Cited by 190Osteoarthritis Treatment and MechanismsArtificial Intelligence in HealthcareMusculoskeletal pain and rehabilitation

Machine-learning-based patient-specific prediction models for knee osteoarthritis

Jamshidi, Afshin, Pelletier, Jean-Pierre, Martel-Pelletier, Johanne·2019·Nature Reviews Rheumatology

Abstract

Osteoarthritis (OA) is an extremely common musculoskeletal disease. However, current guidelines are not well suited for diagnosing patients in the early stages of disease and do not discriminate patients for whom the disease might progress rapidly. The most important hurdle in OA management is identifying and classifying patients who will benefit most from treatment. Further efforts are needed in patient subgrouping and developing prediction models. Conventional statistical modelling approaches exist; however, these models are limited in the amount of information they can adequately process. Comprehensive patient-specific prediction models need to be developed. Approaches such as data mining and machine learning should aid in the development of such models. Although a challenging task, technology is now available that should enable subgrouping of patients with OA and lead to improved clinical decision-making and precision medicine.

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Crossref · 10.1038/s41584-018-0130-5

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  • Feature selection helps mitigate the curse of dimensionality.

    “Using filter methods (correlation, mutual information), wrapper methods (recursive feature elimination, sequential selection), embedded methods (LASSO, elastic net, ridge regression), or dimensionality reduction (PCA, LDA, t-SNE) to maximize predictive performance and lower overfitting, feature selection helps to mitigate the curse of dimensionality [82].”

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References 73 · Cited by 190

Authors
Jamshidi, A., Pelletier, J.-P., & Martel-Pelletier, J.
Affiliations
Université de Montréal (CA)
Venue
Nature Reviews Rheumatology
Published
2018-12-06
Volume
15
Issue
1
Pages
49-60
ISSN
  • 1759-4790 (ISSN-L)
  • 1759-4804
OpenAlex
W2902433159
Cited by
190
References
73
Citations by year
2026: 13 · 2025: 28 · 2024: 25 · 2023: 36 · 2022: 26 · 2021: 29 · 2020: 25 · 2019: 8
FWCI
2.57
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Reviews Rheumatology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
  • Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
knee osteoarthritis, machine learning, prediction model, patient-specific prediction, disease progression, patient subgrouping, precision medicine, clinical decision-making, early diagnosis
MeSH terms
Clinical Decision-Making, Machine Learning, Clinical Decision Rules, Aged, Aged, 80 and over, Female, Humans, Male, Models, Theoretical, Risk Factors, Disease Progression, Osteoarthritis, Knee, Early Diagnosis, Data Mining, Precision Medicine

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