IDENTIFYING ISSUES IN MEDICAL GUIDELINES TO IMPROVE DECISION MAKING

Presented by:Sumaiya SarawatFatima FaisalAdvisor: Dr. Tara F. Bishop, M.D.August 6th, 2014Travelers Summer Research Fellowship Program

LET US “GUIDE” YOU THROUGH THIS Introduction:

What is a Guideline? Problems with Guidelines What’s Out There Right Now? What We Want to Know

Hypothesis Methods Results Discussion and future directions:

Why Is This Important? Hopes for the Future

E-Cigarettes Project Acknowledgments

WHAT IS A GUIDELINE? Documents and published papers whose

purpose is to educate doctors and patients into making the best-informed decisions and requirements regarding diagnoses, treatments, and management for multiple aspects of health care.

PROBLEMS WITH GUIDELINES

Accessibility Navigation Excessive Information Too much medical jargon No Attraction

WHAT’S OUT THERE RIGHT NOW If guideline users had a mechanism to

immediately identify high quality, trustworthy clinical practice guidelines, their health-related decision making would be improved—potentially improving both health care quality and health outcomes

WHAT WE WANT TO KNOW Is there a way to construct alternative sites

that could potentially reinvent the way guidelines are perceived?

Will modifying sites help increase patient understanding of guidelines and encourage them to use these websites for personal health benefits?

Will an increase in knowledge due to sufficient guidelines augment the patient’s health as whole?

HYPOTHESIS By modifying online guidelines to become

patient-centered we hope to gravitate a larger patient populace to begin using these websites to become more willing to be well informed about their health.

METHODOLOGY:

http://www.guideline.gov/content.aspx?id=37958&search=pap+smear

http://www.thennt.com/lr/aortic-dissection/

SITES CONTAINING RECOMMENDATIONS

SITES CONTAINING SYMPTOMS FEATURE

RESULTS

RESULTS

Organiz

ation

Naviga

tion

No Exce

ssive

Inform

ation

Summary

Option

Tutor

ials

Advance

d Sea

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User Fr

iendly

Medica

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Disease

Likelih

ood

Sympto

ms View

er

Review

Option

Color C

odes

Recommen

datio

ns

Method

ology

Public

Access

Effect

ivene

ss of

Treatm

ent

0

1

2

3

4

5

6

7

8

9

10

8

9

5

7

2

4

8

9

8

5

3

7

1

8

5

7

8

Common Attributes Among Medical Guidelines

Variables of Quality

Tota

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re f

or E

ach

Inde

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RESULTS

44.44%

33.33%

22.22%

Table 1: Characteristics of Sites

Contains guideline ar-ticlesContains symptoms fea-tureContains recommenda-tions based on lifestyle

HOPES FOR THE FUTURE

Yearof

Birth

M FChoose Language

Title of Web Page

Enter Symptoms

Age Related

Recommendations Get Enough Folic Acid

Learn why women your age need folic acid.

Get Tested For HIVGet tested for HIV at least once. You may need to get tested more often depending on your risk.

Get Your Well-Woman Visit Every Year

See a doctor or nurse for a checkup once a year.

Get Important ShotsGet important adult shots (vaccinations).

Get Your Blood Pressure Checked

Get your blood pressure checked at least once every 2 years.

Get Seasonal Flu ShotGet a flu shot every year to protect yourself and others from the flu.

WHY IS THIS IMPORTANT? Opportunity for MANY Preventing a breach in Autonomy of the four

basic moral principles of medical ethics Can serve a tool of preventative medicine

& WE’RE NOT

DONE YET

!!!!!!

EFFECT OF LAW REGULATIONS ON THE USE OF E-CIGARETTESFatima FaisalSumaiya SarawatDr. Michael Pesko, Ph.D.

WHAT ARE E-CIGARETTE’S E-cigarettes are vaporizers Run on lithium battery Smoke-free, tobacco free, but not nicotine-

free Not sure about the safety of these devices New Laws

WHAT IS OUT THERE There isn’t much research out there about e-

cigarettes and their affects because they just became popular, which is essentially why the laws regarding them have just recently been putting into affect

Some argue that it is safe while others say it is not

METHODOLOGY

WHAT I AM TRYING TO FIND… Effect e-cigarette age purchasing restrictions

at the state level have had on adolescent smoking rates at the state level and adolescent marijuana use rates at the state level as well.

ACKNOWLEDGEMENTS Dr. Tara F. Bishop Dr. Michael Pesko, Dr. Joseph Murray Dean Elizabeth Anstey Sahira Torres Program Assistants Guest Speakers

ANY QUESTIONS?