探索长期乳腺癌幸存者的护理轨迹,使用基于动态时间扭曲的无监督集群
Alexia Giannoula1,2,3, Mercè Comas1,3, Xavier Castells1,3
1Epidemiology and Evaluation Department, Hospital del Mar Research Institute (IMIM), Barcelona, 08003, Spain.
Journal of the American Medical Informatics Association : JAMIA
|January 9, 2024
概括
长期乳腺癌幸存者 (BCS) 显示复杂的医疗保健使用模式. 识别这些时间趋势可以改进个性化的幸存者护理计划,并预测未来的患者需求.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 数据科学数据科学数据科学
背景情况:
- 长期乳腺癌幸存者 (BCS) 需要专门的临床随访,因为数量不断增加和复杂的护理需求.
- 了解BCS的医疗保健利用模式对于优化幸存者护理至关重要.
研究的目的:
- 识别和可视化长期乳腺癌幸存者的医疗保健轨迹中的时间模式.
- 为了比较BCS和没有乳腺癌的对照组之间的医疗保健服务利用率.
主要方法:
- 基于动态时间扭曲的无监督聚类方法被应用于6214名女性BCS的护理轨迹.
- 用指导网络图表提取和可视化了护理过渡模式.
- 为了进行比较,使用了12412名没有乳腺癌的女性的对照组.
主要成果:
- 乳腺癌幸存者表现出更强烈和复杂的医疗保健服务使用,包括放射学,门诊护理和住院治疗.
- 与对照组相比,在BCS的各种护理过渡中观察到较高的死亡率和增加的并发症.
- 个人服务过渡显示出重要的患者和时间信息.
结论:
- 该方法有效地识别和可视化BCS医疗保健服务使用中的隐藏时间模式.
- 结果可以帮助人们更好地了解BCS健康系统导航,从而能够更准确地预测需求和个性化护理计划.
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