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Research ArticleSpecial Issue

Real-World Implementation of Artificial Intelligence/Machine Learning for Managing Surgical Spine Patients at 2 Academic Health Care Systems

Ghaith Habboub, Sigurd Berven, Christopher Ames, Thomas Peterson and Thomas Mroz
International Journal of Spine Surgery June 2023, 17 (S1) S11-S17; DOI: https://doi.org/10.14444/8506
Ghaith Habboub
1 Cleveland Clinic Center for Spine Health, Cleveland, OH, USA
MD
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  • For correspondence: habboug@ccf.org
Sigurd Berven
2 Department of Orthopedic Surgery, UCSF Medical Center, San Francisco, CA, USA
MD
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Christopher Ames
3 Department of Neurological Surgery, University of California, San Francisco, CA, USA
MD
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Thomas Peterson
2 Department of Orthopedic Surgery, UCSF Medical Center, San Francisco, CA, USA
PhD
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Thomas Mroz
1 Cleveland Clinic Center for Spine Health, Cleveland, OH, USA
MD
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    Figure 1

    (a) Illustration of the level of autonomy by artificial intelligencey/machine learning group. (b) Illustration of the machine learning (ML) control system.

  • Figure 2
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    Figure 2

    Graphical representation of health care utilization and the relationship to patient-reported outcomes. Graphs a and b show utilization in relation to PROMIS. Graph c shows the utilization in relation to PROMIS and stratified by MCID. MCID, minimum clinically important difference; PROMIS, Patient-Reported Outcomes Measurement Information System; post-op, postoperative.

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    Figure 3

    Illustration of the optimization objectives and the level of optimization. PRO, patient-reported outcome.

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    Figure 4

    Graphical representation of Pearson’s correlation with the true length of stay for patients scored with the American College of Surgeon’s (ACS) National Surgical Quality Improvement Program (NSQIP; r = 0.461, P < 2e-16; A) and the Risk Assessment and Prediction Tool (RAPT) score (r = −0.364, P < 2e-16; B). When comparing ACS NSQIP to RAPT, the models were found to be correlated but highly divergent on a patient-by-patient basis (r = −0.286, P < 2e-16; C).

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International Journal of Spine Surgery: 17 (S1)
International Journal of Spine Surgery
Vol. 17, Issue S1
1 Jun 2023
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Real-World Implementation of Artificial Intelligence/Machine Learning for Managing Surgical Spine Patients at 2 Academic Health Care Systems
Ghaith Habboub, Sigurd Berven, Christopher Ames, Thomas Peterson, Thomas Mroz
International Journal of Spine Surgery Jun 2023, 17 (S1) S11-S17; DOI: 10.14444/8506

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Real-World Implementation of Artificial Intelligence/Machine Learning for Managing Surgical Spine Patients at 2 Academic Health Care Systems
Ghaith Habboub, Sigurd Berven, Christopher Ames, Thomas Peterson, Thomas Mroz
International Journal of Spine Surgery Jun 2023, 17 (S1) S11-S17; DOI: 10.14444/8506
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  • Article
    • Abstract
    • Background
    • Health Care Utilization Metrics at the Cleveland Clinic
    • Predictive Modeling for Surgical Interventions at UCSF
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More in this TOC Section

  • Letter to the Editor: Rasch Analysis and High Value Spinal Endoscopy—Another Perspective
  • Potential Applications of Artificial Intelligence and Machine Learning in Spine Surgery Across the Continuum of Care
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Keywords

  • artificial intelligence
  • predictive modeling
  • spine surgery

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