Enhanced prediction of spine surgery outcomes using advanced machine learning techniques and oversampling methods

被引:3
作者
Benitez-Andrades, Jose Alberto [1 ,2 ]
Prada-Garcia, Camino [3 ,4 ]
Ordas-Reyes, Nicolas [5 ]
Blanco, Marta Esteban [6 ]
Merayo, Alicia [5 ]
Serrano-Garcia, Antonio [2 ,7 ]
机构
[1] Univ Leon, Dept Elect Syst & Automat Engn, SALBIS Res Grp, Campus Vegazana S-N, Leon 24071, Spain
[2] Inst Invest Biosanit Leon IBIOLEON, Calle Altos Nava, s-n, Leon 24008, Spain
[3] Univ Valladolid, Dept Prevent Med & Publ Hlth, Valladolid 47005, Spain
[4] Complejo Asistencial Univ Leon, Dermatol Serv, Leon 24008, Spain
[5] Univ Leon, Escuela Ingn Ind, Dept Elect Syst & Automat Engn, Campus Vegazana S-N, Leon 24071, Spain
[6] Complejo Asistencial Univ Leon, Dept Orthopaed Surg & Traumatol, Leon 24008, Spain
[7] Complejo Asistencial Univ Leon, Dept Psychosomat, Psychiat Serv, Leon 24008, Spain
关键词
Spine surgery; Machine learning; Predictive model; Oversampling techniques; Patient outcomes; Decision support systems; Surgical outcomes; Classification models; Healthcare analytics; MODELS;
D O I
10.1007/s13755-025-00343-9
中图分类号
R-058 [];
学科分类号
摘要
PurposeAccurate prediction of spine surgery outcomes is essential for optimizing treatment strategies. This study presents an enhanced machine learning approach to classify and predict the success of spine surgeries, incorporating advanced oversampling techniques and grid search optimization to improve model performance.MethodsVarious machine learning models, including GaussianNB, ComplementNB, KNN, Decision Tree, KNN with RandomOverSampler, KNN with SMOTE, and grid-searched optimized versions of KNN and Decision Tree, were applied to a dataset of 244 spine surgery patients. The dataset, comprising pre-surgical, psychometric, socioeconomic, and analytical variables, was analyzed to determine the most efficient predictive model. The study explored the impact of different variable groupings and oversampling techniques.ResultsExperimental results indicate that the KNN model, especially when enhanced with RandomOverSampler and SMOTE, demonstrated superior performance, achieving accuracy values as high as 76% and an F1-score of 67%. Grid-searched optimized versions of KNN and Decision Tree also yielded significant improvements in predictive accuracy and F1-score.ConclusionsThe study highlights the potential of advanced machine learning techniques and oversampling methods in predicting spine surgery outcomes. The results underscore the importance of careful variable selection and model optimization to achieve optimal performance. This system holds promise as a tool to assist healthcare professionals in decision-making, thereby enhancing spine surgery outcomes. Future research should focus on further refining these models and exploring their application across larger datasets and diverse clinical settings.
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页数:13
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