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糖尿病管理与决策支持中的多标准决策:系统评价

Multicriteria Decision-Making in Diabetes Management and Decision Support: Systematic Review.

作者信息

Aldaghi Tahmineh, Muzik Jan

机构信息

Spin-off Companies and Research Results Commercialization Center, First Faculty of Medicine, Charles University, Prague, Czech Republic.

Department of Information and Communication Technologies in Medicine, Faculty of Biomedical Engineering, Czech Technical University, Prague, Czech Republic.

出版信息

JMIR Med Inform. 2024 Feb 1;12:e47701. doi: 10.2196/47701.

Abstract

BACKGROUND

Diabetes mellitus prevalence is increasing among adults and children around the world. Diabetes care is complex; examining the diet, type of medication, diabetes recognition, and willingness to use self-management tools are just a few of the challenges faced by diabetes clinicians who should make decisions about them. Making the appropriate decisions will reduce the cost of treatment, decrease the mortality rate of diabetes, and improve the life quality of patients with diabetes. Effective decision-making is within the realm of multicriteria decision-making (MCDM) techniques.

OBJECTIVE

The central objective of this study is to evaluate the effectiveness and applicability of MCDM methods and then introduce a novel categorization framework for their use in this field.

METHODS

The literature search was focused on publications from 2003 to 2023. Finally, by applying the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method, 63 articles were selected and examined.

RESULTS

The findings reveal that the use of MCDM methods in diabetes research can be categorized into 6 distinct groups: the selection of diabetes medications (19 publications), diabetes diagnosis (12 publications), meal recommendations (8 publications), diabetes management (14 publications), diabetes complication (7 publications), and estimation of diabetes prevalence (3 publications).

CONCLUSIONS

Our review showed a significant portion of the MCDM literature on diabetes. The research highlights the benefits of using MCDM techniques, which are practical and effective for a variety of diabetes challenges.

摘要

背景

全球范围内,成人和儿童糖尿病的患病率都在上升。糖尿病护理十分复杂;检查饮食、药物类型、糖尿病认知以及使用自我管理工具的意愿,只是糖尿病临床医生在做出相关决策时面临的部分挑战。做出恰当决策将降低治疗成本、降低糖尿病死亡率并提高糖尿病患者的生活质量。有效的决策属于多标准决策(MCDM)技术范畴。

目的

本研究的核心目的是评估多标准决策方法的有效性和适用性,然后引入一个新颖的分类框架,以便其在该领域使用。

方法

文献检索聚焦于2003年至2023年的出版物。最后,通过应用PRISMA(系统评价和Meta分析的首选报告项目)方法,筛选并审查了63篇文章。

结果

研究结果显示,多标准决策方法在糖尿病研究中的应用可分为6个不同类别:糖尿病药物选择(19篇出版物)、糖尿病诊断(12篇出版物)、膳食建议(8篇出版物)、糖尿病管理(14篇出版物)、糖尿病并发症(7篇出版物)以及糖尿病患病率估计(3篇出版物)。

结论

我们的综述显示了多标准决策文献中关于糖尿病的很大一部分内容。该研究突出了使用多标准决策技术的益处,这些技术对于应对各种糖尿病挑战既实用又有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/741b/10870205/e52d8cdfb5c4/medinform_v12i1e47701_fig1.jpg

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