To evaluate the accuracy of machine learning models in predicting osteoporotic fracture risk in postmenopausal women.
Approach:
Key Findings:
Previous fractures were the most influential predictor of future fractures.
Parathormone levels and lumbar spine T score were also significant predictors.
Simplified models using accessible clinical measures performed comparably to more complex models.
Interpretation:
Machine learning can effectively identify postmenopausal women at increased fracture risk, emphasizing the importance of previous fractures, parathormone, lumbar spine T score, and vitamin D levels.
Limitations:
Cohorts were recruited in Spain, limiting generalizability.
Fracture occurrence was modeled as a binary outcome without considering timing.
Sample size did not allow for detailed analysis by fracture type or location.
Conclusion:
Machine learning should be utilized to enhance fracture risk prediction in postmenopausal women, focusing on key clinical variables.
A nationwide German claims analysis found lower initiation of guideline-recommended sodium-glucose cotransporter-2 inhibitors among women and patients living in lower-income municipalities.