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伴随前列腺癌患者诊疗路径:新型临床决策支持软件在前列腺癌早期诊断患者中的评估

Accompanying the prostate cancer patient pathway: evaluation of novel clinical decision support software in patients with early diagnosis of prostate cancer.

作者信息

Engesser Christian, Henkel Maurice, Stalder Aurelien F, Tobias Horn, Trotsenko Pawel, Alargkof Viktor, Cornford Philip, Seifert Helge, Stieltjes Bram, Wetterauer Christian

机构信息

Department of Urology, University Hospital Basel, Basel, Switzerland.

Research & Analytic Services, University Hospital Basel, Basel, Switzerland.

出版信息

BMC Med Inform Decis Mak. 2025 Jul 11;25(1):260. doi: 10.1186/s12911-025-03098-1.

Abstract

BACKGROUND

Prostate cancer, the second most prevalent cancer among men with 1.4 million newly diagnosed cases, poses intricate challenges in treatment decision-making due to multifaceted influencing factors. The aim was to assess the efficacy of clinical decision support software (CDSS) in pre-therapeutic prostate cancer management.

METHODS

This study evaluated the CDSS "AI Pathway Companion" by comparing traditional manual methods with software-supported processes in patients diagnosed with localized prostate cancer. The assessment included time analysis, user surveys, and data quality evaluations.

RESULTS

The CDSS notably reduced case preparation time (-41.5% overall time), including accessing laboratory and imaging results, as well as data integration tasks. Users' survey indicated heightened satisfaction and improved information quality using the software. Despite limitations in sample size and single-center focus, the study underscored the CDSS's potential to streamline workflows, enhance data quality, and elevate user experience.

CONCLUSION

The study highlights the CDSS's significant impact on consultation preparation time, decision-making efficiency, and user satisfaction in pre-therapeutic prostate cancer management. While showing promise in this setting, further investigations are needed to gauge its effectiveness in advanced stages and post-therapeutic contexts, aligning with evolving healthcare demands for improved efficiency and patient-centered care.

摘要

背景

前列腺癌是男性中第二大常见癌症,每年有140万新确诊病例,由于存在多方面的影响因素,在治疗决策方面带来了复杂的挑战。本研究旨在评估临床决策支持软件(CDSS)在前列腺癌治疗前管理中的疗效。

方法

本研究通过比较传统手工方法与软件支持流程,对诊断为局限性前列腺癌的患者评估了CDSS“AI Pathway Companion”。评估包括时间分析、用户调查和数据质量评估。

结果

CDSS显著缩短了病例准备时间(总时间减少41.5%),包括获取实验室和影像结果以及数据整合任务。用户调查表明,使用该软件后满意度提高,信息质量改善。尽管样本量有限且为单中心研究,但该研究强调了CDSS在简化工作流程、提高数据质量和提升用户体验方面的潜力。

结论

该研究突出了CDSS在前列腺癌治疗前管理中对会诊准备时间、决策效率和用户满意度的重大影响。虽然在这种情况下显示出了前景,但仍需要进一步研究,以评估其在晚期和治疗后环境中的有效性,以适应不断发展的医疗保健对提高效率和以患者为中心的护理的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b504/12247362/40ed3d270b38/12911_2025_3098_Fig1_HTML.jpg

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