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A Clinical Decision Support System for the Diagnosis, Fracture Risks and Treatment of Osteoporosis

A Clinical Decision Support System for the Diagnosis, Fracture Risks and Treatment of Osteoporosis


Title: A Clinical Decision Support System for the Diagnosis, Fracture Risks and Treatment of Osteoporosis
Author: Halldórsson, Bjarni   orcid.org/0000-0003-0756-0767
Bjornsson, Aron Hjalti
Gudmundsson, Haukur Tyr
Birgisson, Elvar Orn
Ludviksson, Bjorn Runar
Gudbjornsson, Bjorn   orcid.org/0000-0003-4631-6505
Date: 2015
Language: English
Scope: 1-7
University/Institute: Háskólinn í Reykjavík
Reykjavik University
School: Tækni- og verkfræðideild (HR)
School of Science and Engineering (RU)
ISSN: 1748-670X
1748-6718 (eISSN)
DOI: 10.1155/2015/189769
Subject: Decision support system; Expert systems (Computer science); Software; Men; Women; Medical informatics; Methodology; Osteoporosis; Fractures; Risk factors; Treatment; Upplýsingakerfi; Ákvarðanataka; Tölvukerfi; Hugbúnaður; Karlar; Konur; Heilsufarsupplýsingar; Aðferðafræði; Beinþynning; Beinbrot; Áhættuþættir; Beinþéttnimælingar; Sjúkdómsgreining; Meðferð; Decision Support Systems, Clinical; Osteoporosis/diagnosis
URI: https://hdl.handle.net/20.500.11815/1590

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Citation:

Halldorsson, B. V., Bjornsson, A. H., Gudmundsson, H. T., Birgisson, E. O., Ludviksson, B. R., & Gudbjornsson, B. (2015). A Clinical Decision Support System for the Diagnosis, Fracture Risks and Treatment of Osteoporosis. Computational and Mathematical Methods in Medicine, 2015, 1–7. https://doi.org/10.1155/2015/189769

Abstract:

Expanding medical knowledge increases the potential risk of medical errors in clinical practice. We present, OPAD, a clinical decision support systemin the field of the medical care of osteoporosis. We utilize clinical information from international guidelines and experts in the field of osteoporosis. Physicians are provided with user interface to insert standard patient data, from which OPAD provides instant diagnostic comments, 10-year risk of fragility fracture, treatment options for the given case, and when to offer a follow-up DXA-evaluation. Thus, the medical decision making is standardized according to the best expert knowledge at any given time. OPAD was evaluated in a set of 308 randomly selected individuals. OPAD's ten-year fracture risk computation is nearly identical to FRAX (r = 0.988). In 58% of cases OPAD recommended DXA evaluation at the present time. Following a DXA measurement in all individuals, 71% of those that were recommended to have DXA at the present time received recommendation for further investigation or specific treatment by the OPAD. In only 5.9% of individuals in which DXA was not recommended, the result of the BMD measurement changed the recommendations given by OPAD.

Description:

Leiðrétting í (Correction in): COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE. Article Number: 5472789. Published: 2017

Rights:

This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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