Therapy Decision Support Based on Recommender System Methods

J Healthc Eng. 2017:2017:8659460. doi: 10.1155/2017/8659460. Epub 2017 Mar 28.

Abstract

We present a system for data-driven therapy decision support based on techniques from the field of recommender systems. Two methods for therapy recommendation, namely, Collaborative Recommender and Demographic-based Recommender, are proposed. Both algorithms aim to predict the individual response to different therapy options using diverse patient data and recommend the therapy which is assumed to provide the best outcome for a specific patient and time, that is, consultation. The proposed methods are evaluated using a clinical database incorporating patients suffering from the autoimmune skin disease psoriasis. The Collaborative Recommender proves to generate both better outcome predictions and recommendation quality. However, due to sparsity in the data, this approach cannot provide recommendations for the entire database. In contrast, the Demographic-based Recommender performs worse on average but covers more consultations. Consequently, both methods profit from a combination into an overall recommender system.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Algorithms*
  • Autoimmune Diseases / diagnosis
  • Autoimmune Diseases / therapy
  • Comorbidity
  • Data Mining
  • Databases, Factual
  • Decision Support Systems, Clinical*
  • Humans
  • Internet
  • Machine Learning
  • Middle Aged
  • Models, Statistical
  • Psoriasis / diagnosis*
  • Psoriasis / therapy*
  • Reproducibility of Results
  • Software*
  • Young Adult