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Predicting opioid consumption after surgical discharge: a multinational derivation and validation study using a foundation model
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Abstract
Opioids are frequently overprescribed after surgery. We applied a tabular foundation model to predict the risk of post-discharge opioid consumption. The model was trained and internally validated on an 80:20 training/test split of the ‘Opioid PrEscRiptions and usage After Surgery’ (ACTRN12621001451897p) study cohort, including adult patients undergoing general, orthopaedic, gynaecological and urological operations (n = 4267), with external validation in a distinct cohort of patients discharged after general surgical procedures (n = 826). The area under the receiver operator curve was 0.84 (95% confidence interval [CI] 0.81–0.88) at internal testing and 0.77 (95% CI 0.74–0.80) at external validation. Brier scores were 0.13 (95% CI 0.12–0.14) and 0.19 (95% CI 0.17–0.2). Patients with a <50% predicted risk of opioid consumption consumed a median of 0 oral morphine equivalents in the first week after surgery. Applying this model would reduce opioid prescriptions by 4.5% globally, and counterfactual modelling suggests without increasing time in severe pain (−4.3%, 95% CI −17.7 to 8.6).
Springer Science and Business Media LLC
Chris Varghese
Luke Peters
Lorane Gaborit
William Xu
Kaviya Kalyanasundaram
Aya Basam
Melissa Park
Cameron Wells
Kenneth A. McLean
Gabriel Schamberg
Greg O’Grady
Deborah Wright
Jennifer Martin
Ewen Harrison
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Luke Peters
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Hassan Bushaala
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Ahmed Mohammed Abodina
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Qamrah Alhadad
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Amna Safar
Esra Shagroun
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Alzahra Lemhaishi
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Ahlam Elkheshebi
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Ghaliya Mohamed H. Alrifae
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Hana Yousef Gineeb
Rawia Ghmagh
Rihab Mohammed Bin Omar
Retaj Alaqoubi
Sara Mohammed
Serien Hossain Bensalem
Tahani Elgadi
Wesam Sami
Yara Bariun
Abdulhadi Mohammed Alhadi Alhashimi
Dheba Almukhtar Abdulla
Heba Rhuma
Husam Enaami
Asraa Ali Alboueishi
Hayat Ben Hasan
Mohamd A. A. Alkchr
Bashir Albakosh
Najah Alsari
Mahammed Aldreawi
Najat Ben Hasan
Khaled Abushanab
Rawad Yahya
Narimantas Samalavicius
Vitalijus Eismontas
Jonas Jurgaitis
Oleg Aliosin
Vitalija Nutautiene
Andee Dzulkarnaen Zakaria
Anil Kumar Sree Kumar Pillai
Dinesh Kumar Vadioaloo
Mohamed Ashraf Mohamed Daud
Jien Yen Soh
Mohd Zaim Zakaria
Siti Mayuha Rusli
Nur Ayuni Khirul Ashar
Zatul Akmar Ahmad
Afiq Aizat Ramlee
