As a guest user you are not logged in or recognized by your IP address. You have
access to the Front Matter, Abstracts, Author Index, Subject Index and the full
text of Open Access publications.
Development of computerized guidelines for the management of chronic diseases allowing to position any patient within recommended therapeutic strategies
Brigitte Séroussi, Jacques Bouaud, Gilles Chatellier, Alain Venot
Chronic diseases are complex to manage. One reason comes from the difficulty to synchronize a patient's therapeutic history with the guideline-based sequence of treatments. We represent guideline knowledge as a two-level decision tree, a clinical level describing theoretical clinical situations and a therapeutic level formalizing the different steps of corresponding recommended therapeutic strategies. Guideline-based strategies are first represented as bidimensional matrices structured in lines of therapy and levels of therapeutic intention. A revised version introducing levels of therapeutic combination is then developed. The therapeutic level is operationalized for any patient therapeutic history to provide the next best step of treatment. Evaluated on actual patient records, our system proved to impact physicians' decisions in 78% of the cases and led to a significant improvement of their compliance with recommendations.
This website uses cookies
We use cookies to provide you with the best possible experience. They also allow us to analyze user behavior in order to constantly improve the website for you. Info about the privacy policy of IOS Press.
This website uses cookies
We use cookies to provide you with the best possible experience. They also allow us to analyze user behavior in order to constantly improve the website for you. Info about the privacy policy of IOS Press.