Evidence map›Paper›PMID 18487735›Full record

ArticleStudies in health technology and informatics2008

Use of the C4.5 machine learning algorithm to test a clinical guideline-based decision support system.

Jean-Baptiste Lamy, Anis Ellini, Vahid Ebrahiminia, Jean-Daniel Zucker, Hector Falcoff, Alain Venot

Abstract readEvaluation Study
In one paragraph

Article in Studies in health technology and informatics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jean-Baptiste LamyLaboratoire d'Informatique Médicale et de Bio-informatique (LIM&BIO), UFR SMBH, Université Paris 13, Bobigny, France. jibalamy@free.fr
Anis Ellini
Vahid Ebrahiminia
Jean-Daniel Zucker
Hector Falcoff
Alain Venot

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Well-designed medical decision support system (DSS) have been shown to improve health care quality. However, before they can be used in real clinical situations, these systems must be extensively tested, to ensure that they conform to the clinical guidelines (CG) on which they are based. Existing methods cannot be used for the systematic testing of all possible test cases. We describe here a new exhaustive dynamic verification method. In this method, the DSS is considered to be a black box, and the Quinlan C4.5 algorithm is used to build a decision tree from an exhaustive set of DSS input vectors and outputs. This method was successfully used for the testing of a medical DSS relating to chronic diseases: the ASTI critiquing module for type 2 diabetes.

Indexed as

AlgorithmsArtificial IntelligenceDecision Support Systems, ClinicalPractice Guidelines as TopicDecision TreesDiabetes Mellitus, Type 2Expert SystemsGuideline AdherenceHumansHypoglycemic AgentsKnowledge BasesMedical Records Systems, ComputerizedHypoglycemic Agents

Identifiers

PMID18487735
PMCPMC3885810

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.