B000235

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Revisão de 18h48min de 11 de novembro de 2024 por Beatriz.borges (discussão | contribs)
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<tabber>|-|Informações da obra=

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Título principal
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Título relacionado
Edição
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Criado em
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Publicado por
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Data de publicação

Descrição física
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Série
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Nota

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Responsabilidade
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Idioma
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ISBN
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|-|Opções=

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Campo Ind1 Ind2 Dados
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001 - Número de controle B000235
003 - Identificador do número de controle BR-FlWIK
005 - Data e hora da última transação 20241111184853.0
008 - Informações gerais {{#show:B000235#008|?Control field data=|mainlabel=-|default=Registro não atualizado}}

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|Field data=##{{#rreplace:$a A doença metastática para coluna vertebral é prevalente e impacta a qualidade de vida e sobrevida dos pacientes. Segundo as diretrizes NOMS Framework, as modalidades de tratamento são definidas por aspectos multidisciplinares específicos: neurológicos; oncológicos; mecânicos; e sistêmicos. A tarefa de decidir a terapêutica baseada em evidência científica é árdua para o médico e, por isso, muitas vezes não é seguida. Considerando que já existem Sistemas de Apoio à Decisão Clínica (SADCs) que aumentam a adesão do médico às diretrizes clínicas, este trabalho propõe a prototipagem de um software baseado em conhecimento para auxiliar o manejo dos pacientes com doença metastática da coluna vertebral. Foi realizada uma revisão sistemática para identificar os SADCs que melhoraram a adesão médica às diretrizes clínicas e/ou o desfecho clínico dos pacientes. A busca por ensaios clínicos randomizados e controlados foi feita em quatro bases de dados para artigos publicados entre janeiro de 2001 e fevereiro de 2024. Foram listados os requisitos funcionais dos softwares descritos nos artigos e, para a prototipagem, foram selecionados os que estavam presentes em ao menos 2 dos trabalhos. O requisito funcional mais prevalente foi “Imprimir o laudo com a conduta sugerida” (81%) e o menos prevalente foi ser “Conectado com Sistema de Informações Hospitalares (HIS), Sistema de Informações Laboratoriais (LIS) e/ou Sistema de Arquivamento de Imagem e Comunicação (PACS)” (10%). O processo de prototipagem foi documentado desde o levantamento dos requisitos funcionais até a construção do software. Em suma, foram identificadas características relevantes dos SADCs comprovadamente eficazes para melhorar a adesão médica às diretrizes e estes requisitos funcionais serviram como referência para o desenvolvimento do protótipo de software de apoio à decisão clínica para o manejo de pacientes com metástase vertebral.|/\s?\$0 (A|\(BN\))\d*/|}} |@sortkey=520

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|Field data=8#{{#rreplace:$a Abstract: Metastatic disease to the spine is prevalent and impacts patients' quality of life and survival. According to the NOMS Framework guidelines, treatment modalities are defined by specific multidisciplinary aspects: neurological; oncological; mechanics; and systemic. Deciding on a therapy based on scientific evidence is arduous for the doctor and is often not followed. Considering that there are already Clinical Decision Support Systems (CDSSs) that increase physician adherence to clinical guidelines, this work proposes the prototyping of knowledge-based software to assist in the management of patients with metastatic spinal disease. A systematic review was performed to identify CDSSs that improved physician adherence to clinical guidelines and/or patient clinical outcome. The search for randomized controlled clinical trials was carried out in four databases for articles published between January 2001 and February 2024. The functional requirements of the software described in the articles were listed and those presented in at least 2 of the works were selected for prototyping. The most prevalent functional requirement was “Print the report with the suggested conduct” (81%) and the least prevalent was being “Connected with Hospital Information System (HIS), Laboratory Information System (LIS) and/or Picture Archiving and Communication System (PACS)” (10%). The prototyping process was documented from gathering functional requirements to building the software. In summary, relevant characteristics of SADCs proven to be effective in improving medical adherence to guidelines were identified and these functional requirements served as a reference for the development of the clinical decision support software prototype for the management of patients with spinal metastases.|/\s?\$0 (A|\(BN\))\d*/|}} |@sortkey=520

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