Sharifah Nor Amirah Syed Abdul Lati Alsagoff
Ahmad Anuar Sofian
Muhammad Badrul Hisyam Mohamad Jamil
Bahiyah Abdullah
Mohamad Faiz Noorman
Muhammad Fihmi Zainal Abidin
Mohamed Izzad Isahak
Siti Nasyirah Nisya Adnan
Zaidatul Husna Mohamad Noor
Luis Adrian Alvarez-Lozada
Alejandro Quiroga Garza
Andrea Aguilar Leal
Bernardo Alfonso Fernández Reyes
Ethel Valeria Orta Guerra
Francisco Javier Arrambide Garza
Héctor Erasmo Alcocer Mey
Jorge Arath Rosales Isais
Juventino Tadeo Guerrero Zertuche
Patricia Ludivina González García
Luis Antonio Heredia Sánchez
Marcela Patricia Flores Mercado
Oscar Alonso Verduzco Sierra
Pedro Emiliano Ramos Morales
Stephie Oyervides Fuentes
Víctor Manuel Peña Martínez
Yesika Alejandra Guerra-Juárez
Ana Karina Flores-González
Surya Singh
Arwa Hadi
Christian Woodbridge
David Thornton-Hume
Jack Forsythe
Isini Dharmaratne
Vivian Pai
John Windsor
Kamran Zargar
Lucy Waldin
Lily Winthrop
Matias Alvarez
Meileen Huang
Matt Kumove
Marta Simonetti
Namisha Chand
Oliver Goldsmith
Oscar Guo
Paul Monk
Karen Zhou
Sai Harshitha Penneru
Shaamnil Prasad
Seifei Ren
Terrence Hill
Vyoma Mistry
Selena Sun
Ashley Pereira
Scott Mclaughlin
Andrew Stokes
Avinash Sathiyaseelan
Jeremy Rossaak
Janice Lim
Kenya Brooke
Liam Quinlan
Mark Pottier
Nayanika Podder
Puja Jinu
Shanay Ramphal
Wikus Vermeulen
Flavio Ordones
Fraser Jeffery
Ibrahim S. Al Busaidi
Janelle Divinagracia
William Ju
Yizhuo Liu
Tamara Glyn
Nasya Thompson
Vivien Graziadei
Joshua Canton
Joseph Furey
Horim Choi
Grace Coomber
Tanya Divekar
Tessa English
Erin Gernhoefer
Tom Healy
Justin Chou
Dikshya Parajuli
Catherine Reed
Rod Studd
Anthony Lin
Cameron Wells
Cindy Xu
Arwa Hadi
Andrew Maccormick
Heejun Park
Athulya Rathnayake
Brittany Williams
Ashley Chan
Corinne Smith
Francesca Casciola
Jainey Bhikha
Jonathan Luo
Kevin Yi
Megan Singhal
Ria George
Rosie Luo
Taylor Frost
Fatima Hakak
Akhita George
Angela Carlos
Annie Ho
Connor Mcrae
Jonathan Lescheid
Jenny Soek
Andrew Pham
Sophie St Clair
Su-Ann Yee
Jennifer Lim
Chun-Yen Wu
Taehoon Kim
Anne Qi Chua
Christopher Harmston
Hamish Boyes
Holly Cook
Jamie Struthers
Jess Radovanovich
Nicholas Quek
Chekodi Fearnley-Fitzgerald
Deborah Wright
Kushan Ghandi
Natalie Matheson
Matthew James McGuinness
Brian Chen
Rebecca Indiana Douglas
Konrad Richter
Nisha Bianca Soliman
Scott Matthew Bolam
Vineeth Vimalan
William Currie
Mitchell Cuthbert
Poppy Ross
Amy Nicholson
Briar Garton
Emilie Agnew
Niamh Conlon
Nicholas Waaka
Ritwik Kejriwal
Sean Nguyen
Edmund Leung
Milidu Ratnayake
Quintin Smith
Nejo Joseph
Bosco Yue
Calvin Fraser
Charles Lam
Ethan Figgitt
Gordon Liu
Kevin Tan
Ha Seong You
Helen Zheng
Jenny Luo
James Sharp
Kabir Khanna
Levi Simiona
Michel Luo
Patrick Wong
Rebecca Luu
Rohit Paul
Shiva Nair
Shadie Asadyari-Lupo
Wing Hung
Geoffrey Ying
Jess Ho
Alan Wu
Eamon Walsh
Jouyee Lee
Jessie Liu
Sunny Yao
Omar Nosseir
Jennifer Dang
Simon Young
Sof’ya Zyul’korneeva
Theresa Boyd
