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Contenu archivé le 2022-12-23

Objective Competitive assessment of the Technologies used in the diagnosis of jaundice

Objectif



The project brings all the PECO countries into the ICTEC project to make a pan-European database validated in each country for the computer-aided diagnosis of jaundice and the assessment of the diagnostic technologies used in jaundice.
It assesses the technologies used in the diagnosis of jaundice by comparing them to one another objectively against the standard provided by the clinical data. An objective base-line of clinical data will be made from 9000 cases observed in the Euricterus project. From it a patient's clinical data can provide a computed diagnosis. The efficacy of a technology is the percentage increment by which its results raises the computed diagnosis above the level provied by the clinical data. The clinical data and the results of the technologies will be recorded on proforma in the major diseases involved. The protocol is devised by the participating hospitals. Each hospital will gather perspectively 60-100 cases unselected. The cases will be entered on a floppy disk and mailed monthly to the data centre. After validation, they are entered in a relational database. When these are enough cases, they are analysed by Bayesian techniques whichdisplay the increment provided by each technology, over the clinical area. The performance of his data is fed back to the assessing doctor, in comparision with that of the database as a whole, to monitor quality. The heart of the assessment is a Bayesian diagnostic program. It returns a percentage as the clinical data is entered, and again as the result of each technology is entered. The increment given by a technolog is a measure of its contribution to diagnosis. By comparing the average costs o the tests to the average diagnostic increment the cost benefit and opportunityare obtained for each disease group. The diagnostic probabilities for the technologies are obtained from a database compiled in the course of the project which will include about 100 clinical and 60 technological and cost data. Only the technologies needed for the management of the individual are used and recorded. They include ultrasound, ERCP, PTCG etc. The efficacy of each test is correlated with its cost. A rank order of test by cost benefit is made for each disease, providing an optimum path of investigation.

Appel à propositions

Data not available

Régime de financement

CSC - Cost-sharing contracts

Coordinateur

Universidade de Coimbra
Contribution de l’UE
Aucune donnée
Adresse
Paço das Escolas
3049 Coimbra
Portugal

Voir sur la carte

Coût total
Aucune donnée

Participants (4)