Machine learning-based prediction of short- and long-term mortality for shared decision-making in older hip fracture patients: the Dutch Hip Fracture Audit algorithms in 74,396 cases.

Journal: Acta orthopaedica
Published Date: Jul 7, 2025

Abstract

BACKGROUND AND PURPOSE:  Treatment-related shared decision-making (SDM) in older adults with hip fractures is complex due to the need to balance patient-specific factors such as life goals, frailty, and surgical risks. It includes considerations such as prognosis and decisions concerning whether to operate or not on frail, life-limited patients. We aimed to develop machine learning (ML)-driven prediction models for short- and long-term mortality in a large cohort of patients with hip fractures.

Authors

  • Hidde Dijkstra
    Department of Orthopaedic Surgery, University Medical Centre Groningen, University of Groningen; University Center for Geriatric Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands hiddedijkstra95@gmail.com.
  • Cathleen S Parsons
    University Center for Geriatric Medicine, University of Groningen, University Medical Center Groningen, Groningen; Department of Engineering Systems & Services, Faculty of Technology Policy and Management, Delft University of Technology, Delft, The Netherlands.
  • Hanne-Eva VAN Bremen
    Amsterdam Bone Center, Movement Sciences Amsterdam, Amsterdam; Dutch Institute for Clinical Auditing, Leiden; Amsterdam University Medical Centers, location Academic Medical Center, Internal Medicine and Geriatrics, University of Amsterdam, Amsterdam, The Netherlands.
  • Hanna C Willems
    Amsterdam Bone Center, Movement Sciences Amsterdam, Amsterdam; Amsterdam University Medical Centers, location Academic Medical Center, Internal Medicine and Geriatrics, University of Amsterdam, Amsterdam; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
  • Anne A H de Hond
    Clinical AI Implementation and Research Lab, Leiden University Medical Center, Leiden, The Netherlands.
  • Barbara C Van Munster
    University Center for Geriatric Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
  • Job N Doornberg
  • Jacobien H F Oosterhoff
    Orthopedic Oncology Service, Massachusetts General Hospital, Harvard Medical School, Boston, USA;

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