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The impact of deceased donor maintenance on delayed kidney allograft function: A machine learning analysis.供体维护对延迟性肾移植功能的影响:机器学习分析。
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本文引用的文献

1
MySurgeryRisk: Development and Validation of a Machine-learning Risk Algorithm for Major Complications and Death After Surgery.MySurgeryRisk:一种用于手术主要并发症和死亡风险预测的机器学习算法的开发和验证。
Ann Surg. 2019 Apr;269(4):652-662. doi: 10.1097/SLA.0000000000002706.
2
A Machine Learning Approach Using Survival Statistics to Predict Graft Survival in Kidney Transplant Recipients: A Multicenter Cohort Study.一种使用生存统计的机器学习方法预测肾移植受者移植物存活率:一项多中心队列研究。
Sci Rep. 2017 Aug 21;7(1):8904. doi: 10.1038/s41598-017-08008-8.
3
Big Data, Predictive Analytics, and Quality Improvement in Kidney Transplantation: A Proof of Concept.大数据、预测分析与肾脏移植质量改进:概念验证
Am J Transplant. 2017 Mar;17(3):671-681. doi: 10.1111/ajt.14099. Epub 2017 Jan 4.
4
Predicting the Future - Big Data, Machine Learning, and Clinical Medicine.预测未来——大数据、机器学习与临床医学。
N Engl J Med. 2016 Sep 29;375(13):1216-9. doi: 10.1056/NEJMp1606181.
5
Inclusion of dynamic clinical data improves the predictive performance of a 30-day readmission risk model in kidney transplantation.纳入动态临床数据可提高肾移植30天再入院风险模型的预测性能。
Transplantation. 2015 Feb;99(2):324-30. doi: 10.1097/TP.0000000000000565.
6
Predicting kidney transplant survival using tree-based modeling.使用基于树的建模方法预测肾移植存活率。
ASAIO J. 2007 Sep-Oct;53(5):592-600. doi: 10.1097/MAT.0b013e318145b9f7.
7
Prediction of 3-yr cadaveric graft survival based on pre-transplant variables in a large national dataset.基于一个大型全国性数据集中的移植前变量预测3年尸体移植物存活率。
Clin Transplant. 2003 Dec;17(6):485-97. doi: 10.1046/j.0902-0063.2003.00051.x.

未来已来:关于机器学习在肾移植中应用的前景广阔。

The future is coming: promising perspectives regarding the use of machine learning in renal transplantation.

作者信息

Hannun Pedro Guilherme Coelho, Andrade Luis Gustavo Modelli de

机构信息

Universidade Estadual Paulista, Departamento de Medicina Interna, São Paulo, SP, Brasil.

出版信息

J Bras Nefrol. 2019 Apr-Jun;41(2):284-287. doi: 10.1590/2175-8239-jbn-2018-0047. Epub 2018 Oct 18.

DOI:10.1590/2175-8239-jbn-2018-0047
PMID:30353909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6699438/
Abstract

INTRODUCTION

The prediction of post transplantation outcomes is clinically important and involves several problems. The current prediction models based on standard statistics are very complex, difficult to validate and do not provide accurate prediction. Machine learning, a statistical technique that allows the computer to make future predictions using previous experiences, is beginning to be used in order to solve these issues. In the field of kidney transplantation, computational forecasting use has been reported in prediction of chronic allograft rejection, delayed graft function, and graft survival. This paper describes machine learning principles and steps to make a prediction and performs a brief analysis of the most recent applications of its application in literature.

DISCUSSION

There is compelling evidence that machine learning approaches based on donor and recipient data are better in providing improved prognosis of graft outcomes than traditional analysis. The immediate expectations that emerge from this new prediction modelling technique are that it will generate better clinical decisions based on dynamic and local practice data and optimize organ allocation as well as post transplantation care management. Despite the promising results, there is no substantial number of studies yet to determine feasibility of its application in a clinical setting.

CONCLUSION

The way we deal with storage data in electronic health records will radically change in the coming years and machine learning will be part of clinical daily routine, whether to predict clinical outcomes or suggest diagnosis based on institutional experience.

摘要

引言

移植后结果的预测在临床上具有重要意义,且涉及若干问题。当前基于标准统计学的预测模型非常复杂,难以验证,且无法提供准确的预测。机器学习是一种允许计算机利用以往经验进行未来预测的统计技术,正开始被用于解决这些问题。在肾移植领域,已有报道称计算预测在慢性移植物排斥反应、移植肾功能延迟恢复及移植物存活的预测中得到应用。本文介绍了机器学习进行预测的原理和步骤,并对其在文献中的最新应用进行了简要分析。

讨论

有令人信服的证据表明,基于供体和受体数据的机器学习方法在提供比传统分析更好的移植物结果预后方面表现更佳。这种新的预测建模技术带来的直接期望是,它将基于动态和本地实践数据做出更好的临床决策,并优化器官分配以及移植后护理管理。尽管取得了令人鼓舞的结果,但尚未有大量研究来确定其在临床环境中应用的可行性。

结论

在未来几年,我们处理电子健康记录中存储数据的方式将发生根本性变化,机器学习将成为临床日常工作的一部分,无论是用于预测临床结果还是根据机构经验建议诊断。