BMC Med Inform Decis Mak - Development of a real-time clinical decision support system upon the Web MVC-based architecture for prostate cancer treatment.

Tópicos

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Resumo

CKGROUND: A real-time clinical decision support system (RTCDSS) with interactive diagrams enables clinicians to instantly and efficiently track patients' clinical records (PCRs) and improve their quality of clinical care. We propose a RTCDSS to process online clinical informatics from multiple databases for clinical decision making in the treatment of prostate cancer based on Web Model-View-Controller (MVC) architecture, by which the system can easily be adapted to different diseases and applications.METHODS: We designed a framework upon the Web MVC-based architecture in which the reusable and extractable models can be conveniently adapted to other hospital information systems and which allows for efficient database integration. Then, we determined the clinical variables of the prostate cancer treatment based on participating clinicians' opinions and developed a computational model to determine the pretreatment parameters. Furthermore, the components of the RTCDSS integrated PCRs and decision factors for real-time analysis to provide evidence-based diagrams upon the clinician-oriented interface for visualization of treatment guidance and health risk assessment.RESULTS: The resulting system can improve quality of clinical treatment by allowing clinicians to concurrently analyze and evaluate the clinical markers of prostate cancer patients with instantaneous clinical data and evidence-based diagrams which can automatically identify pretreatment parameters. Moreover, the proposed RTCDSS can aid interactions between patients and clinicians.CONCLUSIONS: Our proposed framework supports online clinical informatics, evaluates treatment risks, offers interactive guidance, and provides real-time reference for decision making in the treatment of prostate cancer. The developed clinician-oriented interface can assist clinicians in conveniently presenting evidence-based information to patients and can be readily adapted to an existing hospital information system and be easily applied in other chronic diseases.

Resumo Limpo

ckground realtim clinic decis support system rtcdss interact diagram enabl clinician instant effici track patient clinic record pcrs improv qualiti clinic care propos rtcdss process onlin clinic informat multipl databas clinic decis make treatment prostat cancer base web modelviewcontrol mvc architectur system can easili adapt differ diseas applicationsmethod design framework upon web mvcbase architectur reusabl extract model can conveni adapt hospit inform system allow effici databas integr determin clinic variabl prostat cancer treatment base particip clinician opinion develop comput model determin pretreat paramet furthermor compon rtcdss integr pcrs decis factor realtim analysi provid evidencebas diagram upon clinicianori interfac visual treatment guidanc health risk assessmentresult result system can improv qualiti clinic treatment allow clinician concurr analyz evalu clinic marker prostat cancer patient instantan clinic data evidencebas diagram can automat identifi pretreat paramet moreov propos rtcdss can aid interact patient cliniciansconclus propos framework support onlin clinic informat evalu treatment risk offer interact guidanc provid realtim refer decis make treatment prostat cancer develop clinicianori interfac can assist clinician conveni present evidencebas inform patient can readili adapt exist hospit inform system easili appli chronic diseas

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