https://clinfowiki.org/wiki/index.php?title=Clinical_decision_support_or_genetically_guided_personalized_medicine:_a_systematic_review&feed=atom&action=historyClinical decision support or genetically guided personalized medicine: a systematic review - Revision history2024-03-28T23:52:35ZRevision history for this page on the wikiMediaWiki 1.22.4https://clinfowiki.org/wiki/index.php?title=Clinical_decision_support_or_genetically_guided_personalized_medicine:_a_systematic_review&diff=21435&oldid=prevLauraLBryan at 02:25, 12 March 20152015-03-12T02:25:57Z<p></p>
<table class='diff diff-contentalign-left'>
<col class='diff-marker' />
<col class='diff-content' />
<col class='diff-marker' />
<col class='diff-content' />
<tr style='vertical-align: top;'>
<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 02:25, 12 March 2015</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 3:</td>
<td colspan="2" class="diff-lineno">Line 3:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Background===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Background===</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Genetically guided personalized medicine <del class="diffchange diffchange-inline">or </del>(GPM) is currently undergoing <del class="diffchange diffchange-inline">a </del>growing <del class="diffchange diffchange-inline">pain </del>as does <del class="diffchange diffchange-inline">with </del>any new advancement in medicine or technology and more<del class="diffchange diffchange-inline">-</del>so when both come together.  As technology advances the demand becomes greater. Among the 3,000 board certified geneticists <del class="diffchange diffchange-inline">of which 1</del>,<del class="diffchange diffchange-inline">200 </del>reside in the <del class="diffchange diffchange-inline">USA there </del>are approximately 2,500 <del class="diffchange diffchange-inline">clinical </del>genetic tests <del class="diffchange diffchange-inline">performed </del>and as <del class="diffchange diffchange-inline">it </del>grows it will become unreasonable to ask clinicians to remember every possible <del class="diffchange diffchange-inline">specific testing</del>.  However, <del class="diffchange diffchange-inline">with the use of </del>health information technology <del class="diffchange diffchange-inline">it </del>has the potential to overcome those problems and <del class="diffchange diffchange-inline">explore the </del>positive outcomes of GPM.<ref name="Welch 2012"></ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Genetically guided personalized medicine (GPM) is currently undergoing growing <ins class="diffchange diffchange-inline">pains </ins>as does any new advancement in medicine or technology and more so when both come together.  As technology <ins class="diffchange diffchange-inline">in genetics </ins>advances<ins class="diffchange diffchange-inline">, </ins>the demand <ins class="diffchange diffchange-inline">for genetic information </ins>becomes greater. Among the 3,000 board certified geneticists, <ins class="diffchange diffchange-inline">1200 </ins>reside in the <ins class="diffchange diffchange-inline">US. There </ins>are approximately 2,500 genetic tests <ins class="diffchange diffchange-inline">available for clinical use, </ins>and as <ins class="diffchange diffchange-inline">this number </ins>grows<ins class="diffchange diffchange-inline">, </ins>it will become unreasonable to ask clinicians to remember every possible <ins class="diffchange diffchange-inline">test</ins>.  However, health information technology has the potential to overcome those problems and <ins class="diffchange diffchange-inline">help create </ins>positive outcomes of GPM.<ref name="Welch 2012"></ref></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td colspan="2" class="diff-lineno">Line 12:</td>
<td colspan="2" class="diff-lineno">Line 12:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Summary Findings===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Summary Findings===</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Researchers found that through this process, many CDS were stand alone and many also shifted to an integrated CDS <del class="diffchange diffchange-inline">systems</del>.  Though CDS and GPM <del class="diffchange diffchange-inline">is </del>still in <del class="diffchange diffchange-inline">its </del>infancy, many are seeing the promise that <del class="diffchange diffchange-inline">it has </del>to offer.  Only few facilities have this integration they are seeing the positive impact it has shown promise of growth, research, and many new findings.<ref name="Welch 2012"></ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Researchers found that through this process, many CDS were stand alone and many also shifted to an integrated CDS <ins class="diffchange diffchange-inline">system</ins>.  Though CDS and GPM <ins class="diffchange diffchange-inline">are </ins>still in <ins class="diffchange diffchange-inline">their </ins>infancy, many are seeing the promise that <ins class="diffchange diffchange-inline">the two have </ins>to offer.  Only <ins class="diffchange diffchange-inline">a </ins>few facilities have this integration<ins class="diffchange diffchange-inline">, but </ins>they are seeing the positive impact<ins class="diffchange diffchange-inline">; </ins>it has shown promise of growth, research, and many new findings.<ref name="Welch 2012"></ref></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Comments===  </div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Comments===  </div></td></tr>
</table>LauraLBryanhttps://clinfowiki.org/wiki/index.php?title=Clinical_decision_support_or_genetically_guided_personalized_medicine:_a_systematic_review&diff=21385&oldid=prevLisa.Briones: Week 7 changes2015-03-07T23:04:05Z<p>Week 7 changes</p>
<table class='diff diff-contentalign-left'>
<col class='diff-marker' />
<col class='diff-content' />
<col class='diff-marker' />
<col class='diff-content' />
<tr style='vertical-align: top;'>
<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 23:04, 7 March 2015</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 3:</td>
