Importance of Machine Learning Algorithms in Predicting Early Revision Surgery

Compared to primary THA, revision total hip arthroplasty (THA) is associated with higher morbidity, mortality, and healthcare costs due to a technically more difficult surgical process. Therefore, a better knowledge of risk factors for early recovery is needed. The ATH is required to develop techniques to reduce the likelihood of patients having an early recovery. For one study, researchers sought to create and test new machine learning (ML) models to predict early revision after primary THA.

A total of 7,397 patients with primary THA were evaluated, including 566 patients (6.6%) who confirmed early revision THA (two years after index THA). Electronic patient data carefully assessed medical demographics, implant characteristics, and surgical factors related to early PTH revision. About 6 machine learning methods were built to predict early PTH revision, and their performance was evaluated using discrimination, calibration, and decision curve analysis.

The Charlson comorbidity index, a body mass index greater than 35 kg/m^2 and depression were the best predictors of early recovery after initial THA. Moreover, all six ML models performed well in discrimination (area under the curve >0.80), calibration, and decision curve analysis. The study used ML models to predict early revision surgery for people with initial THA. The results of the study revealed that the six candidate models perform well in discrimination, calibration, and decision curve analysis, highlighting the possibility that these models aid in patient-specific preoperative estimation of practice. clinical evidence of an increased risk of early THR revision.

Reference:journals.lww.com/jaaos/Abstract/2022/06010/The_Utility_of_Machine_Learning_Algorithms_for_the.4.aspx

Sharon D. Cole