There are many shortcomings in the readability and applicability of current clinical practice guidelines used both in the computer-aided clinical decision making process and in clinical practice. We have explored the framework of the universality of guidelines by standardizing the representation of their structure and knowledge; and the relationship between this and the guideline knowledge. Promoting the standardization and standardized expression of guideline knowledge and constructing a standardized easily shareable guideline knowledge base that is transplantable through modeling and demonstration, is conducive to meeting the needs for the development of a clinical decision support system promoting the implementation of clinical practice guidelines and the improvement of clinical diagnosis and treatment service quality. The introduction of knowledge graphs provides a solid foundation for digital intelligentization of guidelines. However, there is little methodological content available for guideline knowledge graph construction. This study used the construction of a knowledge graph for Evidence-based clinical practice guidelines for the treatment and monitoring of non-muscular invasive bladder cancer in China (2018 Standard Edition) as an example. We identified the guideline module, analyzed its basic information, background and the scope of its methodological content, then set out the hierarchical relationship between concepts in combination with expert opinions, designed the concept structure table according to multi-level concept layers and concept examples, adjusted the relationship structure between concepts, and improved the relationship between the different entities. This article discusses and summarizes the modeling and representation methods of the basic information, background and methods of the guidelines, thus providing a reference for the construction of knowledge maps for other clinical practice guidelines in the future.
HomeArticlesVol 32,2022 No.6Detail
Research on the promotion of clinical practice guidelines implementation (VI): a modeling representation of basic information, context, and methodology in the clinical practice guideline knowledge graph
Published on Dec. 25, 2022Total Views: 15657 timesTotal Downloads: 3439 timesDownloadMobile
- Abstract
- Full-text
- References
Abstract
Full-text
References
1.Institute of Medicine Committee on Standards for Developing Trustworthy Clinical Practice G. In: Clinical Practice Guidelines We Can Trust. edn. Edited by Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E. Washington (DC): National Academies Press (US) 2011.
2.Grando MA, Glasspool D, Fox J. A formal approach to the analysis of clinical computer-interpretable guideline modeling languages[J]. Artif Intell Med, 2012, 54(1): 1-13. DOI: 10.1016/j.artmed.2011.07.001.
3.Wang D, Peleg M, Tu SW, et al. Representation primitives, process models and patient data in computer-interpretable clinical practice guidelines: a literature review of guideline representation models[J]. Int J Med Inform, 2002, 68(1-3): 59-70. DOI: 10.1016/s1386-5056(02)00065-5.
4.Wang D, Peleg M, Tu SW, et al. Representation of clinical practice guidelines for computer-based implementations[J]. Stud Health Technol Inform, 2001, 84(Pt 1): 285-289. https://pubmed.ncbi.nlm.nih.gov/11604750/.
5.Nicholson DN, Greene CS. Constructing knowledge graphs and their biomedical applications[J]. Comput Struct Biotechnol J, 2020, 18: 1414-1428. DOI: 10.1016/j.csbj.2020.05.017.
6.Heen AF, Vandvik PO, Brandt L, et al. A framework for practical issues was developed to inform shared decision-making tools and clinical guidelines[J]. J Clin Epidemiol 2021, 129: 104-113. DOI: 10.1016/j.jclinepi.2020.10.002.
7.中国研究型医院学会泌尿外科学专业委员会, 中国医疗保健国际交流促进会泌尿健康促进分会, 中国医疗保健国际交流促进会循证医学分会, 等. 中国非肌层浸润性膀胱癌治疗与监测循证临床实践指南(2018年标准版) [J]. 现代泌尿外科杂志, 2019, 24(7): 516-542. [Urological Association of Chinese Research Hospital Association, Uro-Health Promotive Association of China International Exchange and Promotive Association for Medical and Health Care, Evidence-Based Medicine Chapter of China International Exchange and Promotive Association for Medical and Health Care, et al. Evidence-based clinical practice guidelines for the treatment and monitoring of non-muscular invasive bladder cancer in China (2018 Standard Edition)[J]. Journal of Modern Urology, 2019, 24(7): 516-542.] DOI: 10.3969/j.issn.1009-8291.2019.07.004.
8.王永博, 高旷, 李绪辉, 等. 临床实践指南实施性促进研究之二:基于非肌层浸润性膀胱癌指南的知识图谱框架设计[J]. 医学新知, 2021, 31(6): 419-432.[Wang YB, Gao K, Li XH, et al. Research on promotion of implementation of clinical practice guidelines (Ⅱ): framework design of knowledge graph construction based on guidelines for non-muscle invasive bladder cancer[J]. Yixue Xinzhi Zazhi, 2021, 31(6): 419-432.] DOI: 10.12173/j.issn.1004-5511.2020111058.
