Evidence map›Paper›PMID 40339458›Full record

ArticleNursing outlook

Comparing the influence of social risk factors on machine learning model performance across racial and ethnic groups in home healthcare.

Mollie Hobensack, Anahita Davoudi, Jiyoun Song, Kenrick Cato, Kathryn H Bowles, Maxim Topaz

Abstract readComparative Study
In one paragraph

Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mollie HobensackIcahn School of Medicine at Mount Sinai, New York, NY. Electronic address: mollie.hobensack@mssm.edu.
Anahita DavoudiCenter for Home Care Policy & Research, VNS Health, New York, NY.
Jiyoun SongUniversity of Pennsylvania School of Nursing, Philadelphia, PA.
Kenrick CatoUniversity of Pennsylvania School of Nursing, Philadelphia, PA; Children's Hospital of Philadelphia, Philadelphia, PA.
Kathryn H BowlesCenter for Home Care Policy & Research, VNS Health, New York, NY; University of Pennsylvania School of Nursing, Philadelphia, PA.
Maxim TopazCenter for Home Care Policy & Research, VNS Health, New York, NY; Columbia University School of Nursing, New York, NY; Data Science Institute, Columbia University, New York, NY.

Funding

Reducing Health Disparities Through Informatics - Genomics SupplementT32NR007969 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SUZANNE BAKKEN, Rebecca Schnall · 2002 to 2026
$7.9M
Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
AHRQ HHS R01 HS027742NINR NIH HHS T32 NR007969NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

This study examined the impact of social risk factors on machine learning model performance for predicting hospitalization and emergency department visits in home healthcare. Using retrospective data from one U.S. home healthcare agency, four models were developed with unstructured social information documented in clinical notes. Performance was compared with and without social factors. A subgroup analyses was conducted by race and ethnicity to assess for fairness. LightGBM performed best overall. Social factors had a modest effect, but findings highlight the feasibility of integrating unstructured social information into machine learning models and the importance of fairness evaluation in home healthcare.

Indexed as

EthnicityHome Care ServicesMachine LearningRacial GroupsAdultAgedAged, 80 and overEmergency Service, HospitalFemaleHospitalizationHumansMaleMiddle AgedRetrospective StudiesRisk FactorsUnited StatesHome healthcareHospitalizationMachine learningNursing informaticsSocial determinants of health

Identifiers

PMID40339458
PMCPMC12178806

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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.