📄 中文摘要
准确的风险分层对于超重或肥胖患者的预防护理和高成本疗法(如GLP-1受体激动剂)的分配至关重要。研究提出了PatientTPP,这是一种神经时间点过程(TPP)模型,基于超过50万个真实世界临床轨迹进行训练,以从诊断、实验室检查和药物序列中学习患者表征。该模型扩展了现有的TPP建模方法,纳入静态和数值特征,并结合临床知识进行事件编码。PatientTPP表征支持下游预测任务,包括对低风险个体的肥胖相关结果进行分类,即使对于训练期间未明确建模的事件也能有效预测。该研究在健康经济评估中具有重要意义。
📄 English Summary
Patient foundation model for risk stratification in low-risk overweight patients
Accurate risk stratification in patients with overweight or obesity is essential for guiding preventive care and allocating high-cost therapies such as GLP-1 receptor agonists. The study presents PatientTPP, a neural temporal point process (TPP) model trained on over 500,000 real-world clinical trajectories to learn patient representations from sequences of diagnoses, labs, and medications. This model extends existing TPP modeling approaches by incorporating static and numeric features and integrating clinical knowledge for event encoding. PatientTPP representations support downstream prediction tasks, including the classification of obesity-associated outcomes in low-risk individuals, even for events not explicitly modeled during training. The findings hold significant implications for health economic evaluation.
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数据源: OpenAI, Google AI, DeepMind, AWS ML Blog, HuggingFace 等