
Application of machine learning models in predicting renal function decline following robot-assisted partial nephrectomy
Li Jing, Wang Linfeng, Zhang Gaojie, Huang Yong, Gao Yingying, Sun Rui, Cao Yang, Li Qiuchen, He Hao, Wei Ziling, Liu Jiayu
Application of machine learning models in predicting renal function decline following robot-assisted partial nephrectomy
Objective To compare the efficacy of various machine learning models in predicting renal function decline after robot-assisted partial nephrectomy(RAPN),and to provide evidence for clinical risk stratification. Methods This study retrospectively included the clinical data of 733 patients with renal cell carcinoma undergoing RAPN at the Urology Department of The First Affiliated Hospital of Chongqing Medical University from January 2019 to December 2023. Demographic characteristics,laboratory indicators,and perioperative parameters were integrated to construct seven machine learning models. Key predictors were interpreted using Shapley additive explanations(SHAP). Model performance was evaluated using the area under the receiver operating characteristic curve (AUC). Results The random forest model demonstrated the best predictive performance(AUC=0.84). SHAP analysis identified neutrophil-to-lymphocyte ratio,tumor diameter,the international normalized ratio of prothrombin time,white blood cell count,and intraoperative blood loss as significant factors influencing postoperative renal function decline. Conclusion This study provides a potential predictive tool for clinical practice,aiding in identifying high-risk patients and optimizing postoperative management strategies.
robot-assisted partial nephrectomy / renal function decline / machine learning model / Shapley additive explanation / predictive model / postoperative management
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邹湘鹏,宁 康,张志凌,等. 单中心1 367例根治性肾切除肾癌患者的远期生存分析[J]. 中华肿瘤杂志,2023,45(11):981-987.
|
5 |
|
6 |
|
7 |
|
8 |
|
9 |
|
10 |
刘彩虹,
|
11 |
|
12 |
|
13 |
中国医促会泌尿健康促进分会,中国研究型医院学会泌尿外科学专业委员会. 肾部分切除术安全共识[J]. 现代泌尿外科杂志,2020,25(6):474-481
Chinese Association for the Promotion of Healthcare Urology Branch,Chinese Research Hospital Association Urology Professional Committee. Safety consensus on partial nephrectomy[J]. Journal of Modern Urology,2020,25(6):474-481,500
|
14 |
|
15 |
|
16 |
李泽宇,柳 豪,黄垣堤,等. 脂代谢相关基因ABHD5抑制肾癌细胞体外迁移及侵袭[J]. 重庆医科大学学报,2024,49(6):701-706.
|
17 |
|
18 |
|
19 |
|
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