Literature DB >> 22998126

Selecting anti-epileptic drugs: a pediatric epileptologist's view, a computer's view.

J Pestian1, P Matykiewicz, K Holland-Bouley, S Standridge, M Spencer, T Glauser.   

Abstract

OBJECTIVE: To identify which clinical characteristics are important to include in clinical decision support systems developed for Antiepileptic Drug (AEDs) selection.
METHODS: Twenty-three epileptologists from the Childhood Absence Epilepsy network completed a survey related to AED selection. Using cluster analysis their responses where classified into subject matter groups and weighted for importance.
RESULTS: Five distinct subject matter groups were identified and their relative weighting for importance were determined: disease characteristics (weight 4.8 ± 0.049), drug toxicities (3.82 ± 0.098), medical history (3.12 ± 0.102), systemic characteristics (2.57 ± 0.048) and genetic characteristics (1.08 ± 0.046).
CONCLUSION: Research about prescribing patterns exists but research on how such data can be used to train advanced technology is novel. As machine learning algorithms becomes more and more prevalent in clinical decisions support systems, developing methods for determining which data should be part of those algorithms is equally important.
© 2012 John Wiley & Sons A/S.

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Year:  2012        PMID: 22998126      PMCID: PMC3574228          DOI: 10.1111/ane.12002

Source DB:  PubMed          Journal:  Acta Neurol Scand        ISSN: 0001-6314            Impact factor:   3.209


  21 in total

1.  Comparisons and validation of statistical clustering techniques for microarray gene expression data.

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2.  Newly diagnosed unprovoked epileptic seizures: presentation at diagnosis in CAROLE study. Coordination Active du Réseau Observatoire Longitudinal de l' Epilepsie.

Authors:  P Jallon; P Loiseau; J Loiseau
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Review 3.  Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.

Authors:  Amit X Garg; Neill K J Adhikari; Heather McDonald; M Patricia Rosas-Arellano; P J Devereaux; Joseph Beyene; Justina Sam; R Brian Haynes
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4.  Filling the lacuna between research and practice: an interview with Michael Peckham. Interview by Richard Smith.

Authors:  M Peckham
Journal:  BMJ       Date:  1993-11-27

5.  Comparative study of ethosuximide and sodium valproate in the treatment of typical absence seizures (petit mal).

Authors:  N Callaghan; J O'Hare; D O'Driscoll; B O'Neill; M Daly
Journal:  Dev Med Child Neurol       Date:  1982-12       Impact factor: 5.449

6.  How well can epilepsy syndromes be identified at diagnosis? A reassessment 2 years after initial diagnosis.

Authors:  A T Berg; S Shinnar; S R Levy; F M Testa; S Smith-Rapaport; B Beckerman
Journal:  Epilepsia       Date:  2000-10       Impact factor: 5.864

7.  Gabapentin in naive childhood absence epilepsy: results from two double-blind, placebo-controlled, multicenter studies.

Authors:  V Trudeau; S Myers; L LaMoreaux; H Anhut; E Garofalo; J Ebersole
Journal:  J Child Neurol       Date:  1996-11       Impact factor: 1.987

Review 8.  Ethosuximide, sodium valproate or lamotrigine for absence seizures in children and adolescents.

Authors:  E B Posner; K Mohamed; A G Marson
Journal:  Cochrane Database Syst Rev       Date:  2005-10-19

9.  The outcome of absence epilepsy: a meta-analysis.

Authors:  P A Bouma; R G Westendorp; J G van Dijk; A C Peters; O F Brouwer
Journal:  Neurology       Date:  1996-09       Impact factor: 9.910

10.  Personalizing Drug Selection Using Advanced Clinical Decision Support.

Authors:  John Pestian; Malik Spencer; Pawel Matykiewicz; Kejian Zhang; Alexander A Vinks; Tracy Glauser
Journal:  Biomed Inform Insights       Date:  2009-06-23
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  3 in total

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2.  The reliability of an epilepsy treatment clinical decision support system.

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Journal:  J Med Syst       Date:  2014-08-03       Impact factor: 4.460

3.  A nonparametric Bayesian method of translating machine learning scores to probabilities in clinical decision support.

Authors:  Brian Connolly; K Bretonnel Cohen; Daniel Santel; Ulya Bayram; John Pestian
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  3 in total

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