"Surgical Risk Calculator: POTTER - A Paradigm Shift in Emergency General Surgery Risk Assessment"
"Surgical Risk Calculator: POTTER - A Paradigm Shift in Emergency General Surgery Risk Assessment"
By Dr. Reza Lankarani
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The POTTER (Predictive Optimal Trees in Emergency Surgery Risk) calculator represents a groundbreaking advancement in AI-driven surgical risk prediction, specifically designed for emergency general surgery (EGS) and laparotomy patients. Developed through collaboration between Massachusetts General Hospital (MGH) and Interpretable AI, POTTER leverages machine learning to provide transparent, accurate, and actionable risk assessments. This article synthesizes findings from multiple validation studies, including a pivotal 2024 prospective bi-institutional trial, to outline its clinical utility and transformative potential . The Journal of the American College of Surgeons (JACS) podcast episode and associated studies evaluate the POTTER (Predictive Optimal Trees in Emergency Surgery Risk) calculator, an AI-driven tool designed to predict 30-day mortality and complications in emergency laparotomy patients. This review synthesizes findings from prospective validations and discusses the tool’s clinical implications, strengths, and limitations.
The POTTER calculator represents a significant advancement in emergency surgical care, offering a validated, interpretable AI tool for risk stratification. While its prospective validation and accessibility are commendable, broader implementation requires addressing generalizability and workflow integration. This tool exemplifies the potential of AI to enhance surgical decision-making, provided ongoing refinements align with real-world clinical needs. POTTER redefines preoperative risk assessment in emergency surgery by merging AI precision with clinical interpretability. Its validation across diverse cohorts underscores its potential to improve patient outcomes, streamline counseling, and optimize healthcare resources. As AI adoption grows, tools like POTTER exemplify how technology can augment—not replace—clinical judgment.
Access the Calculator: [Interpretable AI - POTTER]
(https://www.interpretable.ai/sol...)
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