A Clinical Decision Support System for the Diagnosis, Fracture Risks and Treatment of Osteoporosis

Expanding medical knowledge increases the potential risk of medical errors in clinical practice. We present, OPAD, a clinical decision support system in the field of the medical care of osteoporosis. We utilize clinical information from international guidelines and experts in the field of osteoporos...

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Bibliographic Details
Published in:Computational and mathematical methods in medicine 2015-01, Vol.2015 (2015), p.1-7
Main Authors: Ludviksson, Bjorn Runar, Birgisson, Elvar Orn, Gudmundsson, Haukur Tyr, Bjornsson, Aron Hjalti, Halldorsson, Bjarni V., Gudbjornsson, Bjorn
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Bone Density
Clinical Decision-Making
Decision Support Systems, Clinical
Expert Systems
Female
Humans
Male
Medical Informatics - methods
Middle Aged
Osteoporosis - diagnosis
Osteoporosis - physiopathology
Osteoporosis - therapy
Osteoporotic Fractures - diagnosis
Osteoporotic Fractures - physiopathology
Probability
Risk Factors
Software
Young Adult
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Summary:Expanding medical knowledge increases the potential risk of medical errors in clinical practice. We present, OPAD, a clinical decision support system in the field of the medical care of osteoporosis. We utilize clinical information from international guidelines and experts in the field of osteoporosis. Physicians are provided with user interface to insert standard patient data, from which OPAD provides instant diagnostic comments, 10-year risk of fragility fracture, treatment options for the given case, and when to offer a follow-up DXA-evaluation. Thus, the medical decision making is standardized according to the best expert knowledge at any given time. OPAD was evaluated in a set of 308 randomly selected individuals. OPAD’s ten-year fracture risk computation is nearly identical to FRAX (r = 0.988). In 58% of cases OPAD recommended DXA evaluation at the present time. Following a DXA measurement in all individuals, 71% of those that were recommended to have DXA at the present time received recommendation for further investigation or specific treatment by the OPAD. In only 5.9% of individuals in which DXA was not recommended, the result of the BMD measurement changed the recommendations given by OPAD.
ISSN:1748-670X
1748-6718
DOI:10.1155/2015/189769