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Volume 13 Issue 6
Nov.  2022
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SHEN Quan, LUO Xufei, SHI An'ya, LEI Ruobing, LYU Meng, HOU Tianchun, ZHANG Shu, LIU Enmei, LI Qiu, CHEN Yaolong. Design and Thought for Establishing Decision Trees Based on Clinical Practice Guidelines[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 1081-1087. DOI: 10.12290/xhyxzz.2022-0355
Citation: SHEN Quan, LUO Xufei, SHI An'ya, LEI Ruobing, LYU Meng, HOU Tianchun, ZHANG Shu, LIU Enmei, LI Qiu, CHEN Yaolong. Design and Thought for Establishing Decision Trees Based on Clinical Practice Guidelines[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 1081-1087. DOI: 10.12290/xhyxzz.2022-0355
shu

Design and Thought for Establishing Decision Trees Based on Clinical Practice Guidelines

  • 1.

    Chevidence Lab of Child & Adolescent Health, Children's Hospital of Chongqing Medical University, Chongqing 400014, China

  • 2.

    National Clinical Research Center for Child Health and Disorders, Chongqing 400014, China

  • 3.

    Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 400014, China

  • 4.

    Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China

  • 5.

    Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China

  • 6.

    The Second School of Clinical Medical, Lanzhou University, Lanzhou 730000, China

  • 7.

    Department of Respiratory Medicine, Children's Hospital of Chongqing Medical University, Chongqing 400014, China

  • 8.

    Department of Nephrology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China

  • 9.

    Institute of Health Data Science, Lanzhou University, Lanzhou 730000, China

  • 10.

    Research Unit of Evidence-based Evaluation and Guidelines, Chinese Academy of Medical Sciences, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China

  • 11.

    WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, China

  • 12.

    Lanzhou University, An Affiliate of the Cochrane China Network, Lanzhou 730000, China

  • 13.

    Lanzhou University GRADE Center, Lanzhou 730000, China

Funds: 

National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University Key Project in 2022 NCRCCHD-2022-KP

More Information
  • Corresponding author:

