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Latent Treatment Pattern Discovery for Clinical Processes

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Abstract

A clinical process is typically a mixture of various latent treatment patterns, implicitly indicating the likelihood of what clinical activities are essential/critical to the process. Discovering these hidden patterns is one of the most important components of clinical process analysis. What makes the pattern discovery problem complex is that these patterns are hidden in clinical processes, are composed of variable clinical activities, and often vary significantly between patient individuals. This paper employs Latent Dirichlet Allocation (LDA) to discover treatment patterns as a probabilistic combination of clinical activities. The probability distribution derived from LDA surmises the essential features of treatment patterns, and clinical processes can be accurately described by combining different classes of distributions. The presented approach has been implemented and evaluated via real-world data sets.

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References

  1. Lee, K.H., and Anderson, Y., The association between clinical pathways and hospital length of stay: A case study. J. Med. Syst. 31:79–83, 2007.

    Article  Google Scholar 

  2. Wakamiya, S., and Yamauchi, K., What are the standard functions of electronic clinical pathways? Int. J. Med. Inform. 78(8):543–550, 2009.

    Article  Google Scholar 

  3. Lenz, R., Blaser, R., Beyer, M., Heger, O., Biber, C., Aumlein, M.B., and Schnabe, M., IT support for clinical pathways-lessons learned. Int. J. Med. Inform. 76(3):S397–S402, 2007.

    Article  Google Scholar 

  4. Schuld, J., Schaer, T., Nickel, S., Jacob, P., Schilling, M.K., and Richter, S., Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. Int. J. Med. Inform. 80(3):151–156, 2011.

    Article  Google Scholar 

  5. Lu, X., Huang, Z., and Duan, H., Supporting adaptive clinical treatment processes through recommendations. Comput. Methods Prog. Biomed. 107(3):413–424, 2012.

    Article  Google Scholar 

  6. Tello-Leal, E., Chiotti, O., and Villarreal, P., Process-oriented integration and coordination of healthcare services across organizational boundaries. J. Med. Syst. 36(6):3713–3724, 2012.

    Article  Google Scholar 

  7. Rebuge, A., and Ferreira, D.R., Business process analysis in healthcare environments: A methodology based on process mining. Inf. Syst. 37(2):99–116, 2012.

    Article  Google Scholar 

  8. Huang, B., Zhu, P., and Wu, C., Customer-centered careflow modeling based on guidelines. J. Med. Syst. 36(5):3307–3719, 2012.

    Article  Google Scholar 

  9. Lin, F., Chen, S., Pan, S., and Chen, Y., Mining time dependency patterns in clinical pathways. Int. J. Med. Inform. 62(1):11–25, 2001.

    Article  Google Scholar 

  10. Huang, Z., Lu, X., and Duan, H., On mining clinical pathway patterns from medical behaviors. Artif. Intell. Med. 56(1):35–50, 2012.

    Article  Google Scholar 

  11. Lenz, R., and Reichert, M., IT support for healthcare processes-premises, challenges, perspectives. Data Knowl. Eng. 61(1):39–58, 2007.

    Article  Google Scholar 

  12. de Luc, K., Care pathways: an evaluation of their effectiveness. J. Adv. Nurs. 32(2):485–496, 2000.

    Article  Google Scholar 

  13. Chen, C. (Cliff)., Chen, K., Hsu, C. Y., and Li, Y. C. (Jack)., Developing guideline-based decision support systems using protègè and jess. Comput. Methods Prog. Biomed. 102(3):288–294, 2011.

    Google Scholar 

  14. Isern, D., Sanchez, D., and Moreno, A., Ontology-driven execution of clinical guidelines. Comput. Methods Prog. Biomed. 107(2):122–139, 2012.

    Article  Google Scholar 

  15. Reichert, M., Rinderle, S., and Dadam, P., Adept workflow management system: flexible support for enterprise-wide business processes. In: The Third International Conference on Business Process Management. pp. 370–379, 2003.

  16. Dykes, P.C., Currie, L.M., and Cimino, J.J., Adequacy of evolving national standardized terminologies for interdisciplinary coded concepts in an automated clinical pathway. J. Biomed. Inform. 36(4–5):313–325, 2003.

    Article  Google Scholar 

  17. Huang, Z., Lu, X., and Duan, H., Using recommendation to support adaptive clinical pathways. J. Med. Syst. 36(3):1849–1860, 2012.

    Article  Google Scholar 

  18. Hunter, B., and Segrott, J., Re-mappling client journeys and professional identities: A review of the literature on clinical pathways. Int. J. Nurs. Stud. 45:608–625, 2008.

    Article  Google Scholar 

  19. Gurzick, M., and Kesten, K.S., The impact of clinical nurse specialists on clinical pathways in the application of evidence-based practice. J. Prof. Nurs. 26:42–48, 2010.

    Article  Google Scholar 

  20. Agrawal, R., Gunopulos, D., and Leymann, F., Mining process models from workflow logs, In: Schek, H.J., Saltor, F., Ramos, I., Alonso, G. (Eds.) Sixth International Conference on Extending Database Technology. pp. 469–483. London: Springer-Verlag, 1998.

    Google Scholar 

  21. Cook, J.E., and Wolf, A.L., Discovering models of software processes from event-based data. ACM Trans. Softw. Eng. Methodol. 7(3):215–249, 1998.

    Article  Google Scholar 

  22. Yang, W., and Hwang, S., A process-mining framework for the detection of healthcare fraud and abuse. Expert Syst. Appl. 31(1):56–68, 2006.

    Article  Google Scholar 

  23. van der Aalst, W.M.P., Weijters, A.J.M.M., and Maruster, L., Workflow Mining: Discovering process models from event logs. IEEE Trans. Knowl. Data Eng. 16(9):1128–1142, 2004.

    Article  Google Scholar 

  24. BPMN. http://www.bpmn.org/, Last accessed on 2012-2-14.

  25. Lang, M., Urkle, T.B., Laumann, S., and Prokosch, H.-U., Process mining for clinical workflows: challenges and current limitations, In: Andersen, S.K., Klein, G.O., Schulz, S., Aarts, J. (Eds.) Proceedings of MIE2008 The XXIst International Congress of the European Federation for Medical Informatics, pp. 229–234, 2008.

  26. Mans, R., Schonenberg, H., Leonardi, G., Panzarasa, S., Cavallini, A., Quaglini, S., and vander Aalst, W., Process mining techniques: an application to stroke care. Stud. Health Technol. Inform. 136:573–C578, 2008.

    Google Scholar 

  27. Goedertier, S., De Weerdt, J., Martens, D., Vanthienen, J., and Baesens, B., Process discovery in event logs: An application in the telecom industry. Appl. Soft Comput. 11(2):1697–1710, 2011.

    Article  Google Scholar 

  28. Blei, D.M., Ng, A.Y., and Jordan, M.I., Latent Dirichlet allocation. J. Mach. Learn. Res. 3:993–1022, 2003.

    MATH  Google Scholar 

  29. Newman, D., Asuncion, A., Smyth, P., and Welling, M., Distributed algorithms for topic models. J. Mach. Learn. Res. 10:1801–1828, 2009.

    MathSciNet  MATH  Google Scholar 

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Acknowledgments

This work was supported by the National Nature Science Foundation of China under Grant No 81101126. The authors would like to give special thanks to all experts who cooperated in the evaluation of the proposed method.

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Correspondence to Zhengxing Huang.

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Huang, Z., Lu, X. & Duan, H. Latent Treatment Pattern Discovery for Clinical Processes. J Med Syst 37, 9915 (2013). https://doi.org/10.1007/s10916-012-9915-2

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