Analysis of the GLARE and GPROVE Approaches to Clinical Guidelines

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Knowledge Representation for Health-Care. Data, Processes and Guidelines (KR4HC 2009)

Abstract

Clinical guidelines (GLs) play an important role in medical practice, and computerized support to GLs is now one of the most central areas of research in Artificial Intelligence in medicine. In recent years, many groups have developed different computer-assisted management systems of GL. Each approach has its own peculiarities and thus a comparison is necessary. Many possible aspects can be analyzed, but a first analysis has probably to consider the GL models, i.e. the representation formalisms provided. To this end, Peleg and al. [4] have analyzed and compared six different frameworks. In this paper, we analyse also GLARE and GPROVE on the basis of the same methodology. Moreover, we extend such analysis by considering the tools and the facilities that GLARE and GPROVE provide to support the use of GLs. The final goal of our analysis is to exploit the differences between these two systems and if they can be fruitfully integrated.

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References

  1. Gordon, C., Christensen, J.P. (eds.): Health Telematics for Clinical Guidelines and Protocols. IOS Press, Amsterdam (1995)

    Google Scholar 

  2. Fridsma, D.B. (Guest ed.): Special Issue on Workflow Management and Clinical Guidelines. Journal of the American Medical Informatics Association 22(1), 1–80 (2001)

    Google Scholar 

  3. ten Teije, A., Miksch, S., Lucas, P. (eds.): Computer-based medical guidelines and protocols: a primer and current trends. IOS Press, Amsterdam (2008)

    Google Scholar 

  4. Peleg, M., Tu, S., Bury, J., Ciccarese, P., Fox, J., Greenes, R.A., Hall, R., Johnson, P.D., Jones, N., Kumar, A., Miksch, S., Quaglini, S., Seyfang, A., Shortliffe, E.H., Stefanelli, M.: Comparing computer-interpretable guideline models: a case-study approach. Journal of the American Medical Informatics Association 10(1), 52–68 (2003)

    Article  Google Scholar 

  5. Miksch, S., Shahar, Y., Johnson, P.: Asbru: a task-specific, intention-based, and time-oriented language for representing skeletal plans. In: Proc. 7th Workshop on Knowledge Engeneering Methods and Languages, pp. 9–20 (1997)

    Google Scholar 

  6. Musen, M.A., Tu, S.W., Das, A.K., Shahar, Y.: EON: a component-based approach to automation of protocol-directed therapy. Journal of the American Medical Informatics Association 3(6), 367–388 (1996)

    Article  Google Scholar 

  7. Ohno-Machado, L., Gennari, J.H., Murphy, S., Jain, N.L., Tu, S.W., Oliver, D.E., et al.: The guideline interchange format: a model for representing guidelines. JAMIA 5(4), 357–372 (1998)

    Google Scholar 

  8. Peleg, M., Boxawala, A.A., et al.: GLIF3: The evolution of a guideline representation format. In: Proc. AMIA 2000, pp. 645–649 (2000)

    Google Scholar 

  9. Quaglini, S., Stefanelli, M., Cavallini, A., Miceli, G., Fassino, C., Mossa, C.: Guideline-based careflow systems. Artificial Intelligence in Medicine 20(1), 5–22 (2000)

    Article  Google Scholar 

  10. Johnson, P.D., Tu, S.W., Booth, N., Sugden, B., Purves, I.N.: Using scenarios in chronic disease management guidelines for primary care. In: Proc. AMIA Annu. Fall Symp., pp. 389–393 (2000)

    Google Scholar 

  11. Fox, J., Johns, N., Rahmanzadeh, A., Thomson, R.: Disseminating medical knowledge: the PROforma approach. Artificial Intelligence in Medicine 14, 157–181 (1998)

    Article  Google Scholar 

  12. Chesani, F., Lamma, E., Mello, P., Montali, M., Storari, S., Baldazzi, P., Manfredi, M.: Compliance checking of cancer-screening careflows: an approach based on computational logic. In: ten Teije, A., Miksch, S., Lucas, P. (eds.) Computer-based medical guidelines and protocols: a primer and current trends. IOS Press, Amsterdam (2008)

    Google Scholar 

  13. Isern, D., Moreno, A.: Distributed guideline-based health care system. In: Proceedings of 4th International Conference on Intelligent Systems Design and Applications, ISDA 2004, pp. 145–150. IEEE Press, Budapest (2004)

    Google Scholar 

  14. Skonetzki, S., Gausepohl, H.J., van der Haak, M., Knaebel, S., Linderkamp, O., Wetter, T.: HELEN, a Modular Framework for Representing and Implementing Clinical Practice Guidelines. Methods Inf. Med. 43, 413–426 (2004)

    Google Scholar 

  15. Dube, K.: A Generic approach to supporting the management of computerised clinical guidelines and protocols, PhD thesis, Institute of Technology, Dublin, Ireland (2004)

    Google Scholar 

  16. Terenziani, P., Montani, S., Bottrighi, A., Molino, G., Torchio, M.: Applying artificial intelligence to clinical guidelines: the GLARE approach. In: ten Teije, A., Miksch, S., Lucas, P. (eds.) Computer-based medical guidelines and protocols: a primer and current trends. IOS Press, Amsterdam (2008)

