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- W51610516 abstract "The constant evolution of medical knowledge requires clinical practice guidelines (CPGs) to be regularly updated Clinical decision support systems based on computerized CPGs have thus to be revised as their knowledge sources evolve. We propose a formal characterization of recommendations evolution between two successive CPG versions. Each atomic recommendation is represented as a rule linking a clinical situation with a recommended action plan. Using subsumption functions on recommendation components, we identified 7 evolution patterns of recommendations. The method has been applied on the knowledge bases of the 2002 version of the French bladder cancer guidelines and its 2004 revision. Surprisingly, despite similar coverage, only 54% of the 2002 version was formally reused in 2004 and 36% of the 2004 version were considered new recommendations. Evaluation of CPG update on actual patient medical records from the Urology Department of the Bichat-Claude Bernard Hospital showed a significant fall of physician decisions compliance with guidelines as a side-effect of the CPG revision." @default.
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- W51610516 date "2009-01-01" @default.
- W51610516 modified "2023-09-25" @default.
- W51610516 title "Caractérisation de l’évolution d’une base de connaissances suite à la réactualisation de recommandations de pratiques cliniques: une étude de cas sur la prise en charge des tumeurs de la vessie" @default.
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- W51610516 doi "https://doi.org/10.1007/978-2-287-99305-3_18" @default.
- W51610516 hasPublicationYear "2009" @default.
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