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Identifying Evidence Quality for Updating Evidence-Based Medical Guidelines

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Knowledge Representation for Health Care (AIME 2015)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 9485))

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Abstract

Evidence-based medical guidelines contain a collection of recommendations which have been created using the best clinical research findings (a.k.a. evidences) of the highest value to aid in the delivery of optimum clinical care to patients. In evidence-based medical guidelines, the conclusions (a.k.a. recommendations) are marked with different evidence levels according to quality of the supporting evidences. Finding new relevant and higher quality evidences is an important issue for supporting the process of updating medical guidelines. In this paper, we propose a method to automatically identify all evidence classes. Furthermore, the proposed approach has been implemented by a rule-based approach, in which the identification knowledge is formalized as a set of rules in the declarative logic programming language Prolog, so that the knowledge can be easily maintained, updated, and re-used. Our experiments show that the proposed method for identifying the evidence quality has a recall of 0.35 and a precision of 0.42. For the identification of A-class evidences (the top evidence class), the performance of the proposed method improves to recall = 0.63 and precision = 0.74.

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References

  1. Cohen, A., Ambert, K., McDonagh, M.: Studying the potential impact of automated document classification on scheduling a systematic review update. BMC Med. Inf. Decis. Making 12(1), 33 (2012)

    Article  Google Scholar 

  2. Fensel, D., et al.: Towards LarKC: a platform for web-scale reasoning. In: Proceedings of the IEEE International Conference on Semantic Computing (ICSC 2008). IEEE Computer Society Press, CA, USA (2008)

    Google Scholar 

  3. Huang, Z., ten Teije, A., van Harmelen, F.: Rule-based formalization of eligibility criteria for clinical trials. In: Peek, N., Marín Morales, R., Peleg, M. (eds.) AIME 2013. LNCS, vol. 7885, pp. 38–47. Springer, Heidelberg (2013)

    Chapter  Google Scholar 

  4. Huang, Z., ten Teije, A., van Harmelen, F.: SemanticCT: a semantically enabled clinical trial system. In: Lenz, R., Miksch, S., Peleg, M., Reichert, M., Riaño, D., ten Teije, A. (eds.) ProHealth 2012 and KR4HC 2012. LNCS, vol. 7738. Springer, Heidelberg (2013)

    Google Scholar 

  5. Iruetaguena, A., et al.: Automatic retrieval of current evidence to support update of bibliography in clinical guidelines. Expert Syst. Appl. 40, 2081–2091 (2013)

    Article  Google Scholar 

  6. Becker, M.E.M., Neugebauer, E.A.M.: Partial updating of clinical practice guidelines often makes more sense than full updating: a systematic review on methods and the development of an updating procedure. Expert Syst. Appl. 67, 33–45 (2014)

    Google Scholar 

  7. Montori, V.M., Wilczynski, N.L., Morgan, D., Haynes, R.B., Team, H.: Optimal search strategies for retrieving systematic reviews from medline: analytical survey. BMJ 330(7482), 68 (2005)

    Article  Google Scholar 

  8. NABON. Breast cancer, dutch guideline, version 2.0. Technical report, Integraal kankercentrum Netherland, Nationaal Borstkanker Overleg Nederland (2012)

    Google Scholar 

  9. NSRS. Guideline complex regional pain syndrome type I. Technical report, Netherlands Society of Rehabilitation Specialists (2006)

    Google Scholar 

  10. Reinders, R., ten Teije, A., Huang, Z.: Finding evidence for updates in medical guideline. In: Proceedings of the 8th International Conference on Health Informatics (HEALTHINF2015), Lisbon, 11–15 January 2015

    Google Scholar 

  11. Robinson, K., Dunn, A., Tsafnat, G., Glasziou, P.: Citation networks of trials: feasibility of iterative bidirectional citation searching. J. Clin. Epidemiol. 67(7), 793–799 (2014)

    Article  Google Scholar 

  12. Rosenfeld, R., Shiffman, R.: Clinical practice guideline development manual: a quality-driven approach for translating evidence into action. J. Am. Acad. Otolaryngol.-Head Neck Surg. 140(6 Suppl 1), S1–S43 (2009)

    Google Scholar 

  13. Shekelle, P.G., Woolf, S.H., Eccles, M., Grimshaw, J.: Developing guidelines. BMJ: Br. Med. J. 318(7182), 593–596 (1999)

    Article  Google Scholar 

  14. Tsafnat, G., Dunn, A., Glasziou, P., Coiera, E.: The automation of systematic reviews. BMJ: Br. Med. J. (2013)

    Google Scholar 

  15. Tsafnat, G., Glasziou, P., Choong, M., Dunn, A., Galgani, F., Coiera, E.: Systematic review automation technologies. Syst. Rev. 3, 74 (2014)

    Article  Google Scholar 

  16. Wielemaker, J., Huang, Z., van der Meij, L.: SWI-prolog and the web. J. Theory Prac. Logic Program. 8, 30 (2008)

    Google Scholar 

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Acknowledgements

This work is partially supported by the European Commission under the 7th framework programme EURECA Project (FP7-ICT-2011-7, Grant 288048).

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Correspondence to Zhisheng Huang .

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Huang, Z., Hu, Q., ten Teije, A., van Harmelen, F. (2015). Identifying Evidence Quality for Updating Evidence-Based Medical Guidelines. In: Riaño, D., Lenz, R., Miksch, S., Peleg, M., Reichert, M., ten Teije, A. (eds) Knowledge Representation for Health Care. AIME 2015. Lecture Notes in Computer Science(), vol 9485. Springer, Cham. https://doi.org/10.1007/978-3-319-26585-8_4

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  • DOI: https://doi.org/10.1007/978-3-319-26585-8_4

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-26585-8

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