A Knowledge-Modeling Approach to Integrate Multiple Clinical Practice Guidelines to Provide Evidence-Based Clinical Decision Support for Managing Comorbid Conditions

Journal of Medical Systems
Samina Raza Abidi

Abstract

Clinical management of comorbidities is a challenge, especially in a clinical decision support setting, as it requires the safe and efficient reconciliation of multiple disease-specific clinical procedures to formulate a comorbid therapeutic plan that is both effective and safe for the patient. In this paper we pursue the integration of multiple disease-specific Clinical Practice Guidelines (CPG) in order to manage co-morbidities within a computerized Clinical Decision Support System (CDSS). We present a CPG integration framework-termed as COMET (Comorbidity Ontological Modeling & ExecuTion) that manifests a knowledge management approach to model, computerize and integrate multiple CPG to yield a comorbid CPG knowledge model that upon execution can provide evidence-based recommendations for handling comorbid patients. COMET exploits semantic web technologies to achieve (a) CPG knowledge synthesis to translate a paper-based CPG to disease-specific clinical pathways (CP) that include specialized co-morbidity management procedures based on input from domain experts; (b) CPG knowledge modeling to computerize the disease-specific CP using a Comorbidity CPG ontology; (c) CPG knowledge integration by aligning multiple ontologically-mo...Continue Reading

References

Feb 19, 1999·BMJ : British Medical Journal·S H WoolfJ Grimshaw
Jul 24, 2001·Briefings in Bioinformatics·R StevensS Bechhofer
Dec 6, 2001·International Journal of Medical Informatics·P A de ClercqH H Korsten
Nov 7, 2002·Archives of Internal Medicine·Jennifer L WolffGerard Anderson
Mar 16, 2004·Journal of Biomedical Informatics·Andre W Kushniruk, Vimla L Patel
Jun 16, 2004·Journal of Biomedical Informatics·Aziz A BoxwalaEdward H Shortliffe
Jul 9, 2005·Progress in Cardiovascular Diseases·R Frederick Yturralde, William H Gaasch
Aug 11, 2005·JAMA : the Journal of the American Medical Association·Cynthia M BoydAlbert W Wu
Dec 3, 2005·The Journal of the American Board of Family Practice·Lee A Green, Colleen M Seifert
Jan 18, 2006·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Guo F WangShui Z H Chen
Feb 2, 2006·The Canadian Journal of Cardiology·J Malcolm O ArnoldUNKNOWN Canadian Cardiovascular Society
Jun 13, 2006·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Béatrice FerversBernard Burnand
May 12, 2007·BMC Bioinformatics·Alan RuttenbergKei-Hoi Cheung
Jun 21, 2008·The New England Journal of Medicine·Denis RoyUNKNOWN Atrial Fibrillation and Congestive Heart Failure Investigators
Feb 19, 2011·The Canadian Journal of Cardiology·Anne M GillisUNKNOWN CCS Atrial Fibrillation Guidelines Committee
Mar 16, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Chris SalisburyAlan A Montgomery
Feb 24, 2012·PloS One·Luis García-OlmosFernando García-López
Oct 6, 2012·BMJ : British Medical Journal·Bruce GuthrieStewart W Mercer
May 4, 2013·BMJ : British Medical Journal·Martin Roland, Charlotte Paddison
May 10, 2013·Implementation Science : IS·Margaret B HarrisonValerie Angus

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Citations

Oct 9, 2019·Journal of the American Medical Informatics Association : JAMIA·Pavithra I DissanayakeJames J Cimino
May 24, 2019·Healthcare Management Forum·Syed Sibte Raza Abidi, Samina Raza Abidi
Feb 15, 2021·Artificial Intelligence in Medicine·Martin MichalowskiMarc Carrier
Jun 8, 2021·Frontiers in Public Health·Fidelia CasciniWalter Ricciardi
Aug 8, 2021·Health Services Research·Lipika SamalDavid A Dorr

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