PDF(Pubmed)
Abstract：
Clinicians seeking guidance for evaluating and managing thyroid nodules currently have several resources. The principal ones are narrative clinical guidelines and clinical risk calculators. This paper will review the strengths and weaknesses of both. The paper will introduce a concept of computer interpretable guideline, a novel way of transforming narrative guidelines in to a clinical decision support tool that can provide patient specific recommendations at the point of care. The paper then describes an experience of developing an interactive web based computer interpretable guideline for thyroid nodule management, called Thyroid Nodule Management App (TNAPP). The advantages of this approach and the potential barriers for widespread adaptation are discussed.
摘要：
目前，寻求评估和管理甲状腺结节的指导的临床医生拥有多种资源。主要的是叙述性临床指南和临床风险计算器。本文将回顾两者的优缺点。本文将介绍计算机可解释指南的概念，一种将叙事指南转化为临床决策支持工具的新方法，该工具可以在护理点提供患者特定的建议。然后，本文介绍了开发基于Web的交互式计算机可解释甲状腺结节管理指南的经验，称为甲状腺结节管理应用程序（TNAPP）。讨论了这种方法的优点和广泛适应的潜在障碍。
