{"id":"https://openalex.org/W7224965173","doi":"https://doi.org/10.3389/fmed.2026.1975712","title":"Integrating quantitative biometrics and automated risk stratification for ophthalmic surgical triage","display_name":"Integrating quantitative biometrics and automated risk stratification for ophthalmic surgical triage","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224965173","doi":"https://doi.org/10.3389/fmed.2026.1975712"},"language":"en","primary_location":{"id":"doi:10.3389/fmed.2026.1975712","doi":"https://doi.org/10.3389/fmed.2026.1975712","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1975712","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1975712/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1975712/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024332827","display_name":"Jacob Craft","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jacob Craft","raw_affiliation_strings":["Ophthalmology, UNC School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ophthalmology, UNC School of Medicine","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5070761525","display_name":"David Fleischman","orcid":"https://orcid.org/0000-0002-1043-2021","observed_orcids":["https://orcid.org/0000-0002-1043-2021"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David Fleischman","raw_affiliation_strings":["Ophthalmology, UNC School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ophthalmology, UNC School of Medicine","institution_ids":["https://openalex.org/I114027177"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5070761525"],"corresponding_institution_ids":["https://openalex.org/I114027177"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89637483,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.5898000001907349,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.5898000001907349,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.14589999616146088,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11291","display_name":"Intraocular Surgery and Lenses","score":0.0957999974489212,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ocular-biometry","display_name":"ocular biometry","score":0.8330000042915344},{"id":"https://openalex.org/keywords/electronic-health-records","display_name":"electronic health records","score":0.7799999713897705},{"id":"https://openalex.org/keywords/cataract-surgery","display_name":"cataract surgery","score":0.9599999785423279},{"id":"https://openalex.org/keywords/glaucoma-surgery","display_name":"glaucoma surgery","score":0.9990000128746033},{"id":"https://openalex.org/keywords/ocular-imaging","display_name":"ocular imaging","score":0.5249999761581421},{"id":"https://openalex.org/keywords/patient-navigation","display_name":"patient navigation","score":0.6200000047683716},{"id":"https://openalex.org/keywords/social-vulnerability","display_name":"social vulnerability","score":0.5210000276565552},{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.7710000276565552},{"id":"https://openalex.org/keywords/access-to-eye-care","display_name":"access to eye care","score":0.4909999966621399}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7677000164985657},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6715999841690063},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.6158999800682068},{"id":"https://openalex.org/C2778527774","wikidata":"https://www.wikidata.org/wiki/Q159701","display_name":"Glaucoma","level":2,"score":0.5533000230789185},{"id":"https://openalex.org/C3020404979","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk stratification","level":2,"score":0.5396000146865845},{"id":"https://openalex.org/C184297639","wikidata":"https://www.wikidata.org/wiki/Q177765","display_name":"Biometrics","level":2,"score":0.4715999960899353},{"id":"https://openalex.org/C2775888743","wikidata":"https://www.wikidata.org/wiki/Q1818260","display_name":"Cataract surgery","level":2,"score":0.4521999955177307},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.3856000006198883},{"id":"https://openalex.org/C2779356329","wikidata":"https://www.wikidata.org/wiki/Q922625","display_name":"Checklist","level":2,"score":0.384799987077713},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.38109999895095825},{"id":"https://openalex.org/C2778358025","wikidata":"https://www.wikidata.org/wiki/Q4309761","display_name":"Mews","level":3,"score":0.3741999864578247},{"id":"https://openalex.org/C119767625","wikidata":"https://www.wikidata.org/wiki/Q618211","display_name":"Optometry","level":1,"score":0.349700003862381},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.34209999442100525},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3327000141143799},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.3303999900817871},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.31790000200271606},{"id":"https://openalex.org/C2777394604","wikidata":"https://www.wikidata.org/wiki/Q173318","display_name":"Pupil","level":2,"score":0.3156999945640564},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3093999922275543},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3086000084877014},{"id":"https://openalex.org/C116834253","wikidata":"https://www.wikidata.org/wiki/Q2039217","display_name":"Identification (biology)","level":2,"score":0.3077999949455261},{"id":"https://openalex.org/C3018700120","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgical team","level":2,"score":0.30720001459121704},{"id":"https://openalex.org/C84525736","wikidata":"https://www.wikidata.org/wiki/Q831366","display_name":"Decision