Digitalising Clinical Guidelines: The Challenge of Patient's Preferences.

{"article_title":"Digitalising Clinical Guidelines: The Challenge of Patient's Preferences.","author":"\"Rajput, Vije Kumar , Kaltoft, Mette Kjer , Dowie, Jack\"","journal_title":"Studies in health technology and informatics","issn":"1879-8365 ; Electronic","isbn":"","publication_date":"20240822","volume":"316","issue":"","first_page":"1287","page_count":"5","accession_number":"39176617","doi":"10.3233\/SHTI240648","publisher":"IOS Press","doctype":"Journal Article","subjects":"Primary Care","interest_area":["Internal\/Family Medicine"],"abstract":"Will digitalised clinical guidelines be compatible with individualised and personalised patient care if the disease definitions and classifications used within them contain embedded preferences? Taking bone health as a case study, we found the dominant definition of osteoporosis installs the consensus preference judgement of a 1992 International Expert Committee in the form of a threshold cut-off on the bone mineral density continuum. We found that subsequent UK clinical guidelines follow suit on this diagnostic threshold, but also endorse preference-sensitive thresholds for interventions to prevent fractures, including ones underpinned by cost-effectiveness analysis. The resulting pre-emption of patient's preferences needs to be removed if 'computable' guidelines are to be reconcilable with personalised care. The challenges to be met in digitalisation therefore include major conceptual ones as well as the technical ones that are currently the almost exclusive focus.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=39176617&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Rajput VK, Kaltoft MK, Dowie J","Journal_Info":"Publisher: IOS Press Country of Publication: Netherlands NLM ID: 9214582 Publication Model: Print Cited Medium: Internet ISSN: 1879-8365 (Electronic) Linking ISSN: 09269630 NLM ISO Abbreviation: Stud Health Technol Inform Subsets: MEDLINE","Publication_Type":"Journal Article","Published_Date":"2024-08-22","Source":"Studies in health technology and informatics [Stud Health Technol Inform] 2024 Aug 22; Vol. 316, pp. 1287-1291.","Languages":"English","Electronic_ISSN":"1879-8365","MeSH_Terms":"Patient Preference* , Osteoporosis*\/therapy , Practice Guidelines as Topic*, Humans ; United Kingdom ; Precision Medicine","Subjects":"Humans, United Kingdom, Precision Medicine, Patient Preference, Osteoporosis therapy, Practice Guidelines as Topic","Title_Abbreviations":"Studies in health technology and informatics","Volume":"316"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"39176617","RelevancyScore":"924","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"924.337829589844"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=39176617&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=39176617&authtype=shib&custid=ns346513&group=main&profile=eds"}