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首页> 外文会议>Data and knowledge for medical decision support >Analyzing the 'CareGap': Assessing Gaps in Adherence to Clinical Guidelines in Adult Soft Tissue Sarcoma
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Analyzing the 'CareGap': Assessing Gaps in Adherence to Clinical Guidelines in Adult Soft Tissue Sarcoma

机译：分析“ CareGap”：评估成人软组织肉瘤临床指南的间隙

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Clinical decision support systems (CDSSs) are gaining popularity as tools that assist physicians in optimizing medical care. These systems typically comply with evidence-based medicine and are designed with input from domain experts. Nonetheless, deviations from CDSS recommendations are abundant across a broad spectrum of disorders, raising the question as to why this phenomenon exists. Here, we analyze this gap in adherence to a clinical guidelines-based CDSS by examining the physician treatment decisions for 1329 adult soft tissue sarcoma patients in northern Italy using patient-specific parameters. Dubbing this analysis "CareGap", we find that deviations correlate strongly with certain disease features such as local versus metastatic clinical presentation. We also notice that deviations from the guideline-based CDSS suggestions occur more frequently for patients with shorter survival time. Such observations can direct physicians' attention to distinct patient cohorts that are prone to higher deviation levels from clinical practice guidelines. This illustrates the value of CareGap analysis in assessing quality of care for subsets of patients within a larger pathology.
机译：临床决策支持系统（CDSS）作为协助医师优化医疗保健的工具而越来越受欢迎。这些系统通常符合循证医学，并根据领域专家的意见进行设计。然而，在各种各样的疾病中，与CDSS建议的偏差很大，这引发了关于为什么存在这种现象的问题。在这里，我们通过使用患者特定参数检查意大利北部1329名成人软组织肉瘤患者的医生治疗决策，来分析对基于临床指南的CDSS依从性的差距。将此分析称为“ CareGap”，我们发现偏差与某些疾病特征（例如局部或转移性临床表现）密切相关。我们还注意到，对于生存时间较短的患者，与基于CDSS指南的建议的偏离更为频繁。这样的观察结果可以将医生的注意力引向容易引起与临床实践指南更高偏差水平的不同患者队列。这说明了CareGap分析在评估较大病理学患者子集的护理质量方面的价值。

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