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Geriatrician warns doctors to scrutinize AI tools for older patients

James Deardorff of the University of California San Francisco argues that artificial intelligence models used in geriatrics require careful review by clinicians.

STAT+: A geriatrician explains why AI for older adults deserves careful scrutiny
File photo STAT+: A geriatrician explains why AI for older adults deserves careful scrutiny Photo: STAT

Algorithm performance varies by group

Doctors increasingly use AI models to predict risks like sepsis and falls for patients. These predictions are often embedded directly into electronic health records where their accuracy can be taken for granted. James Deardorff developed several models specifically aiming to make predictions for older adults regarding mortality and nursing home care needs.

Context matters for high stakes

Deardorff wrote a commentary on a large analysis of Epic's proprietary end-of-life prediction model published in JAMA Network Open. He noted that using a one-year mortality prediction to start a conversation about care goals has few downsides. However, using the same data to inform decisions like transplant priority could have profound impacts.

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