Thyroid disease

Data-Driven Strategies for Carbimazole Titration: Exploring Machine Learning Solutions in Hyperthyroidism Control

J Clin Endocrinol MetabPublished Retrospective machine learning model development study

Authors' conclusion

To simulate a use-case, the accumulation of the prediction error over time was assessed. It was determined that an improvement in accuracy is expected if this model was to be deployed in practice.

Study context

Population
Patients with hyperthyroidism (primarily autoimmune) treated with carbimazole titration at University Hospitals Dorset (UHD)421 extracted
Participants
353 patients
Exposure
Machine learning classification algorithms for carbimazole dose determination
Outcome
Model performance: weighted F1 scores and Brier scores
Methodological detailssingle-centre, Different ML classification algorithms tested under several data processing regimes; iterative model selection followed by feature selection
  • Single-centre
  • Different ML classification algorithms tested under several data processing regimes; iterative model selection followed by feature selection

Main finding

As reported in the abstract

Prediction of carbimazole dose (model performance)
GroupValueSelected model F1Selected model Brier score
Random forest (RF)average F1 score 0.7310.7510.38

Random forest (RF)

Valueaverage F1 score 0.731
Selected model F10.751
Selected model Brier score0.38

Observational data: associations, not effects.

Original publication

Data-Driven Strategies for Carbimazole Titration: Exploring Machine Learning Solutions in Hyperthyroidism Control. J Clin Endocrinol Metab. Published 13 September 2024. doi:10.1210/clinem/dgae642

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