Comput Methods Programs Biomed - Critical laboratory result reporting system in cancer patients.

Tópicos

{ cancer(2502) breast(956) screen(824) }
{ age(1611) year(1155) adult(843) }
{ risk(3053) factor(974) diseas(938) }
{ patient(2837) hospit(1953) medic(668) }
{ state(1844) use(1261) util(961) }
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{ use(1733) differ(960) four(931) }
{ imag(1057) registr(996) error(939) }
{ framework(1458) process(801) describ(734) }
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{ data(2317) use(1299) case(1017) }
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{ surgeri(1148) surgic(1085) robot(1054) }
{ care(1570) inform(1187) nurs(1089) }
{ data(3963) clinic(1234) research(1004) }
{ research(1085) discuss(1038) issu(1018) }
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{ signal(2180) analysi(812) frequenc(800) }
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{ gene(2352) biolog(1181) express(1162) }
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{ time(1939) patient(1703) rate(768) }
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{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
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{ high(1669) rate(1365) level(1280) }
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{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

POTHESIS: Automatic transmission of computer-generated Critical Laboratory Result Reports (CLRRs) to physicians can improve the care of advanced cancer patients by improving the communication efficacy of important medical information.METHOD: We followed a cohort of 2012 cancer patients from diagnosis to five years or to death if it occurred before five years from diagnosis. The incidence and number of CLRRs and their association with diagnosis, age, gender, tumor size, and clinical staging were evaluated. The CLRRs that were reported included for example: glucose<40 or>500, hemoglobin<6.0. (Appendix 1)RESULTS: Two thousand, twelve patients with cancer were included in the study; 45.6 percent had one or more critical laboratory results that required a CLRR. Older patients greater than or equal to 75 years of age had more CLRRs than younger patients. Patients with colorectal, liver, and lung cancer had a significantly higher number of CLRRs. More CLRRs were also seen in late-staged cancers. These conditions also have higher mortality rates.CONCLUSION: Critical values are common in patients with cancer, especially older patients with advanced disease. They occur more commonly with some cancers of liver and lung cancers. Our data demonstrate that critical laboratory values can be transmitted successfully to physicians. The impact of this system promises to improve the care of these individuals' serious illnesses. A prospective study to demonstrate the benefit of this system is being planned.

Resumo Limpo

pothesi automat transmiss computergener critic laboratori result report clrrs physician can improv care advanc cancer patient improv communic efficaci import medic informationmethod follow cohort cancer patient diagnosi five year death occur five year diagnosi incid number clrrs associ diagnosi age gender tumor size clinic stage evalu clrrs report includ exampl glucos hemoglobin appendix result two thousand twelv patient cancer includ studi percent one critic laboratori result requir clrr older patient greater equal year age clrrs younger patient patient colorect liver lung cancer signific higher number clrrs clrrs also seen latestag cancer condit also higher mortal ratesconclus critic valu common patient cancer especi older patient advanc diseas occur common cancer liver lung cancer data demonstr critic laboratori valu can transmit success physician impact system promis improv care individu serious ill prospect studi demonstr benefit system plan

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