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Developing and Validating a Machine Learning Model to Predict the Resp

Description

Our model aimed to predict minimal clinical important difference (MCID) in patients receiving platelet-rich plasma (PRP) treatment for knee osteoarthritis (OA) at 6 months using machine learning models. We used data from 191 patients who received PRP treatment and evaluated various pre-treatment predictors.

The results showed that the Explainable Boosting Machine (EBM) model effectively predicted achieving MCID in knee function scores at 6 months, with an AUC-ROC of 0.84 and F1 Score of 0.75. Other models performed similarly.

Key findings included that high pre-injection KOOS, male gender, and older age were negative predictors of achieving MCID, while a higher PROMIS Mental score was the most important positive predictor. Patients with Kellgren-Lawrence grade II OA were more likely to achieve MCID. The study concluded that the EBM model was effective in predicting outcomes using pre-treatment factors, but external validation is needed.

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Author

Felix Conrad Oettl

Dr. med. univ.

Hospital for Special Surgery, New York, NY, USA

A M

Antonio Madrazo Ibarra

MD

Hospital for Special Surgery, New York, NY, USA

Mark A. Fontana

PhD

Center for the Advancement of Value in Musculoskeletal Care, Hospital for Special Sur

O L

Ophelie Loblack

Hospital for Special Surgery, New York, NY, USA

M M

Mert Marcel Dagli

Dr. med. univ.

Department of Neurosurgery, Perelman School of Medicine, Philadelphia, PA, USA

Miguel Otero

PhD

Hospital for Special Surgery, New York, NY, USA

J A

Jessica. Andres Bergos

PhD

Hospital for Special Surgery, New York, NY, USA

Scott A. Rodeo

MD

Hospital for Special Surgery, New York, NY, USA

ESSKA Continuous Professional Education Partners