在真实世界数据和预测模型的帮助下,开发用于前列腺癌患者管理的数字治疗分析仪。

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
DIGITAL HEALTH Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI:10.1177/20552076251326021
Lev Korolkov, Heather A Robinson, Konstantinos Mouratis
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引用次数: 0

摘要

前列腺癌是世界上第二大被确诊的癌症。治疗指南涉及多种治疗方法,但并没有完全建立对它们的依从性,而缺乏个性化的治疗策略未能将患者作为个体临床概况作为其治疗的中心。我们的目标是提出用于前列腺癌(PC)患者管理的数字治疗分析仪(TA)的概念,利用真实世界数据(RWD)和预测建模来增强个性化疾病管理策略和对PC指南的遵守,最终旨在优化治疗效果和改善结果。TA包括集成在一个用户直观界面中的数字工具,促进患者特定临床资料的开发,将患者分类为匹配的历史RWD队列,提供相关临床指南,可视化表示治疗和结果,以及基于经过验证的机器学习模型的死亡风险预测。使用了重症监护医疗信息市场(MIMIC) IV数据集,包括患者旅程中的结构化和非结构化数据。开发的TA代表了一种有希望的方法来增强个性化疾病管理策略和遵守PC指南。通过整合当代临床指南、RWD和人工智能驱动的见解,我们的数字TA旨在优化治疗效果并改善患者预后。所提出的概念展示了使用数字方法将RWD集成到治疗过程中的潜力,为医疗保健利益相关者提供涉及所有可用现代工具的PC管理的整体方法,以实现最佳结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development of a digital treatment analyzer for the management of prostate cancer patients, with the help of real world data and use of predictive modelling.

Prostate cancer is the second most diagnosed cancer in the world. Treatment guidelines involve a multitude of therapies, however adherence to them is not fully established, while lack of personalized treatment strategies fails to put the patient as an individual clinical profile at the center of their treatment. We aim to present the concept of a digital treatment analyzer (TA) for the management of prostate cancer (PC) patients, leveraging real-world data (RWD) and predictive modeling to enhance personalized disease management strategies and adherence to PC guidelines, ultimately aiming to optimize therapeutic efficacy and improve outcomes. The TA comprises digital tools integrated into one user-intuitive interface, facilitating the development of patient-specific clinical profiles, classification of patients into matched historical RWD cohorts, presentation of relevant clinical guidelines, visual representation of treatment and outcomes, and mortality risk prediction based on a validated machine learning models. The Medical Information Mart for Intensive Care (MIMIC) IV dataset was utilized, including structured and unstructured data from the patient journey. The developed TA represents a promising approach to enhance personalized disease management strategies and adherence to PC guidelines. By integrating contemporary clinical guidelines, RWD and AI-driven insights, our digital TA aims to optimize therapeutic efficacy and improve patient outcomes. The presented concept demonstrates the potential for using a digital approach that integrates RWD into a treatment journey, to provide healthcare stakeholders with a holistic approach to PC management involving all available modern tools to achieve optimal outcomes.

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来源期刊
DIGITAL HEALTH
DIGITAL HEALTH Multiple-
CiteScore
2.90
自引率
7.70%
发文量
302
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