Keine et al. 2019 [24] |
USA |
Evaluating a precision medicine platform to identify a multitude of polypharmacy problems in people with dementia and mild Alzheimer’s disease through the creation of personalized, multidomain treatment plans |
295 patients with a family history of Alzheimer’s disease or mild cognitive decline |
Clinical decision support software (CDSS) with machine-learning algorithms |
The system was able to identify a multitude of polypharmacy problems that individuals are currently facing. |
Kadra et al. 2015 [25] |
UK |
Extracting antipsychotic polypharmacy data from structured and free-text fields in electronic health records |
7201 patients with serious mental illness |
Combination of natural language processing and a bespoke algorithm. |
Individual instances of antipsychotic prescribing, 2 or more antipsychotics prescribed in any 6 week window; antipsychotic co-prescribing for 6 months |
Duke et al. 2010 [26] |
USA |
Creating a decision support system tailored to the evaluation of adverse reactions in patients on multiple medications |
16,340 unique drug and side-effect pairs, representing 250 common medications |
A numeric score was assigned to reflect the strength of association between drug and effect. Based on this score, the system generates graphical adverse reaction maps for any user-selected combination of drugs. |
This tool demonstrated a 60% reduction in time to complete a query (61 s vs. 155 s, p < 0.0001) with no decrease in accuracy |