{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T15:36:59Z","timestamp":1774453019845,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:00:00Z","timestamp":1704931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>As the field of arthroscopic hip preservation surgery grows, large high\u2010quality registries represent a foundational study design for establishing whether hip arthroscopy is effective for patients with femoroacetabular impingement syndrome (FAIS). Original research publications from experienced high\u2010volume surgeons tell us \u201cCan it work\u201d. A registry tells us \u201cDoes it work?\u201d. The ability of preservation to truly preserve the joint, delay the arthritis process, and reduce the risk of arthroplasty requires long\u2010term follow\u2010up. A geographic registry can follow this. The registry represents the \u201creal world\u201d, a heterogeneous set of variables pertaining to the doctor, patient, intervention, and outcome. The vast array of factors that can be analyzed before, during, and after surgery makes machine learning an ideal technique for analysis of large quantities of data. A global hip preservation surgery registry is a desirable and achievable goal. In order to optimally predict outcome of hip arthroscopy, given the known large number of patient\u2010 and hip\u2010specific factors that influence outcomes, a deep learning model with tens of thousands of subjects for this medium\u2010scale task would be needed. Measures of clinical relevance need to include more than just MCID (minimal clinically important difference), which is the lowest bar minimal threshold. Patient expectations often far exceed MCID\u2014requiring other metrics like SCB (substantial clinical benefit), PASS (patient acceptable symptom state), and MOI (maximal outcome improvement). Registries should include validated, reliable, and responsive patient\u2010reported outcome scores (e.g., International Hip Outcome Tool [iHOT\u201012]) with measures of clinical relevance and expectations assessed routinely. The United Kingdom\u2019s NAHR (Non\u2010Arthroplasty Hip Registry) and Denmark\u2019s DHAR (Danish Hip Arthroscopy Registry) are the two largest geography\u2010based registries in current hip preservation research both with 11 years of patient enrollment.<\/jats:p>","DOI":"10.1016\/j.arthro.2023.10.035","type":"journal-article","created":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T15:47:45Z","timestamp":1704988065000},"page":"1164-1167","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["<i>Editorial Commentary:<\/i>\n                    Artificial Intelligence Analysis of Biomedical, Large, Clinical Registry Data Using Machine Learning Requires Tens of Thousands of Subjects and a Focus on Substantial Clinical Benefit: Minimal Clinically Important Difference Is too Low a Bar"],"prefix":"10.1002","volume":"40","author":[{"given":"Joshua D.","family":"Harris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"e_1_2_3_2_2","first-page":"296","volume-title":"The mathematical approach to biology and medicine","author":"Rutherford E.","year":"1967"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.11.012"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.028"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.01.053"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.09.023"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.11.015"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.01260"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517749219"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.018"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07042-y"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06135-w"},{"key":"e_1_2_3_13_2","volume-title":"ISHA Global Hip Registry. Personal Communication","author":"Khanduja V.","year":"2023"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.02.011"},{"key":"e_1_2_3_15_2","volume-title":"Introducing evolving advancements in hip pathologies. Dallas, TX: Hip Spine Pelvic Core Symposium, Baylor University Medical Center","author":"Byrd J.","year":"2022"},{"key":"e_1_2_3_16_2","volume-title":"Mind body spirit. Dallas, TX: Hip Spine Pelvic Core Symposium, Baylor University Medical Center","author":"Christoforetti J.","year":"2022"},{"key":"e_1_2_3_17_2","unstructured":"What Drives Scientific Creativity and Innovation? October 22 2023.https:\/\/www.vumedi.com\/channel\/codman\u2010shoulder\u2010society\/tab\/part\u2010i\u2010innovators\u2010entrepreneurs\u2010behaviors\u2010and\u2010culture\/video\/what\u2010drives\u2010scientific\u2010creativity\u2010and\u2010innovation\/2023. 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