XGBoost for Predict Incisional Hernia (XGB&IncHern)

Hospital Regional de Alta Especialidad del Bajio

Status: Enrolling

Conditions: Incisional Hernia

Treatments: Diagnostic Test: Not intervention

Study type: Observational

Funder types: Other

Identifiers

NCT05718999

CEI/HRAEB/002/2021 (Other Identifier)

CI/HRAEB/002/2021

Details and patient eligibility

About

The objective of this study is to develop a predictive model of IH based on machine learning with the use of the XGBoost technique, this will help surgeons in charge of abdominal wall closure to have objective support to determine high-risk patients and in them modify the closure technique or use a mesh according to their choice or the degree of contamination of the abdominal cavity.

Full description

Retrospective and observational study. The predictions will make using machine learning models. The programs use the scikit-learn, xgboost and catboost Python packages for modeling.

The evaluation of models will be using fourfold cross-validation, the receiver operating characteristic (ROC) curve, the area under the ROC curve (AUC), and accuracy metrics calculated on the union of the test sets of the cross-validation.

The most critical factors and their contribution to the prediction will identify using a modern tool of explainable artificial intelligence called SHapley Additive exPlanations (SHAP).

Enrollment: 1,000 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients older than 18 years of age
• Postoperative midline exploratory laparotomy, who underwent urgent or scheduled surgery, regardless of their underlying diagnosis,
• included between January 2010 and December 2016 and who completed 24 months of follow-up after surgery initial surgery.

Exclusion criteria

• Reoperated for any cuestion diferent to present of hernia
• Management of open abdomen

Trial design

1,000 participants in 2 patient groups

With Incisional Hernia

Description:

The incisional hernia was defined according to the EHS guidelines as a mass in the abdominal wall with or without a visceral outlet or palpable in the surgical site determined by clinical examination or tomography, this group will present this complication.

Treatment:

Diagnostic Test: Not intervention

Without Incisional Hernia

Description:

The incisional hernia was defined according to the EHS guidelines as a mass in the abdominal wall with or without a visceral outlet or palpable in the surgical site determined by clinical examination or tomography, this group will not present this complication.

Treatment:

Diagnostic Test: Not intervention