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Keywords: clinical decision making
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Journal Article
External validation of a proprietary risk model for 1-year mortality in community-dwelling adults aged 65 years or older
Erica Frechman and others
Journal of the American Medical Informatics Association, ocaf062, https://doi.org/10.1093/jamia/ocaf062
Published: 29 April 2025
... estimates of prognosis, with the goal of making the EOL-CI a more a valuable tool at the point of care for identifying patients who would benefit from targeted palliative care interventions and proactive care planning. palliative care electronic health records prognosis clinical decision-making National...
Journal Article
Development and evaluation of a 4M taxonomy from nursing home staff text messages using a fine-tuned generative language model
Matthew Steven Farmer and others
Journal of the American Medical Informatics Association, Volume 32, Issue 3, March 2025, Pages 535–544, https://doi.org/10.1093/jamia/ocaf006
Published: 15 January 2025
... for the aged text messaging pattern recognition automated clinical decision-making communication ontology taxonomy LLM National Institute on Aging 10.13039/100000049 National Institutes of Health 10.13039/100000002 R01AG078281 Controlled Terminologies such as the Systematized Nomenclature...
Journal Article
Smart Imitator: Learning from Imperfect Clinical Decisions
Dilruk Perera and others
Journal of the American Medical Informatics Association, ocae320, https://doi.org/10.1093/jamia/ocae320
Published: 10 January 2025
... treatment outcomes. Its methodology offers a robust approach for adaptive, personalized strategies in various complex and uncertain environments. health care AI clinical decision-making reinforcement learning (RL) adversarial imitation learning imitation learning (IL) National Research Foundation...
Journal Article
Effects of Educational Interventions Designed to Develop Physical Therapist Learners’ Clinical Reasoning: A Systematic Review
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Wing Fu and others
Physical Therapy, Volume 105, Issue 3, March 2025, pzae182, https://doi.org/10.1093/ptj/pzae182
Published: 24 December 2024
... Clinical Decision Making Educational Interventions Student Physical Therapists Physical Therapists Clinical reasoning (CR) is a critical attribute in physical therapy that is “central to the practice of professional autonomy.” 1 Current research highlights the importance of developing...
Journal Article
Multi-center real-world data-driven web calculator for predicting outcomes in IDH-mutant gliomas: Integrating molecular subtypes and treatment modalities
Houshi Xu and others
Neuro-Oncology Advances, Volume 7, Issue 1, January-December 2025, vdae221, https://doi.org/10.1093/noajnl/vdae221
Published: 16 December 2024
... the extent of resection, a crucial prognostic factor often overlooked. By accurately predicting individual patient outcomes, this tool enhances clinical decision-making and facilitates personalized treatment strategies. The accompanying online calculator makes the nomogram readily accessible to clinicians...
Journal Article
Proceedings of the 1st biannual bridging the gaps in lung cancer conference
Narjust Florez and others
The Oncologist, Volume 30, Issue 2, February 2025, oyae228, https://doi.org/10.1093/oncolo/oyae228
Published: 05 September 2024
... of various lung cancer scenarios, as identified and discussed by prominent experts in oncology at the recent conference “Bridging the Gaps in Lung Cancer.” clinical decision-making controversies unanswered questions lung cancer diagnosis lung cancer treatment lung cancer management Implications...
Journal Article
Longitudinal cardiac magnetic resonance imaging following clinical response to rilonacept and prior to recurrence upon treatment suspension: a RHAPSODY subgroup analysis
Paul C Cremer and others
European Heart Journal - Cardiovascular Imaging, Volume 26, Issue 1, January 2025, Pages 72–79, https://doi.org/10.1093/ehjci/jeae200
Published: 22 August 2024
... of treatment. This subgroup analysis assessed the utility of longitudinal serial cardiac magnetic resonance (CMR) imaging for tracking clinical improvement and predicting post-treatment cessation outcomes to help guide clinical decision-making. Methods and results At an 18-month decision milestone (18MDM...
Journal Article
Artificial intelligence-based personalized clinical decision-making for patients with localized prostate cancer: surgery versus radiotherapy
Yuwei Liu and others
The Oncologist, Volume 29, Issue 12, December 2024, Pages e1692–e1700, https://doi.org/10.1093/oncolo/oyae184
Published: 31 July 2024
...) and internal-surgery dataset (ISD). An artificial intelligence-based model for treatment recommendation for patients with localized prostate cancer was developed and is reported here. prostate cancer clinical decision-making artificial intelligence radiotherapy surgery Construction Projects Funding...
Journal Article
Clinical reasoning in real-world practice: a primer for medical trainees and practitioners
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Isaac K S Ng and others
Postgraduate Medical Journal, Volume 101, Issue 1191, January 2025, Pages 68–75, https://doi.org/10.1093/postmj/qgae079
Published: 15 July 2024
... management plans that can result in significant morbidity and even mortality. In this article, we discuss the psychological constructs of clinical reasoning in the form of cognitive ‘thought processing’ models and real-world contextual or emotional influences on clinical decision-making. In addition, we...
Journal Article
Enhancing vascular access planning in CKD: validating the 40% KFRE threshold for predicting ESKD in a French retrospective cohort study
Maxime Ingwiller and others
Clinical Kidney Journal, Volume 17, Issue 8, August 2024, sfae220, https://doi.org/10.1093/ckj/sfae220
Published: 13 July 2024
... outcomes and reduce healthcare burdens. chronic kidney disease clinical decision-making dialysis preparation end-stage kidney disease prediction vascular access planning Video Abstract 10.1093/ckj/sfae220 Video Abstract Watch the video abstract of this contribution https://dbpia.nl.go.kr/ckj...
