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Computer-aided decision support in hepatology.

S J Darmoni1, T Poynard

  • 1Regional Center for Hospital Informatics of Haute Normandie, Rouen, France.

Scandinavian Journal of Gastroenterology
|October 1, 1992
PubMed
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Computer-aided decision support (CADS) in clinical hepatology shows poor methodological quality. This likely limits its use in daily practice, despite 30 years of publications.

Area of Science:

  • Clinical Hepatology
  • Medical Informatics
  • Decision Support Systems

Background:

  • A review of computer-aided decision support (CADS) in clinical hepatology over the past 30 years was conducted.
  • CADS systems were categorized into statistical and knowledge-based types.

Purpose of the Study:

  • To describe and evaluate publications on CADS in clinical hepatology from 1960-1991.
  • To assess the methodological quality of these CADS publications.

Main Methods:

  • Literature search using Medlars and article references.
  • Methodological evaluation using two specific questionnaires for statistical and knowledge-based systems.
  • Independent assessment by two observers.

Main Results:

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  • 31 papers were selected from 55 identified publications.
  • Methodological quality scores ranged from 4 to 22 (median 12) for statistical systems and 8 to 12 (median 9) for knowledge-based systems.
  • The overall methodological quality was considered poor.

Conclusions:

  • The poor methodological quality of published CADS in hepatology may explain its limited adoption in clinical practice.
  • Further research is needed to improve the rigor of CADS development and evaluation in hepatology.