Jess Ho
Alan Wu
Sunny Yao
Abdullahi Musa Kirfi
Adamu Bala Ningi
Mohammad Albuhari Garba
Makama Baje Salihu
Ohia Ernest Ukwuoma
Abdullahi Ibrahim
Isa Mienda Sajo
Muhammad Baffah Aminu
Liman Haruna Usman
Oloko Nasirudeen Lanre
Ibrahim Shaphat Shuaibu
Stephen Yusuf
Tiamiyu Ismail
Gabi Ibrahim Umar
Ademola Adeyeye
Ehis Afeikhena
Favour Chinenye Nnaji
Joy Onyekachi Agu
Temiloluwa Peace Maxwell
Oluwatosin Olakunle Motajo
Oghenekaro Ifoto
Seubong-Abasi Imoh Okon
Jerry Godfrey Makama
Amina Abosede Mohammed-Durosinlorun
Bashiru Aminu
Polite Iwedike Onwuhafua
Caleb Mohammed
Lubabatu Abdulrasheed
Joel Amwe Adze
Khadijah Richifa Suleiman
Lydia Regina Airede
Mathew Chum Taingson
Stephen Bodam Bature
Stephen Akau Kache
Uchechukwu Ohijie Ogbonna
Mohammed Bello Fufore
Abdulkarim Iya
Adeshina A. Ajulo
Ahmad Mahmud
Bilal Shuaibu Yahya
Farida Onimisi-Yusuf
Hope Isaac
Timothy Jawa
Fashe Joseph
Bemi Kala
Maisaratu A. Bakari
David Wujika Ngwan
Abubakar umar
Abraham L. Filikus
Daniel Wycliff
Abiodun Okunlola
Olukayode Abiola
Adebayo Adeniyi
Olabisi Adeyemo
Babatunde Awoyinka
Olakunle Babalola
Adewumi Bakare
Taiwo Buari
Cecilia Okunlola
Gbadebo Adeleye
Adedayo Salawu
Henry Abiyere
Adetolu Ogidi
Tesleem Orewole
Habiba Ibrahim Abdullahi
Godwin Akaba
Arome Achem
Asi-oqua Bassey
Emeka Ayogu
Bilal Sulaiman
Dennis Anthony Isah
Chukwunonso Nnamdi Akpamgbo
Felicia Asudo
Nathaniel Adewole
Omachoko Oguche
Peter Ejembi
Samuel Ali Sani
Paul Chimezie Andrew
AliyuYabagi Isah
Bolarinwa Eniola
Zumnan Songden
Teddy Agida
Terkaa Atim
Taofiq Olayinka Mohammed
Hadijat Olaide Raji
Femi Ibiyemi
Hafeez Salawu
Olushola Fasiku
Remi Sanyaolu Solagbade
Mariam Motunrayo Shiru
Gbadebo Hakeem Ibraheem
Justina Oruade
Grace Ezeoke
Tabish Chawla
Aliya Begum Aziz
Anoosha Marium
Ayesha Akbar Waheed
Faiqa Binte Aamir
Faiza Qureshi
M. Hammad Ather
Iqra Fatima Munawar Ali
Izza Tahir
Maha Ghulam Akbar
Ronika Devi Ukrani
Sajjan Raja
Sehar Salim Virani
Shahryar Noordin
Saif Ur Rehman
Shalni Golani
Syed Roohan Aamir
Syed Musa Mufarrih
Usama Waqar
Maliha Taufiq
Ahmed Siddique Ammar
Adya Ejaz
Albash Sarwar
Ahmed Usman Khalid
Shehrbano Khattak
Aliza Imran
Omer Bin Khalid
Urauba Kaleem
Urwah Muneer
Yumna Kashaf
Fatima Zafar
Adil Zaheer
Muhammad Ali
Amna Shafaat
Arisha Qazi
Asjad Imran
Mahnoor Tariq
Muhammad Nadeem Aslam
Shehroz Ali
Tabish Atiq
Tayyiba Wasim
Daniyal Babar
Ahmad Zain
Muhammad Ibtisam
Uzair Ahmed
Syed Talha Bin Aqeel
Muhammad Muhib
Muhammad Anas Abbal
Nasar Ahmad Khan
Imran Javed
Layth Alkaraja
Dana Amro
Ghaida Manasrah
Ibraheem Hammouri
Ihab Abu Hilail
Jihad Zalloum
Laith Alamlih
Mahmoud Nasereddin
Munia Rajabi
Sa’ed Shalalfeh
Zeinab Natsheh
Khamis Elessi
Mustafa Abu Jayyab
Mohammed Astal
Mosheer Al-Dahdouh
Alaa Eddin Salameh
Alaa Ayyad
Nimatee Dawod
Hamza Alsaid
Iyas Matar
Majd Hassan
Mohammed Bakeer
Mohammad Malasah
Shehab Abuhashem
Mohammed Salem
Sorinel Lunca
Mihail Gabriel Dimofte
Stefan Morarasu
