Clinical decision support systems in child and adolescent psychiatry: a systematic review
Por:
Koposov R, Fossum S, Frodl T, Nytrø Ø, Leventhal B, Sourander A, Quaglini S, Molteni M, de la Iglesia Vayá M, Prokosch HU, Barbarini N, Milham MP, Castellanos FX and Skokauskas N
Publicada:
1 nov 2017
Resumen:
Psychiatric disorders are amongst the most prevalent and impairing conditions in childhood and adolescence. Unfortunately, it is well known that general practitioners (GPs) and other frontline health providers (i.e., child protection workers, public health nurses, and pediatricians) are not adequately trained to address these ubiquitous problems (Braddick et al. Child and Adolescent mental health in Europe: infrastructures, policy and programmes, European Communities, 2009; Levav et al. Eur Child Adolesc Psychiatry 13: 395-401, 2004). Advances in technology may offer a solution to this problem with clinical decision support systems (CDSS) that are designed to help professionals make sound clinical decisions in real time. This paper offers a systematic review of currently available CDSS for child and adolescent mental health disorders prepared according to the PRISMA-Protocols (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols). Applying strict eligibility criteria, the identified studies (n = 5048) were screened. Ten studies, describing eight original clinical decision support systems for child and adolescent psychiatric disorders, fulfilled inclusion criteria. Based on this systematic review, there appears to be a need for a new, readily available CDSS for child neuropsychiatric disorder which promotes evidence-based, best practices, while enabling consideration of national variation in practices by leveraging data-reuse to generate predictions regarding treatment outcome, addressing a broader cluster of clinical disorders, and targeting frontline practice environments.
Filiaciones:
Koposov R:
Regional Centre for Children and Youth Mental Health and Welfare, Northern Norway, UiT The Arctic University of Norway, Hansine Hansens veg 18, 9019, Tromsø, Norway
Fossum S:
Regional Centre for Children and Youth Mental Health and Welfare, Northern Norway, UiT The Arctic University of Norway, Hansine Hansens veg 18, 9019, Tromsø, Norway
Frodl T:
Department of Psychiatry and Psychotherapy, Otto von Guericke University Magdeburg, Universitätsstr. 84, 93053, Magdeburg, Germany
Nytrø Ø:
Department of Computer and Information Science, Norwegian University of Science and Technology, Pb 8905, 7491, Trondheim, Norway
Leventhal B:
San Francisco School of Medicine, University of California, Parnassus Avenue 52, San Francisco, CA, 94143, USA
Sourander A:
Department of Child Psychiatry, University of Turku and Turku University Hospital, Lemminkäisenkatu 3, 20014, Turku, Finland
Quaglini S:
Industrial and Information Engineering Department, Università degli Studi di Pavia, Via Ferrata 3, 27100, Pavia, Italy
Molteni M:
Child Psychopathology Unit, Hospital at Bosisio Parini, Via Alzate, 10, 22032, Albese Con Cassano, Italy
:
IBSP-CV BIOBANK, Avda. Catalunya 21, 46012, Valencia, Spain
Prokosch HU:
Department of Medical Informatics, Friedrich-Alexander University, Schlossplatz 4, 91058, Erlangen, Germany
Barbarini N:
BIOMEdical Research Informatics Solutions, Via Ferrata 1, 27100, Pavia, Italy
Milham MP:
Center for the Developing Brain, Child Mind Institute, 445 Park Avenue, New York, 10022, USA
Castellanos FX:
New York University Child Study Center, 1 Park Avenue New York, New York, 10016, USA
Skokauskas N:
Regional Centre for Children and Youth Mental Health and Child Welfare - Central Norway, Norwegian University of Science and Technology, Pb 8905, 7491, Trondheim, Norway.
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