对多发性硬化症管理临床决策支持系统的范围审查:利用信息技术和大规模的健康数据
Stanislas Demuth1,2, Chadia Ed-Driouch2,3, Cédric Dumas3
1INSERM CIC 1434, Clinical Investigation Center, University Hospital of Strasbourg, Strasbourg, France.
European journal of neurology
|June 11, 2024
概括
临床决策支持系统 (CDSS) 对多发性硬化症 (MS) 管理具有前景. 然而,它们的临床发展和整合到医疗保健中需要进一步的细化和结构化,多学科的方法.
科学领域:
- 神经学 神经学
- 医疗信息学 医疗信息学
- 计算医学是一种计算医学.
背景情况:
- 多发性硬化症 (MS) 是一种复杂的中枢神经系统自身免疫性疾病.
- 目前的治疗选择众多,但精准医学的生物标志物缺乏.
- 临床决策支持系统 (CDSS) 为精准医学提供了计算方法.
研究的目的:
- 审查CDSS在多发性硬化症领域的临床开发过程.
- 了解将数字健康工具整合到MS管理中的当前状态和挑战.
主要方法:
- 对PubMed数据库进行了系统范围审查.
- 确定和分析了24篇文章,报告了14个CDSS项目.
- 这些项目的技术和软件开发方面进行了比较.
主要成果:
- CDSS项目使用各种算法方法 (专家系统,数据可视化,预测模型).
- 迄今为止,还没有CDSS项目完成了广泛医疗保健使用的临床认证.
- 开发阶段和分销策略各不相同,有些项目正在进行代或更换.
结论:
- 通过信息技术和大数据,CDSS具有促进多发性硬化症管理的巨大潜力.
- 需要为未来的CDSS项目制定明确的路线图,强调多学科和多阶段的开发过程.
- 进一步的研究和开发对于成功的临床整合和验证MSS在MS护理中的CDSS至关重要.
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