Journal Article
Safety of treating acute pulmonary embolism at home: an individual patient data meta-analysis
Dieuwke Luijten and others
European Heart Journal, Volume 45, Issue 32, 21 August 2024, Pages 2933–2950, https://doi.org/10.1093/eurheartj/ehae378
Published: 12 July 2024
... pulmonary embolism in the overall population and clinically relevant patient subgroups. (NT-pro)BNP, (N-terminal pro–)B-type natriuretic peptide; PE, pulmonary embolism; VTE, venous thromboembolism. Pulmonary embolism Emergency care Outpatient care Clinical decision-making Early discharge See...
Journal Article
Evaluating ChatGPT’s moral competence in health care-related ethical problems
Ahmed A Rashid and others
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JAMIA Open
JAMIA Open, Volume 7, Issue 3, October 2024, ooae065, https://doi.org/10.1093/jamiaopen/ooae065
Published: 09 July 2024
... language models have the potential to assist physicians in the decision-making process when encountering a difficult ethical decision. artificial intelligence clinical decision-making ethics judgement morals A total of 100 complete iterations of the MCT were performed and equally distributed...
Journal Article
Determining QTc in acute care settings: What we (don’t) know
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Zachary Holmes and others
American Journal of Health-System Pharmacy, Volume 81, Issue 22, 15 November 2024, Pages 1187–1193, https://doi.org/10.1093/ajhp/zxae168
Published: 18 June 2024
...-reuse-rights ) clinical decision-making drug safety EKG electrocardiography pharmacists’ role QTc prolongation torsades de pointes How do you calculate a corrected QT interval (QTc)? What method is used by automated electrocardiogram (EKG) machines at your institution? Which formula should you...
Journal Article
The role of information systems in emergency department decision-making—a literature review
Cornelius Born and others
Journal of the American Medical Informatics Association, Volume 31, Issue 7, July 2024, Pages 1608–1621, https://doi.org/10.1093/jamia/ocae096
Published: 23 May 2024
... measures with non-IS-supported care (n = 248). Figure 2. Study selection process. Information systems (ISs) have been posited as a potential solution to enhance clinical decision-making. ISs encompass any technical system that generates information enabling decision-makers to identify problems...
Journal Article
Clinical Decision Making in Inflammatory Bowel Disease Mimics: Practice Management from Inflammatory Bowel Disease LIVE
Hannah W Fiske and others
Crohn's & Colitis 360, Volume 6, Issue 2, April 2024, otae022, https://doi.org/10.1093/crocol/otae022
Published: 11 April 2024
... of IBD-M were presented by IBD specialists from 19 different hospitals, practices, or academic centers—18 (94.7%) within the United States and 1 international. Graphical Abstract Graphical Abstract clinical decision-making Crohn’s disease inflammatory bowel disease (IBD) IBD mimics (IBD-M...
Journal Article
Factors Associated With Physical Inactivity of Recipients of a Kidney Transplant: Results From the ADHERE BRAZIL Multicenter Study
Emiliana S Sertorio and others
Physical Therapy, Volume 104, Issue 7, July 2024, pzae058, https://doi.org/10.1093/ptj/pzae058
Published: 09 April 2024
Journal Article
Understanding decision curve analysis in clinical prediction model research
Luqing Zhao and others
Postgraduate Medical Journal, Volume 100, Issue 1185, July 2024, Pages 512–515, https://doi.org/10.1093/postmj/qgae027
Published: 07 March 2024
... caused by false positives in clinical decision-making. Abstract Background Many medical graduate students lack a thorough understanding of decision curve analysis (DCA), a valuable tool in clinical research for evaluating diagnostic models. Methods This article elucidates the concept and process...
Journal Article
Unsupervised machine learning models reveal predictive clinical markers of glioblastoma patient survival using white blood cell counts prior to initiating chemoradiation
Wesley Wang and others
Neuro-Oncology Advances, Volume 6, Issue 1, January-December 2024, vdad140, https://doi.org/10.1093/noajnl/vdad140
Published: 11 November 2023
... cited. Abstract Background Glioblastoma is a malignant brain tumor requiring careful clinical monitoring even after primary management. Personalized medicine has suggested the use of various molecular biomarkers as predictors of patient prognosis or factors utilized for clinical decision-making...
Journal Article
FEATURED
Design of an interface to communicate artificial intelligence-based prognosis for patients with advanced solid tumors: a user-centered approach
Catherine J Staes and others
Journal of the American Medical Informatics Association, Volume 31, Issue 1, January 2024, Pages 174–187, https://doi.org/10.1093/jamia/ocad201
Published: 17 October 2023
... values are model artifacts not relevant for clinical decision-making. So, we removed references to values used by the model to classify risk. 13 Use terminology that matches the oncologist’ world view. Initially, we used “low” and “high” risk [of mortality] on a survival % graphic, creating...
Journal Article
Federated and distributed learning applications for electronic health records and structured medical data: a scoping review
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Siqi Li and others
Journal of the American Medical Informatics Association, Volume 30, Issue 12, December 2023, Pages 2041–2049, https://doi.org/10.1093/jamia/ocad170
Published: 28 August 2023
... binary outcomes, and logistic regression was the most frequently used model (25.0%, or 18/72). Various types of neural networks were used in 26.4% (19/72) of the studies. clinical decision-making distributed algorithms distributed learning electronic health records federated learning Duke-NUS...
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