A web-based tool for personalized prediction of long-term disease course in patients with multiple sclerosis.
Eur J Neurol
; 20(7): 1107-9, 2013 Jul.
Article
em En
| MEDLINE
| ID: mdl-23379849
ABSTRACT
BACKGROUND AND PURPOSE:
The Evidence-Based Decision Support Tool in Multiple Sclerosis (EBDiMS) is the first web-based prognostic calculator in multiple sclerosis (MS) capable of delivering individualized estimates of disease progression. It has recently been extended to provide long-term predictions based on the data from a large natural history cohort.METHODS:
We compared the predictive accuracy and consistency of EBDiMS with that of 17 neurologists highly specialized in MS.RESULTS:
We show that whilst the predictive accuracy was similar, neurologists showed a significant intra-rater and inter-rater variability.CONCLUSIONS:
Because EBDiMS was consistent, it is of superior utility in a specialist setting. Further field testing of EBDiMS in non-specialist settings, and investigation of its usefulness for counselling patients in treatment decisions, is warranted.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Prognóstico
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Especialização
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Sistemas de Apoio a Decisões Clínicas
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Internet
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Medicina de Precisão
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Esclerose Múltipla
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Neurologia
Tipo de estudo:
Evaluation_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article