Abstract
The medical domain often arises new challenges to Artificial Intelligence. An emerging challenge is the support for the treatment of patients affected by multiple pathologies (comorbid patients). In the medical context, clinical practice guidelines (CPGs) are usually adopted to provide physicians with evidence-based recommendations, considering only single pathologies. To support physicians in the treatment of comorbid patients, suitable methodologies must be devised to “merge” CPGs. Techniques like replanning or scheduling, traditionally adopted in AI to “merge” plans, must be extended and adapted to fit the requirements of the medical domain. In this paper, we propose a novel methodology, that we term “conciliation”, to merge multiple CPGs, supporting the treatments of comorbid patients.
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- 1.
Actually, there are some domain-specific cases in which we consider a CSP “non-consistent” also in case all the domains are not empty. See, for instance, the example of Subsect. 3.4.
References
Anselma, L., Terenziani, P., Montani, S., Bottrighi, A.: Towards a comprehensive treatment of repetitions, periodicity and temporal constraints in clinical guidelines. Artif. Intell. Med. 38(2), 171–195 (2006)
Beck, J.C., Carchrae, T., Freuder, E.C., Ringwelski, G.: A space-efficient backtrack-free representation for constraint satisfaction problems. Intl. J. Artif. Intell. Tools 17(4), 703–730 (2008)
Bottrighi, A., Giordano, L., Molino, G., Montani, S., Terenziani, P., Torchio, M.: Adopting model checking techniques for clinical guidelines verification. Artif. Intell. Med. 48(1), 1–19 (2010)
López-Vallverdú, J.A., Riaño, D., Collado, A.: Rule-based combination of comorbid treatments for chronic diseases applied to hypertension, diabetes mellitus and heart failure. In: Lenz, R., Miksch, S., Peleg, M., Reichert, M., Riaño, D., ten Teije, A. (eds.) ProHealth 2012 and KR4HC 2012. LNCS, vol. 7738, pp. 30–41. Springer, Heidelberg (2013)
Committee to Advise the Public Health Service on Clinical Practice Guidelines, Institute of Medicine: Clinical Practice Guidelines Directions for a New Program. National Academy Press, Washington, D.C. (1990)
Fraccaro, P., Arguello Castelerio, M., Ainsworth, J., Buchan, I.: Adoption of clinical decision support in multimorbidity: a systematic review. JMIR Med. Inform. 3(1), e4 (2015)
Freuder, E.C.: Synthesizing constraint expressions. Commun. ACM 21(11), 958–966 (1978)
Freuder, E.C.: A sufficient condition for backtrack-free search. J. ACM 29(1), 24–32 (1982)
Jafarpour, B., Abidi, S.S.R.: Merging disease-specific clinical guidelines to handle comorbidities in a clinical decision support setting. In: Peek, N., Marín Morales, R., Peleg, M. (eds.) AIME 2013. LNCS, vol. 7885, pp. 28–32. Springer, Heidelberg (2013)
Michalowski, M., Wilk, S., Michalowski, W., Lin, D., Farion, K., Mohapatra, S.: Using constraint logic programming to implement iterative actions and numerical measures during mitigation of concurrently applied clinical practice guidelines. In: Peek, N., Marín Morales, R., Peleg, M. (eds.) AIME 2013. LNCS, vol. 7885, pp. 17–22. Springer, Heidelberg (2013)
Montanari, U.: Networks of constraints: fundamental properties and applications to picture processing. Inf. Sci. 7, 95–132 (1974)
Montani, S., Terenziani, P.: Exploiting decision theory concepts within clinical guideline systems: toward a general approach. Int. J. Intell. Syst. 21(6), 585–599 (2006)
Peleg, M.: Computer-interpretable clinical guidelines: a methodological review. J. Biomed. Inform. 46(4), 744–763 (2013)
Piovesan, L., Anselma, L., Terenziani, P.: Temporal detection of guideline interactions. In: Proceedings of the International Conference on Health Informatics (HEALTHINF-2015), pp. 40–50. Scitepress (2015)
Piovesan, L., Molino, G., Terenziani, P.: An ontological knowledge and multiple abstraction level decision support system in healthcare. Decis. Analytics 1(8), 1–24 (2014)
Piovesan, L., Terenziani, P.: A mixed-initiative approach to the conciliation of clinical guidelines for comorbid patients. In: Riaño, D., et al. (eds.) KR4HC/ProHealth 2015. LNCS, vol. 9485, pp. 95–108. Springer, Heidelberg (2015). doi:10.1007/978-3-319-26585-8_7
Sánchez-Garzón, I., Fernández-Olivares, J., Onaindía, E., Milla, G., Jordán, J., Castejón, P.: A multi-agent planning approach for the generation of personalized treatment plans of comorbid patients. In: Peek, N., Marín Morales, R., Peleg, M. (eds.) AIME 2013. LNCS, vol. 7885, pp. 23–27. Springer, Heidelberg (2013)
Ten Teije, A., Miksch, S., Lucas, P. (eds.): Computer-Based Medical Guidelines and Protocols: A Primer and Current Trends, Studies in Health Technology and Informatics, vol. 139. IOS Press, Amsterdam (2008)
Terenziani, P., Molino, G., Torchio, M.: A modular approach for representing and executing clinical guidelines. Artif. Intell. Med. 23(3), 249–276 (2001)
Terenziani, P., Montani, S., Bottrighi, A., Torchio, M., Molino, G., Correndo, G.: A context-adaptable approach to clinical guidelines. Stud. Health Technol. Inf. 107(Pt 1), 169–173 (2004)
Wilk, S., Michalowski, W., Michalowski, M., Farion, K., Hing, M.M., Mohapatra, S.: Mitigation of adverse interactions in pairs of clinical practice guidelines using constraint logic programming. J. Biomed. Inform. 46(2), 341–353 (2013)
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Piovesan, L., Terenziani, P. (2016). A Constraint-Based Approach for the Conciliation of Clinical Guidelines. In: Montes y Gómez, M., Escalante, H., Segura, A., Murillo, J. (eds) Advances in Artificial Intelligence - IBERAMIA 2016. IBERAMIA 2016. Lecture Notes in Computer Science(), vol 10022. Springer, Cham. https://doi.org/10.1007/978-3-319-47955-2_7
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