Title
Resolving Conflicts in Clinical Guidelines using Argumentation.
Abstract
Automatically reasoning with conflicting generic clinical guidelines is a burning issue in patient-centric medical reasoning where patient-specific conditions and goals need to be taken into account. It is even more challenging in the presence of preferences such as patientu0027s wishes and clinicianu0027s priorities over goals. We advance a structured argumentation formalism for reasoning with conflicting clinical guidelines, patient-specific information and preferences. Our formalism integrates assumption-based reasoning and goal-driven selection among reasoning outcomes. Specifically, we assume applicability of guideline recommendations concerning the generic goal of patient well-being, resolve conflicts among recommendations using patientu0027s conditions and preferences, and then consider prioritised patient-centered goals to yield non-conflicting, goal-maximising and preference-respecting recommendations. We rely on the state-of-the-art Transition-based Medical Recommendation model for representing guideline recommendations and augment it with context given by the patientu0027s conditions, goals, as well as preferences over recommendations and goals. We establish desirable properties of our approach in terms of sensitivity to recommendation conflicts and patient context.
Year
DOI
Venue
2019
10.5555/3306127.3331904
arXiv: Artificial Intelligence
Keywords
Field
DocType
Medical reasoning,Structured argumentation,Ariadne principles
Computer science,Argumentation theory,Artificial intelligence,Formalism (philosophy),Guideline,Management science,Machine learning,Recommendation model
Journal
Volume
Citations 
PageRank 
abs/1902.07526
1
0.35
References 
Authors
0
2
Name
Order
Citations
PageRank
Kristijonas Cyras1198.81
Tiago Oliveira254850.08