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research:project_proposal_template_3 [2016/09/20 14:34]
schillil
research:project_proposal_template_3 [2018/04/20 20:34]
evan [Discussion]
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-====== ​Concordance with AAD guidelines ​for the treatment ​of acne vulgaris======+====== ​ OHDSI Perioperative Prediction: Development and Validation of Prognostic Prediction models ​for Post-Operative Outcomes ​of Interest ​======
  
 <WRAP box justify round> <WRAP box justify round>
  
-**Objective:​** //The objective ​of this study is to evaluate physician concordance with AAD guidelines ​for the treatment ​of acne vulgaris.//+**Objective:​** //To create a set of patient level prediction models ​for patients undergoing non-maternal,​ non-cardiac surgeries, examining a set of post-operative outcomes of interest//
  
-**Rationale:​** //The American Academy of Dermatology ​(AADhas published guidelines for the use of systemic antibiotics for the management ​of acneThese include: 1) minimizing the duration ​of therapy ​(ideally to 3-4 months and no longer than 6 monthsto decrease risk of resistance and 2prescribing concomitant treatment with a topical retinoid ​or topical retinoid/​benzoyl peroxide ​to increase efficacy. A large retrospective cohort study of teenagers in the United Kingdom revealed that of antibiotic courses prescribed by general practitioners,​ 29% exceeded 6 months in duration, and 62% were not associated with a topical retinoid. Our study aims to determine adherence with AAD guidelines for oral antibiotic use in the management ​of patients with acne among general practitioners and dermatologists in the United States and other countries. The evidence through the OHDSI network may help identify a need to improve concordance to achieve the best treatment efficacy for patients.//+**Rationale:​** //Surgical procedures are frequently performed in large health care systems, with over 15 million invasive surgeries per year in the United States ​(1).  Serious complication rates arise in this population (2).  In an effort to counsel patients and reduce their cardiac and non-cardiac surgical risks, ​the field of perioperative medicine often looks to multivariate prediction models across outcomes ​of interest  Point of care deployments of these often favour parsimonious models (e.g. the 6 point Revised Cardiac Risk Index (3)).  These could potentially be outperformed ​or complemented by machine learning approaches ​to prediction that utilize a comprehensive representation ​of the patient record as a feature source, especially as point of care application becomes automated ​in the era of the electronic medical record //
  
-**Project Lead(s):** //Stephanie ChapmanRenee DomozychJessica MounessaRobert PDellavalleLisa Schilling//+**Project Lead(s):** //Evan MintyLichy HanNigam Shah// 
 + 
 +**Coordinating Institution(s):​** //Stanford University//​ 
 + 
 +** Additional Participants:​** ​ //​Collaborators Welcome// 
 + 
 +**Full Protocol:** //in development//​ 
 + 
 +**Initial Proposal Date:​** ​ April 20 2018 
 + 
 +**Launch Date:​** ​ //TBA// 
 + 
 +**Study Closure Date:  //TBA//** 
 + 
 +**Results Submission:​** //TBA// 
 + 
 +</​WRAP>​ 
 +===== Requirements ===== 
 +**CDM:** //V5uses Feature Extraction 2.0// 
 + 
 +**Table Accessed:​** ​ //TBA// 
 + 
 +**Database Dialects:** SQL ServerPostgres, Oracle 
 + 
 +**Software:​** ​ //R// 
    
 ===== Code =====  ===== Code ===== 
 [[https://​github.com/​OHDSI/​StudyProtocols]] [[https://​github.com/​OHDSI/​StudyProtocols]]
  
 +===== Discussion ===== 
 +//​http://​forums.ohdsi.org/​t/​perioperative-prediction-suite/​3996 //
 +
 +
 +===== Datasets Run ===== 
 +  * <list your own datasets or leave blank>
 +
 +
 +~~NOTOC~~
research/project_proposal_template_3.txt · Last modified: 2018/05/23 18:54 by maura_beaton