A Decision Technology System to Advance the Diagnosis and Treatment of Breast Cancer

A Decision Technology System to Advance the Diagnosis and Treatment of Breast Cancer

Guisseppi A. Gorgionne (University of Maryland Baltimore County, USA), Aryya Gangopadhyah (University of Maryland Baltimore County, USA) and Monica Adya (University of Maryland Baltimore County, USA)
DOI: 10.4018/978-1-878289-65-0.ch010
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Geographical variations in cancer rates have been observed for decades. Described spatial patterns and trends have provided clues for generating hypotheses about the etiology of cancer. For breast cancer, investigators have demonstrated that some variation can be explained by differences in the population distribution of known breast cancer risk factors such as menstrual and reproductive variables (Laden, Spiegelman, and Neas, 1997; Robbins, Bescianini, and Kelsey, 1997; Sturgeon, Schairer, and Gail, 1995). However, regional patterns also may reflect the effects of Workshop on Hormones, Hormone Metabolism, Environment, and Breast Cancer (1995): (a) environmental hazards (such as air and water pollution), (b) demographics and the lifestyle of a mobile population, (c) subgroup susceptibility, (d) changes and advances in medical practice and healthcare management, and (e) other factors. To accurately measure breast cancer risk in individuals and population groups, it is necessary to singly and jointly assess the association between such risk and the hypothesized factors. Various statistical models will be needed to determine the potential relationships between breast cancer development and estimated exposures to environmental contamination. To apply the models, data must be assembled from a variety of sources, converted into the statistical models’ parameters, and delivered effectively to researchers and policy makers. A Web-enabled decision technology system can be developed to provide the needed functionality. This chapter will present a conceptual architecture for such a decision technology system. First, there will be a brief overview of a typical geographical analysis. Next, the chapter will present the conceptual Web-based decision technology system and illustrate how the system can assist users in diagnosing and treating breast cancer. The chapter will conclude with an examination of the potential benefits from system use and the implications for breast cancer research and practice.

Complete Chapter List

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Table of Contents
Lauren B. Eder
Chapter 1
David W. Forslund, David G. Kilman
With the arrival of the “World Wide Web,” we have witnessed a transition toward a truly global perspective with respect to electronic health... Sample PDF
The Impact of the Global, Extensible Electronic Health Record
Chapter 2
Ray Hackney, Neil McBride
The UK Information Management Strategy (NHS, 1998) for the period to 2005 envisages the implementation of a Nationwide private network which will... Sample PDF
UK Primary Healthcare Groups: Stakeholders, Technology and Benefits
Chapter 3
Grace Johnson, Anand Kumar, Arkalgud Ramaprasad, Madhusudhan Reddy
The past few years have seen Web-based technology diffusing into a wide cross-section of industries, cutting across various barriers, and changing... Sample PDF
Technology-Based Marketing in the Healthcare Industry: Implications for Relationships Between Players in the Industry
Chapter 4
Stefan Kirn, Christian Heine
In most countries of the world, public health is an important indicator for the prosperity of a society. However, due to increasing deficits in... Sample PDF
Teleradiology: IT-Based Co-operation and Networking in Public Health
Chapter 5
Jeanine W. Turner
Telemedicine is redefining the boundaries of the doctor and patient encounter. No longer do the doctor and patient need to be in the same room. No... Sample PDF
Telemedicine: Generating the Virtual Office Visit
Chapter 6
Hans Lehmann, Terence Wee
The rationale for using a single case study approach is set out and put into context of current case research literature and thinking. The validity... Sample PDF
Automating Patients Admission: Proactive Leadership on a Shoestring
Chapter 7
Mikko Korpela, Juha Mykkänen, Mika Räsänen, Hellevi Ruonamaa, Marko Sormunen
A migration strategy can turn legacy systems into a valuable heritage. In Finland, most hospital information systems are based on the U.S.... Sample PDF
Transforming Legacy Systems into a Valuable Heritage: The Case of the FixIT Migration Tools in Finland
Chapter 8
Rajiv Kohli, David Ziege
Changes in the healthcare business resulting from capitation and declining reimbursement have led to cost-cutting measures in all areas of... Sample PDF
Disseminating Cost Information Through a Corporate Intranet: A Case Study and Lessons Learned
Chapter 9
Rolf Grütter, Katerina Stanoevska-Slabeva, Walter Fierz
The healthcare industry is essentially knowledge based. The quality and efficiency of work performed in healthcare institutions depends on their... Sample PDF
Enhancing Knowledge Management in a Multi-Center Clinical Trial by a Web-Based Knowledge Medium
Chapter 10
Guisseppi A. Gorgionne, Aryya Gangopadhyah, Monica Adya
Geographical variations in cancer rates have been observed for decades. Described spatial patterns and trends have provided clues for generating... Sample PDF
A Decision Technology System to Advance the Diagnosis and Treatment of Breast Cancer
Chapter 11
James R. Warren, Joseph T. Noone
A variety of forces are encouraging change in the healthcare systems of developed countries. Chief among these is perception of high (and rising)... Sample PDF
Web-Enabled Integration of Patient Data and Clinical Guidelines for Coordinated Care
Chapter 12
James G. Anderson, Linda L Casebeer, Robert E. Kristofco, Angela S. Carillo
The rapid expansion of scientific knowledge brings increased physician uncertainty in clinical decisionmaking. Clinical practice guidelines have... Sample PDF
Using Web-Enabled Technology to Promote the Adoption of Practice Guidelines
Chapter 13
Jerry B. Weinberg, Steven P. Klein, Robert Klepper, Bernard Waxman, Xudong Yu, Daniel K. Anderson
Effective physicians must listen to their patient’s concerns, take accurate and complete medical histories, and earn patient trust and confidence.... Sample PDF
Patient-Doctor Interconnectivity: Improving Health Care Management and Patient Compliance with Web Technology
Chapter 14
Riitta Söderlund, Pekka Reijonen, Malin Brännback
In most Western countries, healthcare systems are in economic crisis. It is not possible to increase available resources, but at the same time... Sample PDF
A Web-Based Solution for Enhancing Diabetic Well-Being
Chapter 15
The Web-Enabled Patient  (pages 222-238)
Michele Lemaire
The past decade has witnessed major changes in the concepts of health and disease and in the respective role and responsibility of doctors and... Sample PDF
The Web-Enabled Patient
Chapter 16
Catherine E. Bridge, Simeon J. Simoff
Identifying and removing architectural barriers to access for people with disabilities follows community recognition that people with disabilities... Sample PDF
Disability Access to the Built Environment: Web-Based On-Line Evaluation and Informatio Dissemination
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