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治疗模式:一个 R 包,用于方便跨疾病领域的治疗模式的标准化开发和分析。

TreatmentPatterns: An R package to facilitate the standardized development and analysis of treatment patterns across disease domains.

机构信息

Department of Medical Informatics, Erasmus University Medical Center, Rotterdam, the Netherlands.

Department of Medical Informatics, Erasmus University Medical Center, Rotterdam, the Netherlands; Department of Bioanalysis, Ghent University, Ghent, Belgium.

出版信息

Comput Methods Programs Biomed. 2022 Oct;225:107081. doi: 10.1016/j.cmpb.2022.107081. Epub 2022 Aug 21.

Abstract

BACKGROUND AND OBJECTIVES

There is an increasing interest to use real-world data to illustrate how patients with specific medical conditions are treated in real life. Insight in the current treatment practices helps to improve and tailor patient care, but is often held back by a lack of data interoperability and a high-level of required resources. We aimed to provide an easy tool that overcomes these barriers to support the standardized development and analysis of treatment patterns for a wide variety of medical conditions.

METHODS

We formally defined the process of constructing treatment pathways and implemented this in an open-source R package TreatmentPatterns (https://github.com/mi-erasmusmc/TreatmentPatterns) to enable a reproducible and timely analysis of treatment patterns.

RESULTS

The developed package supports the analysis of treatment patterns of a study population of interest. We demonstrate the functionality of the package by analyzing the treatment patterns of three common chronic diseases (type II diabetes mellitus, hypertension, and depression) in the Dutch Integrated Primary Care Information (IPCI) database.

CONCLUSION

TreatmentPatterns is a tool to make the analysis of treatment patterns more accessible, more standardized, and more interpretation friendly. We hope it thereby contributes to the accumulation of knowledge on real-world treatment patterns across disease domains. We encourage researchers to further adjust and add custom analysis to the R package based on their research needs.

摘要

背景和目的

越来越多的人有兴趣利用真实世界的数据来说明特定医疗状况的患者在现实生活中的治疗方式。了解当前的治疗实践有助于改善和调整患者护理,但通常受到数据互操作性差和高资源要求的限制。我们旨在提供一个简单的工具,以克服这些障碍,支持广泛的医疗条件下治疗模式的标准化开发和分析。

方法

我们正式定义了构建治疗途径的过程,并在一个开源 R 包 TreatmentPatterns(https://github.com/mi-erasmusmc/TreatmentPatterns)中实现了这一过程,以实现对治疗模式的可重复和及时分析。

结果

该开发的软件包支持对感兴趣的研究人群的治疗模式进行分析。我们通过分析荷兰综合初级保健信息(IPCI)数据库中三种常见慢性病(2 型糖尿病、高血压和抑郁症)的治疗模式来演示该软件包的功能。

结论

TreatmentPatterns 是一种使治疗模式分析更容易访问、更标准化和更易于解释的工具。我们希望它有助于在疾病领域积累真实世界治疗模式的知识。我们鼓励研究人员根据自己的研究需求进一步调整和添加自定义分析到 R 软件包中。

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