    Google Scholar 

  17. De Clercq, P.A., Hasman, A., Blom, J.A., Korsten, H.H.M.: Design and implementation of a framework to support the development of clinical guidelines. International Journal of Medical Informatics 64, 285–318 (2001)

    Article  Google Scholar 

  18. Berg, D., Ram, P., Glasgow, J.: SAGEDesktop: an environment for testing clinical practice guidelines. In: Proceedings of 26th Annual Conference of the IEEE Engineering in Medicine and Biology Society (IEBMS 2004), San Francisco, USA, vol. 2, pp. 3217–3220. IEEE Press, Los Alamitos (2004)

    Chapter  Google Scholar 

  19. Chesani, F., De Matteis, P., Mello, P., Montali, M., Storari, S.: A framework for defining and verifying clinical guidelines: A case study on cancer screening. In: Esposito, F., Raś, Z.W., Malerba, D., Semeraro, G. (eds.) ISMIS 2006. LNCS (LNAI), vol. 4203, pp. 338–343. Springer, Heidelberg (2006)

    Chapter  Google Scholar 

  20. Alberti, M., Chesani, F., Gavanelli, M., Lamma, E., Mello, P., Torroni, P.: Verifiable agent interaction in abductive logic programming: the SCIFF framework. ACM Transactions on Computational Logic 9(4), 1–43 (2008)

    Article  MathSciNet  Google Scholar 

  21. Irwin, R.S., Boulet, L.S., Cloutier, M.M., et al.: Managing cough as a defense mechanism and as a symptom: a consensus panel report of the American College of Chest Physicians. Chest 114(2), 133–181 (1998)

    Article  Google Scholar 

  22. Irwin, R.S., Baumann, M.H., Bolser, D.C., Boulet, L.P., Braman, S.S., Brightling, C.E., Brown, K.K., Canning, B.J., Chang, A.B., Dicpinigaitis, P.V., Eccles, R., Brendle Glomb, W., Goldstein, L.B., Graham, L.M., Hargreave, F.E., Kvale, P.A., Zelman Lewis, S., McCool, F.D., McCrory, D.C., Prakash, U.B.S., Pratter, M.R., Rosen, M.J., Schulman, E., Shannon, J.J., Hammond, C.S., Tarlo, S.M.: Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest 129, 1–23 (2006)

    Article  Google Scholar 

  23. Anselma, L., Terenziani, P., Montani, S., Bottrighi, A.: Towards a comprehensive treatment of repetitions, periodicity and temporal constraints in clinical guidelines. Artificial Intelligence in Medicine 38, 171–195 (2006)

    Article  Google Scholar 

  24. Jaffar, J., Maher, M.J.: Constraint logic programming: a survey. JLP 19-20, 503–582 (1994)

    Article  MathSciNet  MATH  Google Scholar 

  25. Montani, S., Terenziani, P.: Exploiting decision theory concepts within clinical guideline systems: towards a general approach. International Journal of Intelligent System 21, 585–599 (2006)

    Article  MATH  Google Scholar 

  26. Protégé ontology editor, http://protege.stanford.edu/

  27. The SCIFF abductive proof procedure, http://lia.deis.unibo.it/Research/sciff/

  28. Holzmann, G.J.: The SPIN Model Checker. Primer and Reference Manual. Addison-Wesley, Reading (2003)

    Google Scholar 

  29. Terenziani, P., Montani, S., Bottrighi, A., Torchio, M., Molino, G., Correndo, G.: A context-adaptable approach to clinical guidelines. In: Fieschi, M., et al. (eds.) Proc. MEDINFO 2004, pp. 169–173. IOS Press, Amsterdam (2004)

    Google Scholar 

  30. Terenziani, P., Montani, S., Bottrighi, A., Torchio, M., Molino, G.: Supporting physicians in taking decisions in clinical guidelines: the GLARE “what-if” facility. In: JAMIA Symposium supplement, pp. 772–776 (2002)

    Google Scholar 

  31. Bottrighi, A., Chesani, F., Mello, P., Molino, G., Montali, M., Montani, S., Storari, S., Terenziani, P., Torchio, M.: A Hybrid Approach to Clinical Guideline and to Basic Medical Knowledge Conformance. In: Combi, C., Shahar, Y., Abu-Hanna, A. (eds.) AIME 2009. LNCS (LNAI), vol. 5651, pp. 91–95. Springer, Berlin (2009)

    Google Scholar 

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Bottrighi, A. et al. (2010). Analysis of the GLARE and GPROVE Approaches to Clinical Guidelines. In: Riaño, D., ten Teije, A., Miksch, S., Peleg, M. (eds) Knowledge Representation for Health-Care. Data, Processes and Guidelines. KR4HC 2009. Lecture Notes in Computer Science(), vol 5943. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11808-1_7

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  • DOI: https://doi.org/10.1007/978-3-642-11808-1_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11807-4

  • Online ISBN: 978-3-642-11808-1

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