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A clinical decision support system for the diagnosis, fracture risks and treatment of osteoporosis.

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Authors
Halldorsson, Bjarni V
Bjornsson, Aron Hjalti
Gudmundsson, Haukur Tyr
Birgisson, Elvar Orn
Ludviksson, Bjorn Runar
Gudbjornsson, Bjorn
Issue Date
2015

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Citation
Comput Math Methods Med. 2015, 2015:189769
Abstract
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.
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To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.
Additional Links
http://dx.doi.org/ 10.1155/2015/189769
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4359799/
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Archived with thanks to Computational and mathematical methods in medicine
ae974a485f413a2113503eed53cd6c53
10.1155/2015/189769
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English Journal Articles (Peer Reviewed)

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