Clinical decision support systems (CDSSs) are gaining popularity as tools that assist physicians in optimizing medical care. These systems typically comply with evidence-based medicine and are designed with input from domain experts. Nonetheless, deviations from CDSS recommendations are abundant across a broad spectrum of disorders, raising the question as to why this phenomenon exists. Here, we analyze this gap in adherence to a clinical guidelines-based CDSS by examining the physician treatment decisions for 1329 adult soft tissue sarcoma patients in northern Italy using patient-specific parameters. Dubbing this analysis "CareGap", we find that deviations correlate strongly with certain disease features such as local versus metastatic clinical presentation. We also notice that deviations from the guideline-based CDSS suggestions occur more frequently for patients with shorter survival time. Such observations can direct physicians' attention to distinct patient cohorts that are prone to higher deviation levels from clinical practice guidelines. This illustrates the value of CareGap analysis in assessing quality of care for subsets of patients within a larger pathology.

Analyzing the "careGap" : assessing gaps in adherence to clinical guidelines in adult soft tissue sarcoma / Z. Waks, E. Goldbraich, A. Farkash, M. Torresani, R. Bertulli, N. Restifo, P. Locatelli, P. Casali, B. Carmeli (STUDIES IN HEALTH TECHNOLOGY AND INFORMATICS). - In: Data and knowledge for medical decision support : proceedings of the EFMI special topic conference 17-19 April 2013, Prague, Czech Republic / [a cura di] B. Blobel, A. Hasman, J. Zvárova. - Amsterdam : IOS Press, 2013. - ISBN 9781614992394. - pp. 46-50 (( Intervento presentato al 13. convegno EFMI Special Topic Conference (EFMI STC) : Data and Knowledge for Medical Decision Support tenutosi a Prague nel 2013 [10.3233/978-1-61499-240-0-46].

Analyzing the "careGap" : assessing gaps in adherence to clinical guidelines in adult soft tissue sarcoma

P. Casali;
2013

Abstract

Clinical decision support systems (CDSSs) are gaining popularity as tools that assist physicians in optimizing medical care. These systems typically comply with evidence-based medicine and are designed with input from domain experts. Nonetheless, deviations from CDSS recommendations are abundant across a broad spectrum of disorders, raising the question as to why this phenomenon exists. Here, we analyze this gap in adherence to a clinical guidelines-based CDSS by examining the physician treatment decisions for 1329 adult soft tissue sarcoma patients in northern Italy using patient-specific parameters. Dubbing this analysis "CareGap", we find that deviations correlate strongly with certain disease features such as local versus metastatic clinical presentation. We also notice that deviations from the guideline-based CDSS suggestions occur more frequently for patients with shorter survival time. Such observations can direct physicians' attention to distinct patient cohorts that are prone to higher deviation levels from clinical practice guidelines. This illustrates the value of CareGap analysis in assessing quality of care for subsets of patients within a larger pathology.
Cancer treatment; Clinical decision support; Clinical practice guidelines; Evidence-based medicine; Soft tissue sarcoma; Biomedical Engineering; Health Informatics; Health Information Management
Settore MED/06 - Oncologia Medica
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/485205
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