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Nomogram for rLDH After PELD

Research-use online calculator for estimating the probability of recurrent lumbar disc herniation (rLDH) within 2 years after percutaneous endoscopic lumbar discectomy (PELD).

Calculator URL: https://hang0418.github.io/Nomogram/

Purpose

This repository supports an external validation, recalibration, and same-predictor model-updating study of a previously published clinical nomogram for 2-year rLDH after PELD.

The repository is intended to make the calculator and model documentation easier to inspect, cite, and use for research communication. It does not contain original patient-level data.

What Is Included

  • index.html: static client-side web calculator.
  • MODEL_CARD.md: model scope, intended use, inputs, limitations, and validation summary.
  • FORMULAS.md: original-model recalibration and updated-model formulas.
  • DISCLAIMER.md: research-use and clinical-safety statement.
  • examples/example_input.json: example patient input used for calculator verification.

Predictors

The calculator uses five routinely available predictors:

  • Age, years
  • Body mass index (BMI), kg/m2
  • Modic change
  • Pfirrmann grade
  • Sagittal range of motion (sROM), degrees

Model Used By The Calculator

The online calculator uses the clinically constrained updated model. The model keeps the same five predictors as the original published nomogram and re-estimates the coefficients using the development and temporal-validation cohorts. It was then evaluated in an independent geographic-validation cohort.

The calculator does not use patient-level data and does not send entered values to a server. All calculations are performed locally in the browser.

Important Limitations

This is a research-use risk-estimation tool. It may support individualized risk communication and follow-up planning after PELD, but it should not determine revision surgery or replace clinical judgment.

Further prospective multicenter validation is needed before routine clinical implementation.

Citation

Citation information will be updated after manuscript acceptance. Before publication, please cite this repository as:

He H. Nomogram for rLDH After PELD: research-use online calculator and model documentation. GitHub repository. https://github.com/Hang0418/Nomogram

Privacy

No patient-level data are stored in this repository. The calculator is static and client-side only.

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Research-use online nomogram calculator for 2-year recurrent lumbar disc herniation after PELD

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