临床算法的在线数据库与种族和种族
Shyam Visweswaran1,2, Eugene M Sadhu1, Michele M Morris1
1Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA, USA.
medRxiv : the preprint server for health sciences
|July 18, 2023
概括
临床算法经常使用种族和种族,可能会加剧健康差异. 一个数据库跟踪这些算法,以提高认识,并消除不适当的基于种族的医学实践.
科学领域:
- 医疗信息学 医疗信息学
- 健康差距 研究 研究 研究 研究
- 临床决策支持 临床决策支持
背景情况:
- 临床算法越来越多地纳入了患者的种族和种族.
- 使用这些变量可能会延续健康不平等和基于种族的医学.
- 现有的临床工具需要对其依赖种族或种族数据的依赖进行审查.
研究的目的:
- 识别和编目使用种族或种族作为预测因素的临床算法.
- 提高人们对基于种族的算法在医疗保健中的普及率和影响的认识.
- 建立一个资源来跟踪消除在临床决策中不适当使用种族和民族的情况.
主要方法:
- 系统识别包含种族或种族的临床算法.
- 按功能对算法进行分类 (例如风险计算器,实验室测试,疗法,药物,设备).
- 将调查结果汇编成公开可访问的在线数据库.
主要成果:
- 确定了42个使用种族作为预测因素的风险计算器.
- 发现了5个基于种族的参考范围的实验室测试.
- 记录了1个治疗建议,15个药物指导方针和4个具有种族差异性能的医疗设备.
结论:
- 在临床算法中普遍使用种族强调了医疗保健中的重大挑战.
- 意识和积极监测对于减轻与基于种族的医学相关的健康差异至关重要.
- 开发的资源旨在推动向公平和基于证据的临床实践取得进展.
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