Primary Care

Latest AI and machine learning research in primary care for healthcare professionals.

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GERBEHRT: A BERT-based Model Tailored for German Electronic Health Records – Potential in Chronic Kidney Disease Prediction

Routinely collected electronic health records (EHRs) contain rich longitudinal information that enables the prediction of patient outcomes at scale. We developed GERBEHRT, a transformer model adapted from BEHRT and specifically tailored to German EHRs. GERBEHRT was pretrained on outpatient claims from more than 9 million statutorily insured patients and fine-tuned with nearly 1 million additional ...

Machine Learning Risk Prediction for Prolonged Hospitalization in Frail Older Adults with Multimorbidity

Frailty and multimorbidity are common in older adults and contribute substantially to prolonged hospitalizations, readmissions, and mortality. Yet, existing prediction models often fail to integrate frailty-specific biomarkers and lack interpretability for routine clinical use. To develop and internally validate an interpretable, machine learning–enhanced logistic regression model to predict prolo...

Artificial Intelligence-Enabled Electrocardiogram for Elevated Left Ventricular Filling Pressure

Left ventricular filling pressure (LVFP) is associated with heart failure symptoms, a key prognostic marker, and a therapeutic target, but is difficul...

Predicting Amyloid Positivity Through Proteomic and Machine Learning Approaches

Alzheimer’s disease is a progressive neurodegenerative disorder where early detection remains difficult. To address this challenge, we analysed a larg...

A Metabolic-Inflammatory Phenotype of Pelvic Floor Dysfunction: A Machine Learning-Based Discovery in a Nationally Representative U.S. Cohort

Pelvic floor dysfunction (PFD) is a highly prevalent and heterogeneous condition among women. The traditional view of PFD as a single clinical entity ...

Discovering latent subtypes of preterm birth and genetic risk using tensor decomposition on electronic health records

Preterm birth is a syndrome that is triggered by diverse biological pathways and presents with many comorbid diseases. Although twin studies reveal a ...

Clinical Implementation of an AI Algorithm for Substance Misuse Screening in Hospitalized Adults

Manual inpatient screening for substance misuse is labor-intensive and inconsistently applied. Evaluation of artificial intelligence (AI)–assisted scr...

Comparative Mortality Risk of Aripiprazole, Olanzapine, Quetiapine and Risperidone in Alzheimer’s Disease: A Real□World Cohort Study with Treatment Effect Heterogeneity Analysis

Second-generation antipsychotics (SGAs) are frequently used off-label to manage behavioral symptoms in Alzheimer’s disease (AD), despite ongoing conce...

Metformin use is associated with lower mortality from bacterial sepsis and improved immunocompetence in Thai diabetes patients with acute melioidosis

Diabetes mellitus (DM) is a major risk factor for acquiring infections. Metformin, the first-line treatment for type 2 DM, is associated with benefici...

PANCDetect: Early Detection of Pancreatic Cancer from Multimodal EHR data with LLM Embeddings

Pancreatic cancer (PANC) is often diagnosed at late stages due to the absence of specific early symptoms, resulting in one of the highest cancer morta...

A photoplethysmography-based aging clock reveals genetic determinants of arterial aging

Arterial aging, marked by progressive vascular stiffening, is a contributor to cardiovascular disease. Photoplethysmography (PPG) waveforms offer an e...

Electrodermal Activity as a Critical Modality for Wearable Sleep Monitoring: A Comprehensive Systematic Review from Fundamental Physiology to Clinical Translation

Wearable sleep monitoring devices have proliferated over the past decade, driven by consumer interest in sleep optimization and athletic recovery trac...

The impact of a SmartPhone applicatiOn for skin cancer risk assessmenT on the healthcare system (SPOT-study): A randomized controlled trial

Artificial intelligence (AI)-based mobile health (mHealth) smartphone apps for skin cancer detection are increasingly available to the general populat...

Circulating Metabolites are Linked to Dementia and Brain Imaging Phenotypes, and Mediate Modifiable Risk Pathways

Dementia poses an escalating global health burden, yet its underlying mechanisms remain incompletely understood. In this large-scale, targeted metabol...

Wearable Sleep Measures May Improve Machine Learning Prediction of Home-based Pulmonary Rehabilitation Engagement Among Patients With Chronic Obstructive Pulmonary Disease: A Proof-of-Concept Study

To evaluate whether incorporating baseline sleep measures from a wrist-worn activity monitor in machine learning (ML) models improved the prediction o...

Dual-Model LLM Ensemble via Web Chat Interfaces Reaches Near-Perfect Sensitivity for Systematic-Review Screening: A Multi-Domain Validation with Equivalence to API Access

Prior work showed that state-of-the-art (mid-2025) large language models (LLMs) prompted with varying batch sizes can perform well on systematic revie...

Physiological foundation modeling for subclinical disease assessment: a prospective pilot

Clinical studies struggle to locate the right patients, in part because many remain undiagnosed or lack relevant labels. We develop and prospectively ...

Causal modeling of chronic kidney disease in a participatory framework for informing the inclusion of social drivers in health algorithms

Incomplete or incorrect causal theories are a key source of bias in machine learning (ML) algorithms. Community-engaged methodologies provide an avenu...

A MULTI-DIMENSIONAL MACHINE LEARNING APPROACH FOR CARDIOVASCULAR DISEASE PREDICTION IN THE UK BIOBANK STUDY

Cardiovascular diseases (CVD) are complex disorders involving the impaired function of blood vessels or the heart. Several risk factors contribute to ...

Discrete-Event Simulation Modeling Framework for Cancer Interventions and Population Health in R (DESCIPHR): An Open-Source Pipeline

Simulation models inform health policy decisions by integrating data from multiple sources and forecasting outcomes when there is a lack of comprehens...

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