9.郭静, 司宜蓓, 王永博,等.临床实践指南实施性促进研究之三:中医/ 中西医结合指南知识图谱框架设计[J]. 医学新知, 2022, 32(1): 2-9. [Guo J, Si YB, Wang YB, et al. Research on the promotion of implementation of clinical practice guidelines (Ⅲ): conceptual level design of a knowledge graph for clinical guidelines for Traditional Chinese Medicine/Integrated Traditional Chinese and Western Medicine[J]. Yixue Xinzhi Zazhi, 2022, 32(1): 2-9.] DOI: 10.12173/j.issn.1004-5511.202111057.
10.司宜蓓, 郭静, 王永博,等. 临床实践指南实施性促进研究之四:中医/ 中西医结合指南知识图谱知识抽取、存储与实例展示[J]. 医学新知, 2022, 32(2): 99-107. [Si YB, Guo J, Wang YB, et al. Research on the promotion of implementation of clinical practice guidelines (IV): knowledge extraction, storage and example presentation of a knowledge garph for clinical guidelines for Traditional Chinese Medicine/Integrated Traditional Chinese and Western Medicine[J]. Yixue Xinzhi Zazhi, 2022, 32(2): 99-107.] DOI: 10.12173/j.issn.1004-5511.202112007.
11.刘续宝, 孙业桓. 临床流行病学与循证医学(第五版) [M]. 人民卫生出版社, 2018. [LiuXB, Sun YH. Clinical Epidemiology and Evidence-Based Medicine (5th Ed) [M]. People's Medical Publishing House, 2018.]
12.黄悦勤. 临床流行病学(第五版) [M]. 人民卫生出版社,2020. [Huang YQ. Clinical Epidemiology (5th edition) [M]. People's Medical Publishing House, 2020.]
13.陈耀龙. GRADE在系统评价和实践指南中的应用(第二版)[M]. 中国协和医科大学出版社,2021. [Chen YL.Application of GRADE in systematic review and practice guidelines (second edition) [M]. Peking Union Medical University Press, 2021.]
14.Zhang LY, Yin HF. A Knowledge Graph Query Algorithm Based on OAN[J]. Software, 2018, 39(1): 54-59. https://xueshu.baidu.com/usercenter/paper/show?paperid=1d3906d0hx620gs0vx0q0pc001340187&site=xueshu_se.
Popular Papers
-
Analysis of burden of type 2 diabetes mellitus and its attributable risk factors in global and China from 1990 to 2021
Feb. 02, 20268325
-
Meta-integration of qualitative studies on the inner experience and nursing needs of breast cancer patients during radiotherapy and chemotherapy
Feb. 02, 20267482
-
Detection value of umbilical artery pulsatility index in growth-restricted fetuses
Feb. 02, 20266259
-
Meta-analysis of the incidence and influencing factors of sleep disorders in patients with coronary heart disease
Feb. 02, 20266157
-
Constructing a depression risk prediction model for elderly people with activities of daily living impairment based on machine learning algorithms
Feb. 02, 20266082
-
The relationship between exercise duration, sleep duration, and depressive symptoms in adults in China: an empirical study based on the CFPS database 2022
Feb. 02, 20265665
-
Application of digital teaching mode in outpatient general practice professional master training
Feb. 02, 20265188
-
Research on living clinical practice guidelines in diabetes mellitus II: summary of key evidence in the development of drug treatment strategies for type 2 diabetes mellitus
Mar. 05, 20265183
-
Construction of a predictive model of deep vein thrombosis in elderly patients with hip fractures
Feb. 02, 20265142
-
The research progress of fibroblast growth factor 21 in retinal neovascularization diseases
Feb. 02, 20265008
-
Efficacy and safety of SOX chemotherapy combined with Sintilimab immunotherapy in treatment of patients with advanced gastric cancer
Feb. 02, 20264932
-
SOX9 promotes ovarian cancer progression through activating ferroptosis via SLC7A11/GPX4 pathway
Feb. 02, 20264887
-
AURKA promotes Temozolomide resistance in glioma cells by inhibiting ferroptosis through activation of the JAK2/STAT3 pathway
Feb. 02, 20264836
-
Research on living clinical practice guidelines in diabetes mellitus Ⅰ: a qualitative study of public-oriented web-based knowledge platform and guideline dissemination
Feb. 02, 20264834
-
Correlation between epidemiological characteristics and meteorological factors in critically ill patients with respiratory failure
Feb. 02, 20264800
Welcome to visit Zhongnan Medical Journal Press Series journal website!