Title: | A Clinical Decision Support System for the Diagnosis, Fracture Risks and Treatment of Osteoporosis |
Author: |
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Date: | 2015 |
Language: | English |
Scope: | 1-7 |
University/Institute: | Háskólinn í Reykjavík Reykjavik University Háskóli Íslands University of Iceland |
School: | Tækni- og verkfræðideild (HR) School of Science and Engineering (RU) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) |
Department: | Institute of Biomedical and Neural Engineering (IBNE) (RU) Læknadeild (HÍ) Faculty of Medicine (UI) |
Series: | Computational and Mathematical Methods in Medicine;2015 |
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 |
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
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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.
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Description:Leiðrétting í (Correction in): COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE. Article Number: 5472789. Published: 2017
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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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