tree","level":2,"score":0.29429998993873596},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.28999999165534973},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.28949999809265137},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2800999879837036},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.2624000012874603},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.25119999051094055}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3389/fmed.2026.1975712","doi":"https://doi.org/10.3389/fmed.2026.1975712","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1975712","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1975712/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:de25bdc462024f06831306e004508dc2","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/de25bdc462024f06831306e004508dc2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Medicine, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fmed.2026.1975712","doi":"https://doi.org/10.3389/fmed.2026.1975712","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1975712","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1975712/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224965173.pdf","grobid_xml":"https://content.openalex.org/works/W7224965173.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W2157606474","https://openalex.org/W2601681050","https://openalex.org/W2756730392","https://openalex.org/W3043839152","https://openalex.org/W3083556849","https://openalex.org/W3086752995","https://openalex.org/W3111609743","https://openalex.org/W3185683885","https://openalex.org/W4205559542","https://openalex.org/W4285034857","https://openalex.org/W4292678239","https://openalex.org/W4308309705","https://openalex.org/W4318567161","https://openalex.org/W4383481917","https://openalex.org/W4391815585","https://openalex.org/W4393236692","https://openalex.org/W4401115434","https://openalex.org/W4402589520","https://openalex.org/W4405727674","https://openalex.org/W4407094295","https://openalex.org/W4410067333","https://openalex.org/W4412525792","https://openalex.org/W4414168470","https://openalex.org/W4415721178","https://openalex.org/W4416146605","https://openalex.org/W4417355356","https://openalex.org/W4417416613","https://openalex.org/W7124320121","https://openalex.org/W7131355700","https://openalex.org/W7148284495","https://openalex.org/W7158128572","https://openalex.org/W7160156617","https://openalex.org/W7166826805","https://openalex.org/W7166836193"],"related_works":["https://openalex.org/W7159902648","https://openalex.org/W4415504340","https://openalex.org/W7155042660","https://openalex.org/W7166570424","https://openalex.org/W4236450371","https://openalex.org/W4307838509","https://openalex.org/W2024696977","https://openalex.org/W4399305161","https://openalex.org/W1986556302","https://openalex.org/W3213601287"],"abstract_inverted_index":{"Ophthalmology":[0],"generates":[1],"extensive":[2],"quantitative":[3,52],"data":[4,22],"from":[5,17],"ocular":[6,53,143,174],"biometry":[7],"and":[8,20,51,68,129,145,149,161,165,181,191,199,238],"imaging,":[9,179],"yet":[10],"these":[11,35],"device-derived":[12],"measurements":[13],"are":[14],"often":[15],"separated":[16],"medical,":[18],"social,":[19],"utilization":[21],"in":[23],"the":[24,76,88,107,111],"electronic":[25],"health":[26],"record":[27],"(EHR).":[28],"No":[29],"validated":[30],"ophthalmic":[31],"tool":[32],"currently":[33],"integrates":[34],"streams":[36],"for":[37,194],"real-time,":[38],"patient-specific":[39],"perioperative":[40,57],"decision":[41],"support.":[42],"This":[43],"mini-review":[44],"examines":[45],"how":[46],"automated":[47],"EHR-based":[48],"risk":[49],"stratification":[50],"biometrics":[54],"could":[55],"support":[56],"decision-making.":[58],"Across":[59],"surgical":[60,159,195],"specialties,":[61],"cancellation":[62,123],"models":[63,193],"using":[64],"demographic,":[65],"comorbidity,":[66],"socioeconomic,":[67],"appointment-related":[69],"variables":[70],"have":[71,99],"achieved":[72],"development":[73,229],"areas":[74],"under":[75],"curve":[77],"(AUC)":[78],"of":[79,85,110,156],"0.75\u20130.92":[80],"with":[81,92,142,189],"a":[82,208],"validation":[83],"range":[84],"0.70\u20130.74.":[86],"When":[87],"bundle":[89,103],"is":[90],"paired":[91],"targeted":[93],"care":[94],"pathways,":[95],"reduced":[96],"same-day":[97,122],"cancellations":[98],"been":[100],"observed,":[101],"although":[102],"designs":[104],"prevent":[105],"quantifying":[106],"independent":[108],"contribution":[109],"model.":[112],"In":[113],"cataract":[114],"surgery,":[115,175],"Epic's":[116],"Health":[117],"Composite":[118],"Score":[119],"independently":[120],"predicts":[121],"but":[124],"provides":[125],"only":[126],"limited":[127],"discrimination,":[128],"does":[130],"not":[131],"predict":[132],"operative":[133,219],"or":[134,223],"postoperative":[135,225],"outcomes,":[136,160],"which":[137],"remain":[138],"more":[139],"closely":[140],"associated":[141],"complexity":[144],"surgeon-related":[146],"factors.":[147],"Cataract":[148],"glaucoma":[150],"literature":[151],"identifies":[152],"additional":[153],"candidate":[154],"predictors":[155],"technical":[157,197],"complexity,":[158,198],"access,":[162,236],"including":[163],"pupil":[164],"lens":[166],"characteristics,":[167],"axial":[168],"length,":[169],"anterior":[170],"chamber":[171],"anatomy,":[172],"prior":[173],"angle":[176],"dimensions,":[177],"conjunctival":[178],"frailty,":[180],"social":[182],"vulnerability.":[183],"We":[184],"propose":[185],"an":[186],"EHR-integrated":[187],"framework":[188],"endpoint-":[190],"procedure-specific":[192],"readiness,":[196],"adverse":[200],"outcomes.":[201,239],"Each":[202],"output":[203],"should":[204,230],"be":[205],"linked":[206],"to":[207],"defined":[209],"response,":[210],"such":[211],"as":[212],"patient":[213],"navigation,":[214],"anesthesia":[215],"review,":[216],"case":[217],"assignment,":[218],"setting,":[220],"equipment":[221],"planning,":[222],"intensified":[224],"follow-up.":[226],"Prospective":[227],"multicenter":[228],"assess":[231],"whether":[232],"model-guided":[233],"interventions":[234],"improve":[235],"efficiency,":[237]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-31T00:00:00"}