCID 0000-0003-2316-3438
Ziyad NeamatallahDepartment of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22252, Saudi Arabia.ORCID 0000-0001-8511-3423
Abdullah AlqarniDepartment of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22252, Saudi Arabia.
Umar AlabasiDepartment of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22252, Saudi Arabia.ORCID 0000-0002-4506-1574
Ahmed AbduljabbarDepartment of Radiology, Faculty of Medicine, King Abdulaziz University, Jeddah 22252, Saudi Arabia.
Reem BasuodanDepartment of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia.
Fayaz KhanDepartment of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah 22252, Saudi Arabia.ORCID 0000-0003-2512-4563

Funding

Princess Nourah bint Abdulrahman University PNURSP2024R267
6 · The paper itself

Abstract

backgroundLow back pain (LBP) is a major cause of disability globally, and the diagnosis of LBP is challenging for clinicians.

objectiveUsing new software called Therapha, this study aimed to assess the accuracy level of artificial intelligence as a Clinical Decision Support System (CDSS) compared to MRI in predicting lumbar disc herniated patients.

methodsOne hundred low back pain patients aged ≥18 years old were included in the study. The study was conducted in three stages. Firstly, a case series was conducted by matching MRI and Therapha diagnosis for 10 patients. Subsequently, Delphi methodology was employed to establish a clinical consensus. Finally, to determine the accuracy of the newly developed software, a cross-sectional study was undertaken involving 100 patients.

resultsThe software showed a significant diagnostic accuracy with the area under the curve in the ROC analysis determined as 0.84 with a sensitivity of 88% and a specificity of 80%.

conclusionsThe study's findings revealed that CDSS using Therapha has a reasonable level of efficacy, and this can be utilized clinically to acquire a faster and more accurate screening of patients with lumbar disc herniation.

Indexed as

artificial intelligenceback painclinical decision support systemdisc herniationlumbarmachine learning

Identifiers

PMID39272655
PMCPMC11394625

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