Translating Data Analytics Into Improved Spine Surgery Outcomes: A Roadmap for Biomedical Informatics Research in 2021.

Translating Data Analytics Into Improved Spine Surgery Outcomes: A Roadmap for Biomedical Informatics Research in 2021.
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DOI:
10.1177/21925682211008424
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发表时间:
2022-06
影响因子:
2.4
通讯作者:
Ray WZ
Ray WZ
中科院分区:
医学4区
文献类型:
--
作者:
Greenberg JK;Otun A;Ghogawala Z;Yen PY;Molina CA;Limbrick DD Jr;Foraker RE;Kelly MP;Ray WZ

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叙述性评论。在脊柱手术中使用生物医学信息学和数据分析工具的兴趣越来越大。然而,尽管这些主题的研究迅速增长,很少有分析工具已在常规脊柱实践中实施。本综述的目的是提供一个健康信息技术(HIT)路线图,以帮助将数据资产和分析工具转化为脊柱外科护理的可衡量进步。我们对PubMed和Google Scholar进行了叙述性综述,以识别讨论脊柱手术实践相关数据资产、分析方法和实施策略的出版物。各种数据资产可用于脊柱研究,从常用的数据集(如管理计费数据)到新兴资源(如移动的健康和生物库)。回归和机器学习技术对于分析这些资产都很有价值,研究人员应该认识到每种方法的优缺点。很少有研究集中在HIT的实施上,并且存在多种方法来帮助将分析工具转化为临床有用的干预措施。最后,必须认识和解决一些与HIT相关的挑战,包括利益相关者的接受、监管监督和道德考虑。生物医学信息学有潜力支持新HIT的开发,可以提高脊柱手术质量和结果。通过了解开发生命周期,包括识别适当的数据资产,选择分析方法,并利用有效的实施策略,脊柱研究人员可以将这种潜力转化为患者护理的可衡量进步。
Narrative review. There is growing interest in the use of biomedical informatics and data analytics tools in spine surgery. Yet despite the rapid growth in research on these topics, few analytic tools have been implemented in routine spine practice. The purpose of this review is to provide a health information technology (HIT) roadmap to help translate data assets and analytics tools into measurable advances in spine surgical care. We conducted a narrative review of PubMed and Google Scholar to identify publications discussing data assets, analytical approaches, and implementation strategies relevant to spine surgery practice. A variety of data assets are available for spine research, ranging from commonly used datasets, such as administrative billing data, to emerging resources, such as mobile health and biobanks. Both regression and machine learning techniques are valuable for analyzing these assets, and researchers should recognize the particular strengths and weaknesses of each approach. Few studies have focused on the implementation of HIT, and a variety of methods exist to help translate analytic tools into clinically useful interventions. Finally, a number of HIT-related challenges must be recognized and addressed, including stakeholder acceptance, regulatory oversight, and ethical considerations. Biomedical informatics has the potential to support the development of new HIT that can improve spine surgery quality and outcomes. By understanding the development life-cycle that includes identifying an appropriate data asset, selecting an analytic approach, and leveraging an effective implementation strategy, spine researchers can translate this potential into measurable advances in patient care.
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