Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia

Background Pouchitis is a non-specific inflammation of the ileal reservoir and the most frequent complication that patients experience in long periods. Diagnosis should be made based on the clinical, endoscopic, and histological aspects. Prediction of pouchitis is an important issue for the physici...

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Autor principal:	Ahmad Izadpanah
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2013
Materias:	ventral incisional hernia hernia repair mesh graft Medicine R
Acceso en línea:	https://doaj.org/article/6f90f79271ca4142a2296b91dad2fd7f
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spelling	oai:doaj.org-article:6f90f79271ca4142a2296b91dad2fd7f2021-11-14T07:53:33ZCaution in Use of Synthetic Mesh in Repairing the Incisional Hernia2783-243010.17795/acr-13171https://doaj.org/article/6f90f79271ca4142a2296b91dad2fd7f2013-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45444_301d489442501472469a6070e7fc354c.pdfhttps://doaj.org/toc/2783-2430Background Pouchitis is a non-specific inflammation of the ileal reservoir and the most frequent complication that patients experience in long periods. Diagnosis should be made based on the clinical, endoscopic, and histological aspects. Prediction of pouchitis is an important issue for the physician. Objectives The study was aimed to identify the predictive factors of pouchitis as well as their importance. Patients and Methods In the present study, two classification techniques entitled decision trees method and logistic regression analysis were used to help the physician in prediction of pouchitis in ulcerative colitis (UC) patients. These patients are submitted to a specific surgery. The ability of these two methods in prediction is achieved by comparison of the accuracy of the correct predictions (the minimum error rate) and the interpretability and simplification of the results for clinical experts. Results The accuracy rate in prediction is 0.6 for logistic regression method and 0.45 for decision tree algorithm. In addition, the mean squared error is lower for logistic regression (0.41 versus 0.48). However, the area under the ROC is more for decision tree than logistic regression (0.52 and 0.45 respectively). Conclusions The results are not in favor of none of these two methods. However, the simplicity of decision tree for clinical experts and theoretical assumptions of logistic regression method make the choice clear. But more sample size may be needed to choose the best model with more confident.Ahmad IzadpanahShiraz University of Medical Sciencesarticleventral incisional herniahernia repairmesh graftMedicineRENIranian Journal of Colorectal Research, Vol 1, Iss 2, Pp 0-0 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	ventral incisional hernia hernia repair mesh graft Medicine R
spellingShingle	ventral incisional hernia hernia repair mesh graft Medicine R Ahmad Izadpanah Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia
description	Background Pouchitis is a non-specific inflammation of the ileal reservoir and the most frequent complication that patients experience in long periods. Diagnosis should be made based on the clinical, endoscopic, and histological aspects. Prediction of pouchitis is an important issue for the physician. Objectives The study was aimed to identify the predictive factors of pouchitis as well as their importance. Patients and Methods In the present study, two classification techniques entitled decision trees method and logistic regression analysis were used to help the physician in prediction of pouchitis in ulcerative colitis (UC) patients. These patients are submitted to a specific surgery. The ability of these two methods in prediction is achieved by comparison of the accuracy of the correct predictions (the minimum error rate) and the interpretability and simplification of the results for clinical experts. Results The accuracy rate in prediction is 0.6 for logistic regression method and 0.45 for decision tree algorithm. In addition, the mean squared error is lower for logistic regression (0.41 versus 0.48). However, the area under the ROC is more for decision tree than logistic regression (0.52 and 0.45 respectively). Conclusions The results are not in favor of none of these two methods. However, the simplicity of decision tree for clinical experts and theoretical assumptions of logistic regression method make the choice clear. But more sample size may be needed to choose the best model with more confident.
format	article
author	Ahmad Izadpanah
author_facet	Ahmad Izadpanah
author_sort	Ahmad Izadpanah
title	Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia
title_short	Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia
title_full	Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia
title_fullStr	Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia
title_full_unstemmed	Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia
title_sort	caution in use of synthetic mesh in repairing the incisional hernia
publisher	Shiraz University of Medical Sciences
publishDate	2013
url	https://doaj.org/article/6f90f79271ca4142a2296b91dad2fd7f
work_keys_str_mv	AT ahmadizadpanah cautioninuseofsyntheticmeshinrepairingtheincisionalhernia
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Caution in Use of Synthetic Mesh in Repairing the Incisional Hernia

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