Paper Info
Title
Clinical decision support for therapeutic decision-making in cancer: A systematic review.
Abstract
Cancer management, including supportive care, is complex and requires availability and synthesis of published and patient-specific data to make appropriate therapeutic decisions. Clinical decision support (CDS) may be an effective implementation strategy to support complex decision making although it is unclear whether it improves process outcomes, patient outcomes or both in cancer settings. We therefore conducted a systematic review to identify CDS that have been used to support therapeutic decision making in clinical cancer settings. Outcomes of interest included the effect of CDS on the process, such as clinician’s decision making and effect on patient outcomes. Ten studies met inclusion criteria, with variability in the study design, setting, and intervention. Of the nine studies that measured process outcomes, five demonstrated significant improvement; and of the six that measured patient outcomes, four demonstrated significant improvement. All included studies utilized CDS that were informed by clinical practice guidelines. In conclusion, CDS to guide cancer therapeutic decision making is an understudied but promising area. Further research is needed.
Year
DOI
Venue
2019
10.1016/j.ijmedinf.2019.07.019
International Journal of Medical Informatics
Keywords
Field
DocType
Clinical decision support,Cancer,Decision making
Clinical Practice,Knowledge management,Intensive care medicine,Clinical decision support system,Medicine,Cancer
Journal
Volume
ISSN
Citations 
130
1386-5056
0
PageRank 
References 
Authors
0.34
0
6
Name
Order
Citations
PageRank
Melissa Beauchemin101.35
Meghan T Murray200.34
Lillian Sung301.01
Dawn L Hershman400.68
Chunhua Weng554775.69
Rebecca Schnall68021.31