Evidence map›Paper›PMID 31713997›Full record

ArticleJournal of evaluation in clinical practice2020

Fuzzy logic-based clinical decision support system for the evaluation of renal function in post-Transplant Patients.

Giovanni Improta, Valeria Mazzella, Donatella Vecchione, Stefania Santini, Maria Triassi

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  12. A Health Technology Assessment in Maxillofacial Cancer Surgery by Using the Six Sigma Methodology.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Giovanni ImprotaDepartment of Public Health of the University Hospital, University of Naples Federico II, Naples, Italy.ORCID https://orcid.org/0000-0002-9485-1687
Valeria MazzellaDepartment of Electronic Engineering and Information Technology, Faculty of Engineering, University of Naples Federico II, Naples, Italy.
Donatella VecchioneDepartment of Electronic Engineering and Information Technology, Faculty of Engineering, University of Naples Federico II, Naples, Italy.
Stefania SantiniDepartment of Electronic Engineering and Information Technology, Faculty of Engineering, University of Naples Federico II, Naples, Italy.
Maria TriassiDepartment of Public Health of the University Hospital, University of Naples Federico II, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn the context of the gradual development of artificial intelligence in health care, the clinical decision support systems (CDSS) play an increasing crucial role in improving the quality of the therapeutic and diagnostic efficiency in health care. The fuzzy logic (FL) provides an effective means for dealing with uncertainties in the health decision-making process; therefore, FL-based CDSS becomes a very powerful tool for data and knowledge management, being able to think like an expert clinician. This work proposes an FL-based CDSS for the evaluation of renal function in posttransplant patients.

methodBased on the data provided by the Department of Nephrology of the University Hospital Federico II of Naples, a statistical sample is selected according to appropriate inclusion criteria. Four fuzzy inference systems are implemented monitoring the renal function by the level of proteinuria and the glomerular filtration rate (GFR).

resultsThe systems show an accuracy of more than 90% and the outputs are provided through easy to read graphics, so that physicians can intuitively monitor the patient's clinical status, with the objective to improve drugs dosage and reduce medication errors.

conclusionsWe propose that the CDSSs for the assessment and follow-up of kidney-transplanted patients built in this study are applicable to clinical practice.

Indexed as

Decision Support Systems, ClinicalFuzzy LogicArtificial IntelligenceHumansKidneyMonitoring, Physiologicclinical decision support systemsfuzzy logichealth care decision problems

Identifiers

PMID31713997
PMCPMC7496862

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.