Evidence map›Paper›PMID 26689422›Full record

ArticleBMC medical informatics and decision making2015

Analysis and classification of oncology activities on the way to workflow based single source documentation in clinical information systems.

Stefan Wagner, Matthias W Beckmann, Bernd Wullich, Christof Seggewies, Markus Ries, Thomas Bürkle, Hans-Ulrich Prokosch

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

7 authors.

Stefan WagnerChair of Medical Informatics at the Friedrich-Alexander-University Erlangen-Nuremberg, Am Wetterkreuz 13, D-91058, Erlangen-Tennenlohe, Germany. stefan.wagner@fau.de.
Matthias W BeckmannComprehensive Cancer Center Erlangen-EMN, University Hospital Erlangen, Östliche Stadtmauerstraße 30, D-91054 Erlangen, Germany.
Bernd WullichDepartment of Urology, University Hospital Erlangen, Maximiliansplatz 2, D-91054, Erlangen, Germany.
Christof SeggewiesMedical Informatics and Communication Center, University Hospital Erlangen, Glückstraße 11, D-91054, Erlangen, Germany.
Markus RiesDepartment for Organizational Development, Klinikum Nuremberg, Prof.-Ernst-Nathan-Str. 1, D-90419, Nuremberg, Germany.
Thomas BürkleInstitute for Medical Informatics I4MI, Bern University of Applied Sciences BFH, Höheweg 80, CH-2502, Biel/Bienne/Bern, Switzerland.
Hans-Ulrich ProkoschChair of Medical Informatics at the Friedrich-Alexander-University Erlangen-Nuremberg, Am Wetterkreuz 13, D-91058, Erlangen-Tennenlohe, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToday, cancer documentation is still a tedious task involving many different information systems even within a single institution and it is rarely supported by appropriate documentation workflows.

methodsIn a comprehensive 14 step analysis we compiled diagnostic and therapeutic pathways for 13 cancer entities using a mixed approach of document analysis, workflow analysis, expert interviews, workflow modelling and feedback loops. These pathways were stepwise classified and categorized to create a final set of grouped pathways and workflows including electronic documentation forms.

resultsA total of 73 workflows for the 13 entities based on 82 paper documentation forms additionally to computer based documentation systems were compiled in a 724 page document comprising 130 figures, 94 tables and 23 tumour classifications as well as 12 follow-up tables. Stepwise classification made it possible to derive grouped diagnostic and therapeutic pathways for the three major classes - solid entities with surgical therapy - solid entities with surgical and additional therapeutic activities and - non-solid entities. For these classes it was possible to deduct common documentation workflows to support workflow-guided single-source documentation.

conclusionsClinical documentation activities within a Comprehensive Cancer Center can likely be realized in a set of three documentation workflows with conditional branching in a modern workflow supporting clinical information system.

Indexed as

DocumentationHealth Information SystemsWorkflowHumansNeoplasms

Identifiers

PMID26689422
PMCPMC4687307

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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.