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Table 1 Study characteristics

From: Machine learning models predicting risk of revision or secondary knee injury after anterior cruciate ligament reconstruction demonstrate variable discriminatory and accuracy performance: a systematic review

Author (Year)

Study Design (Level of Evidence)

MINORS SCORE  (/16)

Purpose

Source data if external validation study

Database/Institution

TRIPOD Followed?

Number of patients/knees

Mean age at surgery

Female (%)

Follow-up of Outcome (years)

Martin (2023)

Retrospective Cohort (III)

12

Assess sample size effect on accuracy

NR

NKLR + DKLR

Yes

62,955

MEDIAN 26 (IQR: 20–36) [Missing data 1870]

26,446

7.6 (4.5)

Martin (2022a)

Retrospective Cohort (III)

12

External Validation of Cox Lasso

NKLR

DKLR

Yes

10,922

29 (11)

4916

8.4 (4.3)

Martin (2022b)

Case-control (III)

12

Determine if machine learning analysis of NKLR can identify the most important risk factors associated with subsequent revision of primary ACL reconstruction

NA

NKLR

NR

24,935

28 (11)

10,916

1, 2, 5 years

Johnson (2023)

Retrospective Cohort (III)

12

Machine learning to predict ACL re-operation

NA

Rochester Epidemiology Project

Yes

1400

27

NR

9 years (min 2 years)

Lopez (2023)

Retrospective Comparative Prognostic (IV)

11

Machine learning (ML) models to predict outcomes following ACLR

NR

American College of Surgeons National Surgical Quality Improvement Program database

NR

21,636

31.8 (10.5)

7638 (35.3%)

30 days

Ye (2022)

Case-control (III)

12

Machine learning to determine objective and subjective clinical outcomes

of ACLR and to determine the most important predictors

NA

Shanghai Sixth People’s Hospital

NR

432

26.8 (8.4)

112 (25.9%)

6 years (3.1)

Martin (2024)

Retrospective Cohort (III)

11

To assess the external validity of the NKLR

model using STABILITY 1 RCT

NKLR

NKLR + STABILITY 1 trial

NR

591

19.0 (3.2)

304 (51.4)

1, 2

Jurgensmeier (2023)

Retrospective Cohort (III)

11

Machine learning to determine risk of secondary meniscal injury post primary ACLR

NA

Rochester Epidemiology Project (REP)

Yes

1187

25 (18–34)

502 (42.3%)

12.3 (6.6–17.6)

Lu (2022)

Retrospective Cohort (III)

12

Machine learning to compare risk and timing of secondary meniscal injury between nonoperative, delayed ACLR, and early ACLR patients

NA

Rochester Epidemiology Project (REP)

Yes

1369

28 (18–37)

677 (40.7)

min 2 year

  1. MINORS: methodological index for non-randomized studies, TRIPOD: transparent reporting of a multivariable prediction model for individual prognosis or diagnosis, NKLR: norwegian knee ligament registry, DKLR: danish knee ligament registry, RCT: randomized controlled trial, NR: not reported, NA: not applicable, ACL: anterior cruciate ligament