ArticleJournal of translational medicine2014
Clinical Decision Support Systems (CDSS) for preventive management of COPD patients.
Article in Journal of translational medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02592928 (Regional Implementation of Collaborative Lung Function Testing), which is not on this map. Cited by 36 papers, 1 of them a synthesis that pooled 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.
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.
Regional Implementation of Collaborative Lung Function Testing
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic Prediction Models for Primary Care, Based on AI and Electronic Health Records: Systematic Review.JMIR medical informatics · 2025Pooled it
- Data-driven closed-loop health education: constructing an integrated assessment-intervention-feedback pathway for digital COPD management-a perspective.Frontiers in public health · 2026Article
- Use of Clinical Decision Support Systems for Diagnosis and Prognosis of Gastric Cancer: A Scoping Review.Health science reports · 2025Review
- Identifying Facilitators and Barriers to Implementation of AI-Assisted Clinical Decision Support in an Electronic Health Record System.Journal of medical systems · 2024Article
- Leveraging Interpretable Feature Representations for Advanced Differential Diagnosis in Computational Medicine.Bioengineering (Basel, Switzerland) · 2023Article
- Content, Mechanism, and Outcome of Effective Telehealth Solutions for Management of Chronic Obstructive Pulmonary Diseases: A Narrative Review.Healthcare (Basel, Switzerland) · 2023Review
- Multidisciplinary Development and Initial Validation of a Clinical Knowledge Base on Chronic Respiratory Diseases for mHealth Decision Support Systems.Journal of medical Internet research · 2023Observational
- Harnessing the power of clinical decision support systems: challenges and opportunities.Open heart · 2023Review
- Evaluation Methods in Clinical Health Technologies: A Systematic Review.Iranian journal of public health · 2023Review
- Determinants of implementing artificial intelligence-based clinical decision support tools in healthcare: a scoping review protocol.BMJ open · 2023Article
- The Application of Knowledge-Based Clinical Decision Support Systems to Enhance Adherence to Evidence-Based Medicine in Chronic Disease.Journal of healthcare engineering · 2023Review
- A Personalized Ontology-Based Decision Support System for Complex Chronic Patients: Retrospective Observational Study.JMIR formative research · 2022Article
- Improving Pharmacists' Awareness of Inadequate Antibiotic Use for URTIs through an Educational Intervention: A Pilot Study.Healthcare (Basel, Switzerland) · 2022Article
- Computational Models for Clinical Applications in Personalized Medicine-Guidelines and Recommendations for Data Integration and Model Validation.Journal of personalized medicine · 2022Review
- Mobile Health in Remote Patient Monitoring for Chronic Diseases: Principles, Trends, and Challenges.Diagnostics (Basel, Switzerland) · 2021Review
- A Clinical Decision Support System (KNOWBED) to Integrate Scientific Knowledge at the Bedside: Development and Evaluation Study.JMIR medical informatics · 2021Article
- Adherence to an eHealth Self-Management Intervention for Patients with Both COPD and Heart Failure: Results of a Pilot Study.International journal of chronic obstructive pulmonary disease · 2021Article
- E-Health Tools to Improve Antibiotic Use and Resistances: A Systematic Review.Antibiotics (Basel, Switzerland) · 2020Review
- Support System for Early Diagnosis of Chronic Obstructive Pulmonary Disease Based on the Service-Oriented Architecture Paradigm and Business Process Management Strategy: Development and Usability Survey Among Patients and Health Care Providers.Journal of medical Internet research · 2020Article
- Personalized medicine for patients with COPD: where are we?International journal of chronic obstructive pulmonary disease · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of information and communication technologies to manage chronic diseases allows the application of integrated care pathways, and the optimization and standardization of care processes. Decision support tools can assist in the adherence to best-practice medicine in critical decision points during the execution of a care pathway.
objectivesThe objectives are to design, develop, and assess a clinical decision support system (CDSS) offering a suite of services for the early detection and assessment of chronic obstructive pulmonary disease (COPD), which can be easily integrated into a healthcare providers' work-flow.
methodsThe software architecture model for the CDSS, interoperable clinical-knowledge representation, and inference engine were designed and implemented to form a base CDSS framework. The CDSS functionalities were iteratively developed through requirement-adjustment/development/validation cycles using enterprise-grade software-engineering methodologies and technologies. Within each cycle, clinical-knowledge acquisition was performed by a health-informatics engineer and a clinical-expert team.
resultsA suite of decision-support web services for (i) COPD early detection and diagnosis, (ii) spirometry quality-control support, (iii) patient stratification, was deployed in a secured environment on-line. The CDSS diagnostic performance was assessed using a validation set of 323 cases with 90% specificity, and 96% sensitivity. Web services were integrated in existing health information system platforms.
conclusionsSpecialized decision support can be offered as a complementary service to existing policies of integrated care for chronic-disease management. The CDSS was able to issue recommendations that have a high degree of accuracy to support COPD case-finding. Integration into healthcare providers' work-flow can be achieved seamlessly through the use of a modular design and service-oriented architecture that connect to existing health information systems.
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Identifiers
What OpenQuestion holds
Registered trials
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.