Evidence map›Paper›PMID 40439482›Full record

ReviewMedical decision making : an international journal of the Society for Medical Decision Making2025

So You've Got a High AUC, Now What? An Overview of Important Considerations when Bringing Machine-Learning Models from Computer to Bedside.

Jiawen Deng, Mohamed E Elghobashy, Kathleen Zang, Shubh K Patel, Eddie Guo, Kiyan Heybati

Abstract readReview
In one paragraph

Review in Medical decision making : an international journal of the Society for Medical Decision Making, 2025. 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
  2. Review
  3. Article
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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.

Jiawen DengTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-8274-6468
Mohamed E ElghobashyTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Kathleen ZangDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Shubh K PatelTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Eddie GuoCumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Kiyan HeybatiMayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Machine-learning (ML) models have the potential to transform health care by enabling more personalized and data-driven clinical decision making. However, their successful implementation in clinical practice requires careful consideration of factors beyond predictive accuracy. We provide an overview of essential considerations for developing clinically applicable ML models, including methods for assessing and improving calibration, selecting appropriate decision thresholds, enhancing model explainability, identifying and mitigating bias, as well as methods for robust validation. We also discuss strategies for improving accessibility to ML models and performing real-world testing.HighlightsThis tutorial provides clinicians with a comprehensive guide to implementing machine-learning classification models in clinical practice.Key areas covered include model calibration, threshold selection, explainability, bias mitigation, validation, and real-world testing, all of which are essential for the clinical deployment of machine-learning models.Following these guidance can help clinicians bridge the gap between machine-learning model development and real-world application and enhance patient care outcomes.

Indexed as

Area Under CurveClinical Decision-MakingMachine LearningHumansbedside deploymentexternal validationhealth informaticsmachine learningmodel calibration

Identifiers

PMID40439482
PMCPMC12260203

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.