将预测与决策联合优化，提升维修决策的可靠性。

Recent research increasingly integrates machine learning (ML) into predictive maintenance (PdM) to reduce operational and maintenance costs in data-rich operational settings. However, uncertainty due to model misspecification continues to limit widespread industrial adoption. This paper proposes a PdM framework in which sensor-driven prognostics inform decision-making under economic trade-offs within a finite decision space. We investigate two key questions: (1) Does higher predictive accuracy necessarily lead to better maintenance decisions? (2) If not, how can the impact of prediction errors on downstream maintenance decisions be mitigated? We first demonstrate that in the traditional estimate-then-optimize (ETO) framework, errors in probabilistic prediction can result in inconsistent and suboptimal maintenance decisions. To address this, we propose an integrated estimate-optimize (IEO) framework that jointly tunes predictive models while directly optimizing for maintenance outcomes. We establish theoretical finite-sample guarantees on decision consistency under standard assumptions. Specifically, we develop a stochastic perturbation gradient descent algorithm suitable for small run-to-failure datasets. Empirical evaluations on a turbofan maintenance case study show that the IEO framework reduces average maintenance regret up to 22% compared to ETO. This study provides a principled approach to managing prediction errors in data-driven PdM. By aligning prognostic model training with maintenance objectives, the IEO framework improves robustness under model misspecification and improves decision quality. The improvement is particularly pronounced when the decision-making policy is misaligned with the decision-maker's target. These findings support more reliable maintenance planning in uncertain operational environments.