Analyzing the "careGap": Assessing gaps in adherence to clinical guidelines in adult soft tissue sarcoma

Zeev Waks, Esther Goldbraich, Ariel Farkash, Michele Torresani, Rossella Bertulli, Nicola Restifo, Paolo Locatelli, Paolo Casali, Boaz Carmeli

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Clinical decision support systems (CDSSs) are gaining popularity as tools that assist physicians in optimizing medical care. These systems typically comply with evidence-based medicine and are designed with input from domain experts. Nonetheless, deviations from CDSS recommendations are abundant across a broad spectrum of disorders, raising the question as to why this phenomenon exists. Here, we analyze this gap in adherence to a clinical guidelines-based CDSS by examining the physician treatment decisions for 1329 adult soft tissue sarcoma patients in northern Italy using patient-specific parameters. Dubbing this analysis "CareGap", we find that deviations correlate strongly with certain disease features such as local versus metastatic clinical presentation. We also notice that deviations from the guideline-based CDSS suggestions occur more frequently for patients with shorter survival time. Such observations can direct physicians' attention to distinct patient cohorts that are prone to higher deviation levels from clinical practice guidelines. This illustrates the value of CareGap analysis in assessing quality of care for subsets of patients within a larger pathology.

Original languageEnglish
Title of host publicationStudies in Health Technology and Informatics
PublisherIOS Press
Pages46-50
Number of pages5
Volume186
ISBN (Print)9781614992394
DOIs
Publication statusPublished - 2013
Event13th EFMI Special Topic Conference: Data and Knowledge for Medical Decision Support, EFMI STC 2013 - Prague, Czech Republic
Duration: Apr 17 2013Apr 19 2013

Other

Other13th EFMI Special Topic Conference: Data and Knowledge for Medical Decision Support, EFMI STC 2013
CountryCzech Republic
CityPrague
Period4/17/134/19/13

Keywords

  • Cancer treatment
  • Clinical decision support
  • Clinical practice guidelines
  • Evidence-based medicine
  • Soft tissue sarcoma

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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