Developing an ML pipeline for asthma and COPD: The case of a Dutch primary care service

被引:2
作者
Mariani, Stefano [1 ]
Lahr, Maarten M. H. [2 ]
Metting, Esther [2 ]
Vargiu, Eloisa [3 ]
Zambonelli, Franco [1 ]
机构
[1] Univ Modena & Reggio Emilia, Dept Sci & Methods Engn, Via Giovanni Amendola 2, I-42122 Reggio Emilia, Italy
[2] Univ Groningen, Univ Med Ctr, Dept Epidemiol, Hlth Technol Assessment, Groningen, Netherlands
[3] EURECAT Technol Ctr, Digital Hlth Unit, Barcelona, Spain
基金
欧盟地平线“2020”;
关键词
asthma; COPD; diagnosis; machine learning; prediction; primary care; treatment; DECISION-SUPPORT-SYSTEMS; CLINICAL PATHWAYS; BIG DATA; EXACERBATIONS; MEDICINE; RISK;
D O I
10.1002/int.22568
中图分类号
TP18 [人工智能理论];
学科分类号
081104 ; 0812 ; 0835 ; 1405 ;
摘要
A complex combination of clinical, demographic and lifestyle parameters determines the correct diagnosis and the most effective treatment for asthma and Chronic Obstructive Pulmonary Disease patients. Artificial Intelligence techniques help clinicians in devising the correct diagnosis and designing the most suitable clinical pathway accordingly, tailored to the specific patient conditions. In the case of machine learning (ML) approaches, availability of real-world patient clinical data to train and evaluate the ML pipeline deputed to assist clinicians in their daily practice is crucial. However, it is common practice to exploit either synthetic data sets or heavily preprocessed collections cleaning and merging different data sources. In this paper, we describe an automated ML pipeline designed for a real-world data set including patients from a Dutch primary care service, and provide a performance comparison of different prediction models for (i) assessing various clinical parameters, (ii) designing interventions, and (iii) defining the diagnosis.
引用
收藏
页码:6763 / 6790
页数:28
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