<td colspan="2" class="diff-lineno">Line 3:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Background===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Background===</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Genetically guided personalized medicine (GPM) is currently undergoing growing pain as does any new advancement in medicine or technology and more-so when both come together.  As technology advances the demand becomes greater <del class="diffchange diffchange-inline">among </del>the <del class="diffchange diffchange-inline">3000 </del>board certified geneticists of which <del class="diffchange diffchange-inline">1200 </del>reside in the USA<del class="diffchange diffchange-inline">.  There </del>are approximately <del class="diffchange diffchange-inline">2500 </del>clinical genetic tests and as it grows it will become unreasonable to ask clinicians to remember every possible specific testing.  However with the use of health information technology it has the potential to overcome those problems and explore the positive outcomes of GPM.<ref name="Welch 2012"></ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Genetically guided personalized medicine <ins class="diffchange diffchange-inline">or </ins>(GPM) is currently undergoing <ins class="diffchange diffchange-inline">a </ins>growing pain as does <ins class="diffchange diffchange-inline">with </ins>any new advancement in medicine or technology and more-so when both come together.  As technology advances the demand becomes greater<ins class="diffchange diffchange-inline">. Among </ins>the <ins class="diffchange diffchange-inline">3,000 </ins>board certified geneticists of which <ins class="diffchange diffchange-inline">1,200 </ins>reside in the USA <ins class="diffchange diffchange-inline">there </ins>are approximately <ins class="diffchange diffchange-inline">2,500 </ins>clinical genetic tests <ins class="diffchange diffchange-inline">performed </ins>and as it grows it will become unreasonable to ask clinicians to remember every possible specific testing.  However<ins class="diffchange diffchange-inline">, </ins>with the use of health information technology it has the potential to overcome those problems and explore the positive outcomes of GPM.<ref name="Welch 2012"></ref></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td colspan="2" class="diff-lineno">Line 9:</td>
<td colspan="2" class="diff-lineno">Line 9:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Methods===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Methods===</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">Methods to determine if there was to begin research </del>by gathering articles from "1990-2011 using a search strategy adapted from previous systematic reviews of CDS and genetic health services"<ref name="Welch 2012"></ref> Articles had to meet inclusion criteria of the potential 3416 articles only 37 met full criteria and of those 37 majority were published on or after 2007.  These articles focused on CDS systems for genetically guided cancer management and within those they did have more specific type of cancer i.e. breast, colon, and some focused on family history of cancer.  </div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">Research began </ins>by gathering articles from "1990-2011 using a search strategy adapted from previous systematic reviews of CDS and genetic health services"<ref name="Welch 2012"></ref> Articles had to meet inclusion criteria of the potential 3416 articles only 37 met full criteria and of those 37 majority were published on or after 2007.  These articles focused on CDS systems for genetically guided cancer management and within those they did have more specific type of cancer i.e. breast, colon, and some focused on family history of cancer.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Summary Findings===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Summary Findings===</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Researchers found that through this process <del class="diffchange diffchange-inline">they found </del>many CDS were stand alone and <del class="diffchange diffchange-inline">then </del>many shifted to integrated CDS systems.  Though CDS and GPM is still in its infancy many are seeing the promise that it has to offer.  Only few facilities have this integration they are seeing the positive impact it has <del class="diffchange diffchange-inline">shows </del>promise of <del class="diffchange diffchange-inline">more </del>growth <del class="diffchange diffchange-inline">and </del>research and many new findings.<ref name="Welch 2012"></ref></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Researchers found that through this process<ins class="diffchange diffchange-inline">, </ins>many CDS were stand alone and many <ins class="diffchange diffchange-inline">also </ins>shifted to <ins class="diffchange diffchange-inline">an </ins>integrated CDS systems.  Though CDS and GPM is still in its infancy<ins class="diffchange diffchange-inline">, </ins>many are seeing the promise that it has to offer.  Only few facilities have this integration they are seeing the positive impact it has <ins class="diffchange diffchange-inline">shown </ins>promise of growth<ins class="diffchange diffchange-inline">, </ins>research<ins class="diffchange diffchange-inline">, </ins>and many new findings.<ref name="Welch 2012"></ref></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Comments===  </div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Comments===  </div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>If this is a growing field, I'm curious as to how <del class="diffchange diffchange-inline">do they </del>come together to produce [[alerts]], and can this be done on a select patients.  Does the system they are working with have the capability of being highly selective and only alert in that particular setting?  Medicine and it's ever changing findings and discoveries never ceases to amaze me and I realize how much left there is to learn.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>If this is a growing field, I'm curious as to how <ins class="diffchange diffchange-inline">both CDS and GPM </ins>come together to produce [[alerts]], and <ins class="diffchange diffchange-inline">how </ins>can this be done on a select patients.  Does the system they are working with have the capability of being highly selective and only alert in that particular setting?  Medicine and it's ever changing findings and discoveries never ceases to amaze me and I realize how much left there is to learn.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===References===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===References===</div></td></tr>
