Clinical Decision Support Systems (CDSS) for preventive management of COPD patients

Background The use of information and communication technologies to manage chronic diseases allows the application of integrated care pathways, and the optimization and standardization of care processes. Decision support tools can assist in the adherence to best-practice medicine in critical decisio...

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Autores: Velickovski, Filip, Ceccaroni, Luigi, Roca Torrent, Josep, Burgos, Felip, Galdiz, Juan B., Marina, Nuria, Lluch Ariet, Magí
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/115801
Acceso en línea:https://hdl.handle.net/2445/115801
Access Level:acceso abierto
Palabra clave:Malalties pulmonars obstructives cròniques
Tecnologia de la informació
Algorismes
Presa de decisions (Estadística)
Espirometria
Chronic obstructive pulmonary diseases
Information technology
Algorithms
Statistical decision
Spirometry
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spelling Clinical Decision Support Systems (CDSS) for preventive management of COPD patientsVelickovski, FilipCeccaroni, LuigiRoca Torrent, JosepBurgos, FelipGaldiz, Juan B.Marina, NuriaLluch Ariet, MagíMalalties pulmonars obstructives cròniquesTecnologia de la informacióAlgorismesPresa de decisions (Estadística)EspirometriaChronic obstructive pulmonary diseasesInformation technologyAlgorithmsStatistical decisionSpirometryBackground The use of information and communication technologies to manage chronic diseases allows the application of integrated care pathways, and the optimization and standardization of care processes. Decision support tools can assist in the adherence to best-practice medicine in critical decision points during the execution of a care pathway. Objectives The objectives are to design, develop, and assess a clinical decision support system (CDSS) offering a suite of services for the early detection and assessment of chronic obstructive pulmonary disease (COPD), which can be easily integrated into a healthcare providers' work-flow. Methods The software architecture model for the CDSS, interoperable clinical-knowledge representation, and inference engine were designed and implemented to form a base CDSS framework. The CDSS functionalities were iteratively developed through requirement-adjustment/development/validation cycles using enterprise-grade software-engineering methodologies and technologies. Within each cycle, clinical-knowledge acquisition was performed by a health-informatics engineer and a clinical-expert team. Results A suite of decision-support web services for (i) COPD early detection and diagnosis, (ii) spirometry quality-control support, (iii) patient stratification, was deployed in a secured environment on-line. The CDSS diagnostic performance was assessed using a validation set of 323 cases with 90% specificity, and 96% sensitivity. Web services were integrated in existing health information system platforms. Conclusions Specialized decision support can be offered as a complementary service to existing policies of integrated care for chronic-disease management. The CDSS was able to issue recommendations that have a high degree of accuracy to support COPD case-finding. Integration into healthcare providers' work-flow can be achieved seamlessly through the use of a modular design and service-oriented architecture that connect to existing health information systems.BioMed Central2017201720142017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion10 p.application/pdfhttps://hdl.handle.net/2445/115801Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1186/1479-5876-12-S2-S9Journal of Translational Medicine, 2014, vol. 12, num. Suppl 2, p. S9https://doi.org/10.1186/1479-5876-12-S2-S9info:eu-repo/grantAgreement/EC/FP7/270086cc-by (c) Velickovski, Filip et al., 2014http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1158012026-05-29T05:05:01Z
dc.title.none.fl_str_mv Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
title Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
spellingShingle Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
Velickovski, Filip
Malalties pulmonars obstructives cròniques
Tecnologia de la informació
Algorismes
Presa de decisions (Estadística)
Espirometria
Chronic obstructive pulmonary diseases
Information technology
Algorithms
Statistical decision
Spirometry
title_short Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
title_full Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
title_fullStr Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
title_full_unstemmed Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
title_sort Clinical Decision Support Systems (CDSS) for preventive management of COPD patients
dc.creator.none.fl_str_mv Velickovski, Filip
Ceccaroni, Luigi
Roca Torrent, Josep
Burgos, Felip
Galdiz, Juan B.
Marina, Nuria
Lluch Ariet, Magí
author Velickovski, Filip
author_facet Velickovski, Filip
Ceccaroni, Luigi
Roca Torrent, Josep
Burgos, Felip
Galdiz, Juan B.
Marina, Nuria
Lluch Ariet, Magí
author_role author
author2 Ceccaroni, Luigi
Roca Torrent, Josep
Burgos, Felip
Galdiz, Juan B.
Marina, Nuria
Lluch Ariet, Magí
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Malalties pulmonars obstructives cròniques
Tecnologia de la informació
Algorismes
Presa de decisions (Estadística)
Espirometria
Chronic obstructive pulmonary diseases
Information technology
Algorithms
Statistical decision
Spirometry
topic Malalties pulmonars obstructives cròniques
Tecnologia de la informació
Algorismes
Presa de decisions (Estadística)
Espirometria
Chronic obstructive pulmonary diseases
Information technology
Algorithms
Statistical decision
Spirometry
description Background The use of information and communication technologies to manage chronic diseases allows the application of integrated care pathways, and the optimization and standardization of care processes. Decision support tools can assist in the adherence to best-practice medicine in critical decision points during the execution of a care pathway. Objectives The objectives are to design, develop, and assess a clinical decision support system (CDSS) offering a suite of services for the early detection and assessment of chronic obstructive pulmonary disease (COPD), which can be easily integrated into a healthcare providers' work-flow. Methods The software architecture model for the CDSS, interoperable clinical-knowledge representation, and inference engine were designed and implemented to form a base CDSS framework. The CDSS functionalities were iteratively developed through requirement-adjustment/development/validation cycles using enterprise-grade software-engineering methodologies and technologies. Within each cycle, clinical-knowledge acquisition was performed by a health-informatics engineer and a clinical-expert team. Results A suite of decision-support web services for (i) COPD early detection and diagnosis, (ii) spirometry quality-control support, (iii) patient stratification, was deployed in a secured environment on-line. The CDSS diagnostic performance was assessed using a validation set of 323 cases with 90% specificity, and 96% sensitivity. Web services were integrated in existing health information system platforms. Conclusions Specialized decision support can be offered as a complementary service to existing policies of integrated care for chronic-disease management. The CDSS was able to issue recommendations that have a high degree of accuracy to support COPD case-finding. Integration into healthcare providers' work-flow can be achieved seamlessly through the use of a modular design and service-oriented architecture that connect to existing health information systems.
publishDate 2014
dc.date.none.fl_str_mv 2014
2017
2017
2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/115801
url https://hdl.handle.net/2445/115801
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/1479-5876-12-S2-S9
Journal of Translational Medicine, 2014, vol. 12, num. Suppl 2, p. S9
https://doi.org/10.1186/1479-5876-12-S2-S9
info:eu-repo/grantAgreement/EC/FP7/270086
dc.rights.none.fl_str_mv cc-by (c) Velickovski, Filip et al., 2014
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Velickovski, Filip et al., 2014
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10 p.
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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