Looking through the eyes of the multidisciplinary team: the design and clinical evaluation of a decision support system for lung cancer care
AffiliationPhilips Experience Design, High Tech Campus 33, Eindhoven, The Netherlands.
MetadataShow full item record
AbstractBackground: Decision-making in lung cancer is complex due to a rapidly increasing amount of diagnostic data and treatment options. The need for timely and accurate diagnosis and delivery of care demands high-quality multidisciplinary team (MDT) collaboration and coordination. Clinical decision support systems (CDSSs) can potentially support MDTs in constructing a shared mental model of a patient case. This enables the team to assess the strength and completeness of collected diagnostic data, stratification for the right personalized therapy driven by clinical stage and other treatment-influencing factors, and adapt care management strategies when needed. Current CDSSs often have a suboptimal fit into the decision-making workflow, which hampers their impact in clinical practice. Methods: A CDSS for multidisciplinary decision-making in lung cancer was designed to support the abovementioned goals through presentation of relevant clinical data in line with existing mental model structures of the MDT members. The CDSS was tested in a simulated multidisciplinary tumor board meeting for primary diagnosis and treatment selection, based on de-identified primary lung cancer cases (n=8). Decision course analysis, eye-tracking data and questionnaires were used to assess the impact of the CDSS on constructing shared mental models to improve the decision-making process and outcome. Results: The CDSS supported the team in their self-correcting capacity for accurate diagnosis and TNM classification. It enabled cross-validation of diagnostic findings, surfaced discordance between diagnostic tests and facilitated cancer staging according the diagnostic evidence, as well as spotting contra-indications for personalized treatment selection. Conclusions: This study shows the potential of CDSS on clinical decision making, when these systems are properly designed in line with clinical thinking. The presented setup enables assessment of the impact of CDSS design on clinical decision making and optimization of CDSSs to maximize their effect on decision quality and confidence.
CitationPluyter JR, Jacobs I, Langereis S, Cobben D, Williams S, Curfs J, et al. Looking through the eyes of the multidisciplinary team: the design and clinical evaluation of a decision support system for lung cancer care. Transl Lung Cancer Res. 2020;9(4):1422-32.
JournalTranslational Lung Cancer Research
- Clinical decision support systems for multidisciplinary team decision-making in patients with solid cancer: Composition of an implementation model based on a scoping review.
- Authors: Hendriks MP, Jager A, Ebben KCWJ, van Til JA, Siesling S
- Issue date: 2024 Feb 3
- Design and evaluation of a Mobile-Based decision support system to enhance lung transplant candidate assessment and management: knowledge translation integrated with clinical workflow.
- Authors: Abtahi H, Shahmoradi L, Amini S, Gholamzadeh M
- Issue date: 2023 Aug 1
- Cancer multidisciplinary team meetings in practice: Results from a multi-institutional quantitative survey and implications for policy change.
- Authors: Rankin NM, Lai M, Miller D, Beale P, Spigelman A, Prest G, Turley K, Simes J
- Issue date: 2018 Feb
- The impact of pharmacy computerised clinical decision support on prescribing, clinical and patient outcomes: a systematic review of the literature.
- Authors: Robertson J, Walkom E, Pearson SA, Hains I, Williamsone M, Newby D
- Issue date: 2010 Apr
- Clinical Decision Support Systems (CDSS) for preventive management of COPD patients.
- Authors: Velickovski F, Ceccaroni L, Roca J, Burgos F, Galdiz JB, Marina N, Lluch-Ariet M
- Issue date: 2014 Nov 28