<tr><td colspan="2" class="diff-lineno">Line 23:</td>
<td colspan="2" class="diff-lineno">Line 23:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: Reviews]]</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: Reviews]]</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: CDS]]</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Category: CDS]]</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">[[Category: New Technology]]</ins></div></td></tr>
</table>Lisa.Brioneshttps://clinfowiki.org/wiki/index.php?title=Clinical_decision_support_or_genetically_guided_personalized_medicine:_a_systematic_review&diff=21250&oldid=prevRachelacardenas: /* Comments */2015-03-03T16:24:40Z<p><span dir="auto"><span class="autocomment">Comments</span></span></p>
<table class='diff diff-contentalign-left'>
<col class='diff-marker' />
<col class='diff-content' />
<col class='diff-marker' />
<col class='diff-content' />
<tr style='vertical-align: top;'>
<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:24, 3 March 2015</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 16:</td>
<td colspan="2" class="diff-lineno">Line 16:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Comments===  </div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Comments===  </div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>If this is a growing field, I'm curious as to how do they come together to produce alerts, and can this be done on a select patients.  Does the system they are working with have the capability of being highly selective and only alert in that particular setting?  Medicine and it's ever changing findings and discoveries never ceases to amaze me and I realize how much left there is to learn.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>If this is a growing field, I'm curious as to how do they come together to produce <ins class="diffchange diffchange-inline">[[</ins>alerts<ins class="diffchange diffchange-inline">]]</ins>, and can this be done on a select patients.  Does the system they are working with have the capability of being highly selective and only alert in that particular setting?  Medicine and it's ever changing findings and discoveries never ceases to amaze me and I realize how much left there is to learn.</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===References===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===References===</div></td></tr>
</table>Rachelacardenashttps://clinfowiki.org/wiki/index.php?title=Clinical_decision_support_or_genetically_guided_personalized_medicine:_a_systematic_review&diff=21222&oldid=prevMonetteEscaname: Created page with ""To review literature on clinical decision support (CDS) for genetically guided personalized medicine(GPM)"<ref name="Welch 2012">Welch BM, Kawamoto K, 22August2012, C..."2015-03-03T05:07:51Z<p>Created page with ""To review literature on clinical decision support <a href="/wiki/index.php/CDS" title="CDS">(CDS)</a> for genetically guided personalized medicine(GPM)"<ref name="Welch 2012">Welch BM, Kawamoto K, 22August2012, C..."</p>
<p><b>New page</b></p><div>"To review literature on clinical decision support [[CDS|(CDS)]] for genetically guided personalized medicine(GPM)"<ref name="Welch 2012">Welch BM, Kawamoto K, 22August2012, Clinical decision support for genetically guided personalized medicine: a systematic review, J AM Med Inform Assoc,2013,29:388-400,http://jamia.oxfordjournals.org/content/20/2/388</ref><br />
<br />
===Background===<br />
<br />
Genetically guided personalized medicine (GPM) is currently undergoing growing pain as does any new advancement in medicine or technology and more-so when both come together. As technology advances the demand becomes greater among the 3000 board certified geneticists of which 1200 reside in the USA. There are approximately 2500 clinical genetic tests and as it grows it will become unreasonable to ask clinicians to remember every possible specific testing. However with the use of health information technology it has the potential to overcome those problems and explore the positive outcomes of GPM.<ref name="Welch 2012"></ref><br />
<br />
<br />
<br />
===Methods===<br />
<br />
Methods to determine if there was to begin research by gathering articles from "1990-2011 using a search strategy adapted from previous systematic reviews of CDS and genetic health services"<ref name="Welch 2012"></ref> Articles had to meet inclusion criteria of the potential 3416 articles only 37 met full criteria and of those 37 majority were published on or after 2007. These articles focused on CDS systems for genetically guided cancer management and within those they did have more specific type of cancer i.e. breast, colon, and some focused on family history of cancer. <br />
<br />
===Summary Findings===<br />
Researchers found that through this process they found many CDS were stand alone and then many shifted to integrated CDS systems. Though CDS and GPM is still in its infancy many are seeing the promise that it has to offer. Only few facilities have this integration they are seeing the positive impact it has shows promise of more growth and research and many new findings.<ref name="Welch 2012"></ref><br />
<br />
===Comments=== <br />
<br />
If this is a growing field, I'm curious as to how do they come together to produce alerts, and can this be done on a select patients. Does the system they are working with have the capability of being highly selective and only alert in that particular setting? Medicine and it's ever changing findings and discoveries never ceases to amaze me and I realize how much left there is to learn.<br />
<br />
===References===<br />
<references/><br />
<br />
[[Category: Reviews]]<br />
[[Category: CDS]]</div>MonetteEscaname