Ana Maria Musina
Cristian Ene Roata
Natalia Velenciuc
Aleksandr Butyrskii
Maxim Bozhko
Amet Ametov
Sharfuddin Chowdhury
Doaa Bagazi
Julio Domenech
Alejandro Rosello-Añon
Ana Monis
Caterina Chiappe
Beatriz Cuneo
Pablo Clemente-Navarro
Jorge Febre
Jorge Sanz-Romera
Marcos Lopez-Vega
Ignacio Miranda
Rocio Valverde-Vazquez
Sara Garcia
Maria Jose Sanguesa
Zutoia Balciscueta
Enrique Ruiz
Eduardo Marco
Elena Talavera
Joan Farre
Loreto Bacariza
Mireia Duart
Violeta Ureña
Xenia Carre
Hytham K. S. Hamid
Montasir A. Abd-Albain
Sami Galal-Eldin
Monira Sarih
Eithar Adam
Samir Ismail
Malaz Azhari
Tawfieg Hassan
Mohamed Salaheldein
Zainab Abdalla
Wahiba Ahmed
Monzer Abdulatif Mohamed Alhassan
Hozifa Mohamed Abdalla Suliman
Hozifa Mohamed Bdalla Suliman
Rogia Ahmed Abdalla Ahmed
Enas Mohammedtom Abdulhameed Babekir
Munya Ali Talab Khairy
Maha Mukhtar Ahmed Mukhtar
Rzan Ali Hamedelneel Ali
Yasir Babkir Ali Al-Shambaty
Fatima Imad Yousif
Hawa Mohammed Hassan Mohammed
Lana Osher
Menhag Abdelbast
Mohamed Yassin
Noon Moawia
Rowa Abdalsadeg
Abrar Husein
Baraa Elhassan
Alnazeer Y. Abdelbagi
Mohammed A. Adam
Eithar M. Ali
Ibrahim A. B. Mohammed
Maab Mohamed
Mohamed Abdulaziz
Mazin Akasha
Muaz Hassan
Nadir Hilal
Noon Abdalla Abdelrahman Mohamed
Noora Abubaker
Omeralfarouk Mohammed
Shakir Mohamed
Walaa Osman
Fatima Mustafa
Alaa A. Salih
Doua Ali
Doha Mohammed Ahmed Almakki
Hanan Elnour Mohamed
Abdelhadi Elmubark
Mohamed Hassan
Ammar Alnour
Amna Elaagib
Ayman Abdelrahman
Mubarak Abdelkhalig
Khalid Nour Eldaim
Afra Babiker
Entisar Ahmed
Maab Ali
Eman Hussain
Mansour Wedatalla
Alaaaldeen Ahmed
Alla Aldeen Hamza
Mohab Mohammed
Omer Osman
Reham Ibrahim
Rihab Ahmed
Ruaa Ahmed
Ruaa Yasir
Safaa Awadallah
Sara Mohmmed
Suhaib Hassan
Walid Shaban
Aisha Hussein
Reem Rafea
Ahmed Abdalla
Abdalla Ahmed
Khalid Mohamed
Mansour Mohammed
Mohamed Altahir
Mohammed Adam
Omer Mohamed
Walaa Abdullah
Hammad Fadlalmola
Ahmed Yassir Abdalla
Ahmed Ali Omer
Ahmed Alfatih Mustafa
Rawan Elnoman Elhadi
Essam Eldien Abuobaida Banaga
Fatima Osman
Mohamed Galal Ali Abdalla
Hala Abdelhalim Mohamed Taha
Noon Ezzeldien Abdalmahmoud
Rofuida Hussien Nafie
Sami Jamal
Sharwany Ahmed
Doha Amir AtaAlmanan
Rawan Alsheikh Ali
Abdallah Aladna
Abdullah Aljoumaa
Hamdi Nawfal
Salma Jamali
Fatima Khouja
Ammar Niazi
Al Rawashdeh
Nahla Kechiche
Mouna Gara
Mouna Nasr
Marwen Baccar
Oumayma Benamor
Sawssen Chakroun
Ahmet Necati Sanli
Ahmet Yildiz
Mehmet Ali Demirkiran
Yildiz Buyukdereli Atadag
Yusuf Iskender Tandogan
Esin Ozkan
Yıldırım Ozer
Muhammed Miran Oncel
Senad Kalkan
Tolga Gover
Berke Manoglu
Ilayda Oksak
Ipek Kurt
Kerem Rifaioglu
Selman Sokmen
Tayfun Bisgin
Yasemin Yildirim
Abdil Yetkin Keskin
Tugce Dogan
Berfin İlgaz Sahin
Cemil Aydin
Duygu Ece Benek
Hale Nur Tiras
Mert Arslangilay
Mert Aslangilay
Muhammet Yaytokgil
Mehmet Ali Capar
Yasemin Yazgan
Sebnem Bektas
Ahmet Can Alagoz
Alara Ece Dagsali
Aylin Izgis
Kadir Uzel
Mustafa Soytas
