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2008

An automated method for analyzing adherence to therapeutic guidelines: Application in Diabetes

9 years 1 months ago
An automated method for analyzing adherence to therapeutic guidelines: Application in Diabetes
Background: Physicians' adherence to guidelines can be used for measuring prescribing appropriateness. We present a simple approach allowing the automation of this process. Design: The drug therapy is described in terms of treatment type, pharmacotherapeutic classes, international non proprietary names (INN) and doses. A rule-based engine implementing the guideline generates recommendations for each patient record. These are automatically compared with prescriptions of the same patient in three levels of detail. Participants: Ambulatory patients admitted for the follow-up of their type 2 diabetes between June 2003 and September 2004 in a university hospital in France. Results: For 574 patient records included in the study, physicians agreed with the guideline recommendations over the choice of type of treatment in 473 cases (82%). When agreement over pharmacotherapeutic class of drugs was also taken into account, the adherence ratio decreased to 448 cases (78%). Finally, when the ...
Massoud Toussi, Vahid Ebrahiminia, Philippe Le Tou
Added 29 Oct 2010
Updated 29 Oct 2010
Type Conference
Year 2008
Where MIE
Authors Massoud Toussi, Vahid Ebrahiminia, Philippe Le Toumelin, Régis Cohen, Alain Venot
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