Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Aug 1;153(8):770-771.
doi: 10.1001/jamasurg.2018.1512.

Automated Performance Metrics and Machine Learning Algorithms to Measure Surgeon Performance and Anticipate Clinical Outcomes in Robotic Surgery

Affiliations
Review

Automated Performance Metrics and Machine Learning Algorithms to Measure Surgeon Performance and Anticipate Clinical Outcomes in Robotic Surgery

Andrew J Hung et al. JAMA Surg. .
No abstract available

PubMed Disclaimer

Figures

Figure.
Figure.
Training a Machine Learning (ML) Algorithm to Estimate Perioperative Clinical Outcome With Automated Performance Metrics (APMs) (1) A set of 25 APMs is captured from each of 8 distinct surgical steps during robot-assisted radical prostatectomy. (2) Cases are labeled as LOS ≤2 d or LOS >2 d based on hospital length of stay (LOS) after surgery. (3) A random forest 50-tree ML algorithm is trained with APMs and the clinical outcome label. (4) The trained ML algorithm can then estimate clinical outcomes (LOS ≤2 d or LOS >2 d) of a new case by using APMs only.

References

    1. Birkmeyer JD, Finks JF, O’Reilly A, et al.; Michigan Bariatric Surgery Collaborative. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434–1442. doi:10.1056/NEJMsa1300625 - DOI - PubMed
    1. Hung AJ, Chen J, Jarc A, Hatcher D, Djaladat H, Gill IS. Development and validation of objective performance metrics for robot-assisted radical prostatectomy: a pilot study. J Urol. 2018;199(1): 296–304. doi:10.1016/j.juro.2017.07.081 - DOI - PMC - PubMed
    1. Lendvay TS, White L, Kowalewski T. Crowdsourcing to assess surgical skill. JAMA Surg. 2015;150(11):1086–1087. doi:10.1001/jamasurg.2015.2405 - DOI - PubMed
    1. Intuitive Surgical, Inc. 2016. Annual Report. http://www.annualreports.com/HostedData/AnnualReports/PDF/NASDAQ_ISRG_20.... Accessed May 16, 2018.
    1. Gulshan V, Peng L, Coram M, et al. Development and validation of a deep learning algorithm for detection of diabetic retinopathy in retinal fundus photographs. JAMA. 2016;316(22):2402–2410. doi:10.1001/jama.2016.17216 - DOI - PubMed

Publication types