    CHEN Yaolong, E-mail: chevidence@lzu.edu.cn

  • Received Date: June 26, 2022
  • Accepted Date: August 28, 2022
  • Available Online: September 21, 2022
  • Issue Publish Date: November 29, 2022
    Graphical Abstract
    • Abstract
  • Clinical practice guidelines can facilitate the standardization of the diagnosis and treatment and improve health care quality. However, there are barriers to guideline dissemination and implementation, thus impeding the standardization of clinical practice and improvement of patient outcomes. One major barrier is that it is difficult for doctors to read and understand the unstructured text-based guidelines, and apply them in real clinical practice. This paper introduces the design of decision trees based on clinical practice guidelines, and the advantages, challenges and solutions of this approach, with the hope of providing references for promoting the transformation of textual clinical practice guidelines.
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    • References (23)
  • [1]
    Institute of Medicine(US). Clinical practice guidelines we can trust[M]. Washington(DC): National Academies Press, 2011: 15.
    [2]
    吴梦佳, 张士靖, 周志超, 等. 我国临床实践指南利用和需求调查[J]. 中华医学图书情报杂志, 2016, 25: 37-42. https://www.cnki.com.cn/Article/CJFDTOTAL-YXTS201601009.htm
    [3]
    Runnacles J, Roueche A, Lachman P. The right care, every time: improving adherence to evidence-based guidelines[J]. Arch Dis Child Educ Pract Ed, 2018, 103: 27-33. DOI: 10.1136/archdischild-2017-312740
    [4]
    Liu M, Zhang C, Zha Q, et al. A national survey of Chinese medicine doctors and clinical practice guidelines in China[J]. BMC Complement Altern Med, 2017, 17: 451. DOI: 10.1186/s12906-017-1946-2
    [5]
    Hussain M, Hussain J, Ali T, et al. Text classification in clinical practice guidelines using machine-learning assisted pattern-based approach[J]. Appl Sci, 2021, 11: 3296. DOI: 10.3390/app11083296
    [6]
    刘国恩. 中国药物经济学评价指南及导图: 2015版[M]. 北京: 科学出版社, 2015.
    [7]
    Keikes L, Kos M, Verbeek XAAM, et al. Conversion of a colorectal cancer guideline into clinical decision trees with assessment of validity[J]. Int J Qual Health Care, 2021, 33: mzab051. DOI: 10.1093/intqhc/mzab051
    [8]
    张敏, 陆向艳, 周敏, 等. 数据挖掘在智能题库系统中的应用[J]. 广西大学学报(自然科学版), 2005(S2): 24-25. https://www.cnki.com.cn/Article/CJFDTOTAL-GXKZ2005S2008.htm
    [9]
    张奇, 荣雯雯, 刘艳. 基因表达谱数据分类算法综述[J]. 实用预防医学, 2018, 25: 1018-1022. DOI: 10.3969/j.issn.1006-3110.2018.08.035
    [10]
    Netherlands Comprehensive Cancer Organisation(IKNL). Oncoguide FAQ[EB/OL]. (2021-08-06)[2022-06-10]. https://www.oncoguide.nl/#!/projects.
    [11]
    杨艳. 基于临床指南的临床决策支持系统的设计与实现[D]. 杭州: 浙江工业大学, 2009.
    [12]
    Hendriks MP, Verbeek XAAM, van Vegchel T, et al. Transformation of the national breast cancer guideline into data-driven clinical decision trees[J]. JCO Clin Cancer Inform, 2019, 3: 1-14.
    [13]
    中华医学会儿科学分会免疫学组, 中华儿科杂志编辑委员会. 中国儿童系统性红斑狼疮诊断与治疗指南[J]. 中华儿科杂志, 2021, 59: 1009-1024. DOI: 10.3760/cma.j.cn112140-20210905-00743
    [14]
    郝惠娟, 杨喆, 刘丹红. 基于信息模型的本地医学术语与SNOMED CT的映射方法探索[J]. 中国数字医学, 2019, 14: 29-32. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ201904012.htm
    [15]
    国家卫生与健康委员会. 国际疾病分类第十一次修订本(ICD-11)中文版[EB/OL]. (2018-12-14)[2022-06-10]. http://www.nhc.gov.cn/yzygj/s7659/201812/14caf755107c43d2881905a8d4f44ed2.shtml.
    [16]
    周群一, 田慧, 杨艳, 等. 基于临床指南的临床决策支持系统[C]. 中华医院信息网络大会暨第四届中美医院信息化论坛论文集, 2008: 448-457.
    [17]
    National Borstkanker Overleg Nederland. Breast Cancer: Dutch Guideline, Version 2.0[EB/OL]. (2012-02)[2022-06-10]. http://www.oncoline.nl/breastcancer.
    [18]
    Liu E, Smyth RL, Luo Z, et al. Rapid advice guidelines for management of children with COVID-19[J]. Ann Transl Med, 2020, 8: 617. DOI: 10.21037/atm-20-3754
    [19]
    国家卫生健康委员会. 国家卫生健康委关于新型冠状病毒肺炎暂命名事宜的通知[EB/OL]. (2020-02-08)[2021-06-09]. http://www.nhc.gov.cn/yzygj/s7653p/202002/18c1bb43965a4492907957875de02ae7.shtml.
    [20]
    Djulbegovic B, Hozo I, Dale W. Transforming clinical practice guidelines and clinical pathways into fast-and-frugal decision trees to improve clinical care strategies[J]. J Eval Clin Pract, 2018, 24: 1247-1254. DOI: 10.1111/jep.12895
    [21]
    Luo Y, Wu H, Liao X, et al. A guideline-based decision tree achieves better glucose control with less hypoglycemia at 3 months in Chinese diabetic patients[J]. Diabetes Ther, 2021, 12: 1887-1899.
    [22]
    van Oijen MG, Verbeek XA, van Vegchel T, et al. Improving visualization and adherence by converting the Dutch colorectal cancer guidelines into decision trees: the Oncoguide project[J]. Ann Oncol, 2017, 28: v203-v204.
    [23]
    林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考[J]. 中国循证医学杂志, 2017, 17: 497-500. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXZ201705001.htm
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