Diagnosing growing pains in children by using machine learning: a cross-sectional multicenter study.

Growing pains (GP) are the most common cause of recurrent musculoskeletal pain in children. There are no diagnostic criteria for GP. We aimed at analyzing GP-related characteristics and assisting GP diagnosis by using machine learning (ML). Children with GP and diseased controls were enrolled betwee...

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Publicado en:Medical & Biological Engineering & Computing Vol. 60; no. 12; pp. 3601 - 3615
Autores principales: Akal, Fuat, Batu, Ezgi D., Sonmez, Hafize Emine, Karadağ, Şerife G., Demir, Ferhat, Ayaz, Nuray Aktay, Sözeri, Betül
Formato: research Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11517-022-02699-6
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        atl: Diagnosing growing pains in children by using machine learning: a cross-sectional multicenter study.
      aug:
        au:
          Akal, Fuat
          Batu, Ezgi D.
          Sonmez, Hafize Emine
          Karadağ, Şerife G.
          Demir, Ferhat
          Ayaz, Nuray Aktay
          Sözeri, Betül
        affil: Department of Computer Engineering, Hacettepe University, Ankara, Turkey
      sug:
        subj:
          Lower Extremity
          Pain Etiology
          Pain Diagnosis
          Human
          Prospective Studies
          Cross Sectional Studies
          Child
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Arthritis Impact Measurement Scales
          Child: 6-12 years
      ab: Growing pains (GP) are the most common cause of recurrent musculoskeletal pain in children. There are no diagnostic criteria for GP. We aimed at analyzing GP-related characteristics and assisting GP diagnosis by using machine learning (ML). Children with GP and diseased controls were enrolled between February and August 2019. ML models were developed by using tenfold cross-validation to classify GP patients. A total of 398 patients with GP (F/M:1.3; median age 102 months) and 254 patients with other diseases causing limb pain were enrolled. The pain was bilateral (86.2%), localized in the lower extremities (89.7%), nocturnal (74%), and led to awakening at night (60.8%) in most GP patients. History of arthritis, trauma, morning stiffness, limping, limitation of activities, and school abstinence were more prevalent among controls than in GP patients (p = 0.016 for trauma; p < 0.001 for others). The experiments with different ML models revealed that the Random Forest algorithm had the best performance with 0.98 accuracy, 0.99 sensitivity, and 0.97 specificity for GP diagnosis. This is the largest cohort study of children with GP and the first study that attempts to diagnose GP by using ML techniques. Our ML model may be used to facilitate diagnosing GP.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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