Niyazi Cakir
Abdullah Emre Askin
Ibrahim Azboy
Kubilay Sabuncu
Merve Aslan
Melek Sahin
Mustafa Oncel
Nuri Okkabaz
Ramazan Kemal Sivrikaya
Alparslan Saylar
Dr. Alparslan Saylar
Meltem Yasar
Ergin Erginoz
Haktan Ovul Bozkir
Kagan Zengin
Mehmet Faik Ozcelik
Server Sezgin Uludag
Zeynep Ozdemir
Osman Sibic
Hatice Telci
Mehmet Abdussamet Bozkurt
Yasin Kara
Mustafa Deniz Tepe
Adnan Gündoğdu
Bilge Akın
Dilan Pehlivan
Ali Guner
Duygu Baysallar
Berkay Yıldız
Hale Cepe
Murat Emre Reis
Ayse Nilufer Yuzgec
Nurtac Kıralı
Taha Anıl Kodalak
Mehmet Ulusahin
Kamar Selim
Ahmet Kale
Mehmet Emre Gecici
Melis Ozbilen
Zeynep Düzyol
Aylin Gemici
Elzem Korkmaz
Eminenur Şen
Muhammed Enes Taşcı
Elifsu Camkıran
Güşta Elieyioğlu
İkbal Kayabaş
Tevfik Kıvılcım Uprak
Canan Aral
Ayten Saraçoğlu
Mustafa Ümit Uğurlu
Zeynep Hazal Baltacı
Ege Nur Akkaya
Cem Fergar
Elif Zeynep Tabak
Guldane Zehra Kocyigit
Ilgaz Kayilioglu
Süleyman Polat
Elif Çolak
Mehmet Emin Kara
Mert Candan
Mustafa Safa Uyanık
Ahmet Can Sarı
Attila Ulkucu
Alperen Taha Certel
Arzu Dindar
Beyza Durdu
Cigdem Bayram
Eslem Kaya
Hakan Akdere
Ibrahim Ethem Cakcak
Ikranur Yavuz
Mert Omur
Mirac Ajredini
Erhan Onur Aydoğdu
Eylül Şenödeyici
Ulku Ceren Koksoy
Baturay Kansu Kazbek
Deniz Serim Korkmaz
Dogancan Yavuz
Hakan Yilmaz
Zeynep Sahan Cetınkaya
Elif Durmus
Filiz Tuzuner
Furkan Hokelekli
Mucahid Mutlu
Seyma Orcan Akbuz
Ziya Can Kus
Michael Farrell
Alayna Craig-Lucas
Matthew Painter
Ashley Titan
Aditya Narayan
Bunmi Fariyike
Lisa Knowlton
Tiffany Yue
Emily Benham
Abdelrahman Nimeri
Hope Werenski
Nicole Kaiser
Caroline Reinke
Title: Predicting opioid consumption after surgical discharge: a multinational derivation and validation study using a foundation model
Description:
Abstract
Opioids are frequently overprescribed after surgery.
We applied a tabular foundation model to predict the risk of post-discharge opioid consumption.
The model was trained and internally validated on an 80:20 training/test split of the ‘Opioid PrEscRiptions and usage After Surgery’ (ACTRN12621001451897p) study cohort, including adult patients undergoing general, orthopaedic, gynaecological and urological operations (n = 4267), with external validation in a distinct cohort of patients discharged after general surgical procedures (n = 826).
The area under the receiver operator curve was 0.
84 (95% confidence interval [CI] 0.
81–0.
88) at internal testing and 0.
77 (95% CI 0.
74–0.
80) at external validation.
Brier scores were 0.
13 (95% CI 0.
12–0.
14) and 0.
19 (95% CI 0.
17–0.
2).
Patients with a <50% predicted risk of opioid consumption consumed a median of 0 oral morphine equivalents in the first week after surgery.
Applying this model would reduce opioid prescriptions by 4.
5% globally, and counterfactual modelling suggests without increasing time in severe pain (−4.
3%, 95% CI −17.
7 to 8.
6).
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