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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao ZENODOarrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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Dataset related to article "Concordance Between Human and AI-Based clinical follow-up after Total Hip Arthroplasty for prioritizing outpatient services"

Authors: Di Maio, Marco; Stuani, Riccardo; Galante, Sarah; Chiappetta, Katia; Corino, Valentina; Loppini, Mattia;

Dataset related to article "Concordance Between Human and AI-Based clinical follow-up after Total Hip Arthroplasty for prioritizing outpatient services"

Abstract

This record contains raw data related to article "Concordance Between Human and AI-Based clinical follow-up after Total Hip Arthroplasty for prioritizing outpatient services" Abstract PurposeTo evaluate concordance between human clinical grading and a multimodal artificial intelligence (AI) virtual follow-up model for prioritising outpatient follow-up after total hip arthroplasty (THA). MethodsThis concordance study compared human reference grading with AI model predictions in 603 THA follow-up cases. The AI system integrated radiographic deep-learning outputs with machine-learning branches based on clinical and comorbidity data. Agreement and classification performance were assessed using cross-tabulation, observed agreement, Cohen’s kappa, sensitivity, specificity, predictive values, likelihood ratios, odds ratio, and AUC with 95% confidence intervals. ResultsHuman grading classified 583 cases as normal and 20 as abnormal, whereas the AI model classified 586 as normal and 17 as abnormal. Cross-tabulation showed 582 true negatives, 16 true positives, one false positive, and four false negatives, corresponding to five discordant cases. Observed agreement was 99.2%, and Cohen’s kappa was 0.86 (standard error 0.04; Z = 21.21; p < 0.001). Sensitivity was 80.0% (95% confidence interval [CI] 56.3–94.3), specificity was 99.8% (95% CI 99.0–100.0), positive predictive value was 94.1%, negative predictive value was 99.3%, and ROC area was 0.90. ConclusionThe AI-supported virtual follow-up model showed excellent concordance with human clinical follow-up and very high specificity in detecting abnormal cases. However, four false-negative cases indicate that the tool should support, rather than replace, clinician-led surveillance.

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