Clustering temporal disease networks to assist clinical decision support systems in visual analytics of comorbidity progression

作者:

Highlights:

• A visual analytics system to detect comorbidity progressions is developed.

• The system models comorbidity progressions using temporal disease networks.

• The system uses temporal clustering to outline comorbidity progression phases.

• The system uses disease clustering to simpify the visualization of progressions.

• Two case studies on Clostridioides difficile and stroke are presented.

摘要

Detection and characterization of comorbidity, the presence of more than one distinct disorder or illness concurrently occurring among a specific cohort of patients, is an invaluable decision aid and a prominent challenge in healthcare research and practice. The aim of this paper is to design a novel visual analytics system that can support efficient pattern detection and intuitive visualization of comorbidity progression modeled via temporal disease networks (TDNs). In the underlying system, we proposed two new clustering technologies—temporal clustering and disease clustering to detect the time of notable progression changes and simplify the visualization of TDNs. Through two case studies on Clostridioides Difficile and stroke, we demonstrate that the proposed system is able to provide evidence-based and visual insights regarding comorbidity progression effectively for clinical decision support.

论文关键词:Clinical decision support,Visual analytics,Comorbidity progression,Temporal disease network,Clustering

论文评审过程:Received 24 August 2020, Revised 31 March 2021, Accepted 27 April 2021, Available online 6 May 2021, Version of Record 7 July 2021.

论文官网地址:https://doi.org/10.1016/j.dss.2021.113583