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Analysis of the relationship between treatment networks and the evolution of patients with Type 2 Diabetes Mellitus.
Journal of Biomedical informatics ( IF 4.5 ) Pub Date : 2020-07-01 , DOI: 10.1016/j.jbi.2020.103497
Camilo Alvarez 1 , Cecilia Saint-Pierre 1 , Valeria Herskovic 1 , Marcos Sepúlveda 1 , Florencia Prieto 2
Affiliation  

Type 2 Diabetes Mellitus (T2DM) is a chronic disease that has been increasing in prevalence in recent years and that can cause severe complications. To ensure patient care is administered correctly, it is necessary for medical treatment teams to be both multidisciplinary and cohesive. The analysis of health processes is a constant challenge due to their high variability and complexity. This paper proposes a method based on the analysis of social networks to detect treatment networks, and to identify a relationship between these networks and patient evolution, as measured by glycated hemoglobin (HbA1c) levels. The networks were segmented based on patient adherence to their medical appointments and their mean time of delay. We applied this method on a sample of 1574 patients diagnosed with T2DM. Results show that participatory treatment -in which a patient sees a particular group of professionals on a recurrent basis - together with high levels of adherence are associated to those patients who improve their HbA1c levels in the case of high levels of adherence, while those who continually experience referrals to different professionals, remain unstable and, in some cases, get worse. On the other hand, in order to maintain a patient as stable, continuous control of the patient is enough, regardless of the recurrence to the same professionals.



中文翻译:

治疗网络与2型糖尿病患者的进化之间的关系分析。

2型糖尿病(T2DM)是一种近年流行的慢性疾病,可能引起严重的并发症。为确保正确管理患者护理,医疗团队必须具有多学科性和凝聚力。由于卫生过程的高度可变性和复杂性,因此对其进行分析一直是一项挑战。本文提出了一种基于社交网络分析的方法,用于检测治疗网络,并确定这些网络与患者进化之间的关系,并通过糖化血红蛋白(HbA1c)水平进行测量。根据患者对他们的医疗约会的依从性和平均延迟时间对网络进行细分。我们将这种方法应用于1574名被诊断为T2DM的患者的样本中。结果表明,参与性治疗(其中患者经常会见到特定的一组专业人员)以及高水平的依从性与那些在高水平依从性的情况下改善其HbA1c水平的患者相关,而那些持续不断的患者经历被推荐给不同专业人士的经历,仍然不稳定,在某些情况下会变得更糟。另一方面,为了使患者保持稳定,对患者的连续控制就足够了,而与相同专业人员的复发无关。保持不稳定,在某些情况下会变得更糟。另一方面,为了使患者保持稳定,对患者的连续控制就足够了,而与相同专业人员的复发无关。保持不稳定,在某些情况下会变得更糟。另一方面,为了使患者保持稳定,对患者的连续控制就足够了,而与同一专业人士的复发无关。

更新日期:2020-07-18
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