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使用视觉分析来呈现关于新药的比较信息。

Using visual analytics for presenting comparative information on new drugs.

作者信息

Lamy Jean-Baptiste, Berthelot Hélène, Favre Madeleine, Ugon Adrien, Duclos Catherine, Venot Alain

机构信息

LIMICS, Université Paris 13, Sorbonne Paris Cité, 93017 Bobigny, France, INSERM UMRS 1142, UPMC Université Paris 6, Sorbonne Universités, Paris, France.

Dept. of Primary Care, Université Paris Descartes, Société de Formation Thérapeutique du Généraliste (SFTG), Paris, France.

出版信息

J Biomed Inform. 2017 Jul;71:58-69. doi: 10.1016/j.jbi.2017.04.019. Epub 2017 May 23.

Abstract

OBJECTIVE

When a new drug is marketed, physicians must decide whether they will consider it for their future practice. However, information about new drugs can be biased or hard to find. In this work, our objective was to study whether visual analytics could be used for comparing drug properties such as contraindications and adverse effects, and whether this visual comparison can help physicians to forge their own well-founded opinions about a new drug.

MATERIALS AND METHODS

First, an ontology for comparative drug information was designed, based on the expectations expressed during focus groups comprised of physicians. Second, a prototype of a visual drug comparator website was developed. It implements several visualization methods: rainbow boxes (a new technique for overlapping set visualization), dynamic tables, bar charts and icons. Third, the website was evaluated by 22 GPs for four new drugs. We recorded the general satisfaction, the physician's decision whether to consider the new drug for future prescription, both before and after consulting the website, and their arguments to justify their choice.

RESULTS

The prototype website permits the visual comparison of up to 10 drugs, including efficacy, contraindications, interactions, adverse effects, prices, dosage regimens,…All physicians found that the website allowed them to forge a well-founded opinion on the four new drugs. The physicians changed their decision about using a new drug in their future practice in 29 cases (out of 88) after consulting the website.

DISCUSSION AND CONCLUSION

Visual analytics is a promising approach for presenting drug information and for comparing drugs. The visual comparison of drug properties allows physicians to forge their opinions on drugs. Since drug properties are available in reference texts, reviewed by public health agencies, it could contribute to the independent of drug information.

摘要

目的

当一种新药上市时,医生必须决定是否会在未来的临床实践中考虑使用它。然而,关于新药的信息可能存在偏差或难以获取。在这项研究中,我们的目的是研究视觉分析是否可用于比较药物特性,如禁忌证和不良反应,以及这种视觉比较是否能帮助医生形成关于新药的有充分依据的观点。

材料与方法

首先,基于由医生组成的焦点小组所表达的期望,设计了一个用于比较药物信息的本体。其次,开发了一个视觉药物比较器网站的原型。它实现了几种可视化方法:彩虹框(一种用于重叠集可视化的新技术)、动态表格、柱状图和图标。第三,22名全科医生对四种新药对该网站进行了评估。我们记录了他们的总体满意度、在咨询网站前后医生关于是否在未来处方中考虑使用新药的决定,以及他们用以证明其选择合理性的论据。

结果

该原型网站允许对多达10种药物进行视觉比较,包括疗效、禁忌证、相互作用、不良反应、价格、给药方案等。所有医生都发现该网站使他们能够对这四种新药形成有充分依据的观点。在咨询网站后,医生们在88例中有29例改变了他们在未来临床实践中使用新药的决定。

讨论与结论

视觉分析是一种用于呈现药物信息和比较药物的有前景的方法。药物特性的视觉比较使医生能够形成对药物的看法。由于药物特性可在参考文本中获取,并经过公共卫生机构的审核,这有助于药物信息的独立性。

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