Evidence map›Paper›PMID 36261621›Full record

ArticleJournal of medical systems2022

New Approach to Privacy-Preserving Clinical Decision Support Systems for HIV Treatment.

Gabriele Spini, Emiliano Mancini, Thomas Attema, Mark Abspoel, Jan de Gier, Serge Fehr, Thijs Veugen, Maran van Heesch, Daniël Worm, Andrea De Luca and 2 more

Abstract read
In one paragraph

Article in Journal of medical systems, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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  5. Review
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

12 authors.

Gabriele SpiniApplied Cryptography and Quantum Algorithms, TNO, 96800, 2509 JE, Postbus, The Hague, The Netherlands. gabriele.spini@tno.nl.ORCID http://orcid.org/0000-0002-8578-3707
Emiliano ManciniInstitute for Advanced Study, University of Amsterdam, Oude Turfmarkt 147, 1012 GC, Amsterdam, The Netherlands.
Thomas AttemaApplied Cryptography and Quantum Algorithms, TNO, 96800, 2509 JE, Postbus, The Hague, The Netherlands.
Mark AbspoelCryptology Group, CWI, P.O. Box 94079, 1090 GB, Amsterdam, The Netherlands.
Jan de GierApplied Cryptography and Quantum Algorithms, TNO, 96800, 2509 JE, Postbus, The Hague, The Netherlands.
Serge FehrCryptology Group, CWI, P.O. Box 94079, 1090 GB, Amsterdam, The Netherlands.
Thijs VeugenApplied Cryptography and Quantum Algorithms, TNO, 96800, 2509 JE, Postbus, The Hague, The Netherlands.
Maran van HeeschApplied Cryptography and Quantum Algorithms, TNO, 96800, 2509 JE, Postbus, The Hague, The Netherlands.
Daniël WormApplied Cryptography and Quantum Algorithms, TNO, 96800, 2509 JE, Postbus, The Hague, The Netherlands.
Andrea De LucaDepartment of Medical Biotechnologies, University of Siena and Siena University Hospital, Viale Mario Bracci 16, 53100, Siena, Italy.
Ronald CramerCryptology Group, CWI, P.O. Box 94079, 1090 GB, Amsterdam, The Netherlands.
Peter M A SlootInstitute for Advanced Study, University of Amsterdam, Oude Turfmarkt 147, 1012 GC, Amsterdam, The Netherlands.

Funding

European Research Council 740972 (ALGSTRONGCRYPTO)Ministerie van Economische Zaken PPS-surcharge for Research and Innovation
6 · The paper itself

Abstract

backgroundHIV treatment prescription is a complex process. Clinical decision support systems (CDSS) are a category of health information technologies that can assist clinicians to choose optimal treatments based on clinical trials and expert knowledge. The usability of some CDSSs for HIV treatment would be significantly improved by using the knowledge obtained by treating other patients. This knowledge, however, is mainly contained in patient records, whose usage is restricted due to privacy and confidentiality constraints.

methodsA treatment effectiveness measure, containing valuable information for HIV treatment prescription, was defined and a method to extract this measure from patient records was developed. This method uses an advanced cryptographic technology, known as secure Multiparty Computation (henceforth referred to as MPC), to preserve the privacy of the patient records and the confidentiality of the clinicians' decisions.

findingsOur solution enables to compute an effectiveness measure of an HIV treatment, the average time-to-treatment-failure, while preserving privacy. Experimental results show that our solution, although at proof-of-concept stage, has good efficiency and provides a result to a query within 24 min for a dataset of realistic size.

interpretationThis paper presents a novel and efficient approach HIV clinical decision support systems, that harnesses the potential and insights acquired from treatment data, while preserving the privacy of patient records and the confidentiality of clinician decisions.

Indexed as

Decision Support Systems, ClinicalHIV InfectionsComputer SecurityConfidentialityHumansPrivacyAnti-HIV agentsClinical decision support systemsConfidentialityPrivacySecure multiparty computation

Identifiers

PMID36261621
PMCPMC9581834

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Registered trials

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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.