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Modeling Invasive Aspergillosis Risk for the Application of Prophylaxis Strategies.

Jo-Anne H Young1, David R Andes2, Monica I Ardura3

  • 1Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.

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|March 14, 2024
PubMed
Summary

Understanding invasive aspergillosis (IA) risk is crucial. A visual model helps identify patient groups benefiting from Aspergillus prophylaxis, especially as their conditions and risks evolve over time.

Keywords:
Sankeyantifungal prophylaxishematopoietic cell transplantationinvasive aspergillosissolid organ transplantation

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Area of Science:

  • Medical Mycology
  • Infectious Diseases Epidemiology
  • Clinical Decision Support

Background:

  • The epidemiology of invasive aspergillosis (IA) is dynamic and evolving.
  • Identifying at-risk patient populations for Aspergillus prophylaxis is critical for effective treatment.
  • Current models may not fully capture the temporal changes in patient risk profiles.

Purpose of the Study:

  • To visually model patient populations and their associated invasive aspergillosis risk periods.
  • To aid in defining patient groups most likely to benefit from primary or secondary Aspergillus prophylaxis.
  • To support clinical decision-making within evolving infectious disease guidelines.

Main Methods:

  • Utilized a Sankey diagrammatic approach to visualize IA risk across patient cohorts.
  • Presented a static figure illustrating temporal risk stratification.
  • Proposed potential enhancements for an interactive, internet-based version.

Main Results:

  • The Sankey approach offers a dynamic method for understanding IA risk in diverse patient populations.
  • The visual model can highlight specific patient flows and their associated risks.
  • The figure is intended for integration into clinical practice guidelines.

Conclusions:

  • A temporal visual model, such as the Sankey approach, can enhance understanding of invasive aspergillosis risk.
  • This model can guide the selection of appropriate Aspergillus prophylaxis strategies.
  • The proposed visualization will be a component of upcoming clinical practice guidelines for aspergillosis.