Atrius Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
Deontics, London, United Kingdom.
Front Endocrinol (Lausanne). 2023 Aug 15;14:1228834. doi: 10.3389/fendo.2023.1228834. eCollection 2023.
Clinicians seeking guidance for evaluating and managing thyroid nodules currently have several resources. The principal ones are narrative clinical guidelines and clinical risk calculators. This paper will review the strengths and weaknesses of both. The paper will introduce a concept of computer interpretable guideline, a novel way of transforming narrative guidelines in to a clinical decision support tool that can provide patient specific recommendations at the point of care. The paper then describes an experience of developing an interactive web based computer interpretable guideline for thyroid nodule management, called Thyroid Nodule Management App (TNAPP). The advantages of this approach and the potential barriers for widespread adaptation are discussed.
临床医生在评估和管理甲状腺结节时，目前有多种资源可供参考。其中主要的是叙述性临床指南和临床风险计算器。本文将对这两者的优缺点进行综述。本文将介绍计算机可解释性指南的概念，这是一种将叙述性指南转化为临床决策支持工具的新方法，可以在护理点为患者提供具体的建议。然后，本文描述了开发一种名为甲状腺结节管理应用程序（TNAPP）的用于甲状腺结节管理的交互式基于网络的计算机可解释性指南的经验。讨论了这种方法的优势和广泛应用的潜在障碍。
