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Explainable Machine Learning With Wearables Improves Urgent-Care Risk Prediction in Lung Cancer

Researchers report an explainable model using symptom surveys plus wearable data outperformed clinical-only predictors in a 58-patient pilot.

Overview

  • Moffitt Cancer Center tested Bayesian networks combining clinical records, patient-reported outcomes, and Fitbit-derived heart rate and sleep metrics.
  • In the cohort of 58 patients on systemic therapy for non–small cell lung cancer, the combined-data models better distinguished high- from low-risk patients than clinical data alone.
  • The approach emphasizes interpretability, letting clinicians see how symptom reports, sleep quality, and lab values contribute to predicted risk.
  • Authors say such risk stratification could enable earlier interventions to reduce treatment-related urgent care visits and hospitalizations.
  • The study, published in JCO Clinical Cancer Informatics with NIH support, was single-center with a modest sample and will be validated in larger multi-institutional cohorts.