Developing a clinical decision support system for paediatric shoulder instability

Paediatric shoulder instability is a complex condition which may benefit from clinical decision support systems. The study aims were to elicit the types of information used in clinical decision making, and get early stakeholder involvement to inform the design of a decision support system. Knowledge elicitation was achieved using an online questionnaire distributed to registered physiotherapists. A wide range of factors used in clinical decision-making process were identified. These may inform the development of a clinical decision support system in conjunction with clinicians self-reported knowledge regarding 3D motion analysis and its perceived. This early stakeholder involvement is important for ensuring that subsequently developed systems are clinically applicable.

Content

Author and article information

Contributors

Amina Yaqub

Michael McCluskey

Edward Chadwick

Fraser Philp

Conference

Publication date: July 2021

Publication date (Print): July 2021

Pages: 197-202

Affiliations

[0001]Keele University

School of Allied Health

Professions/University

Hospitals of Leicester

[0002]University of Liverpool

School of Health Sciences

[0003]University of Aberdeen

School of Engineering

[0004]University of Liverpool/School of Health Sciences

Article

DOI: 10.14236/ewic/HCI2021.20

SO-VID: 5cbbb7eb-cbc8-4f21-98d3-d003ea3f11ae

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This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Conference name: 34th British HCI Conference

Conference acronym: HCI2021

Conference number: 34

Conference location: London, UK

Conference date: 20th - 21st July 2021

Conference sponsor: Electronic Workshops in Computing (eWiC)

Conference theme: Post-pandemic HCI – Living Digitally

History

Product

1477-9358 BCS Learning & Development

Self URI (article page): https://www.scienceopen.com/hosted-document?doi=10.14236/ewic/HCI2021.20

Self URI (journal page): https://ewic.bcs.org/

REFERENCES

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M. C. BRUNNER, S. E. SHEEHAN, E. M. YANKE, D. F. SITTIG, N. SAFDAR, B. HILL, K. S. LEE, J. F. ORWIN, D. J. VANNESS & C. J. HILDEBRAND 2020. Joint Design with Providers of Clinical Decision Support for Value-Based Advanced Shoulder Imaging. Applied clinical informatics, 11, 142-152.
O. CASPI, P. MCKNIGHT, L. KRUSE, V. CUNNINGHAM, A. J. FIGUEREDO & L. SECHREST 2006. Evidence-based medicine: discrepancy between perceived competence and actual performance among graduating medical students. Medical Teacher, 28, 318-325.
M. F. CHAN & Y. L. ZANG 2007. Nurses’ perceived and actual level of diabetes mellitus knowledge: results of a cluster analysis. Journal of Clinical Nursing, 16, 234-242.
J. DEITCH, C. T. MEHLMAN, S. L. FOAD, A. OBBEHAT & M. MALLORY 2003. Traumatic anterior shoulder dislocation in adolescents. The American journal of sports medicine, 31, 758-763.
C. GERBER & R. W. NYFFELER 2002. Classification of glenohumeral joint instability. Clin Orthop Relat Res, 65-76.
HCPC. 2017. Total number of registered Physiotherapists and the number of supplementary and independent prescribers - November 2017 [Online]. Available: http://www.hcpcuk.co.uk/resources/freedom-of-information-requests/2017/total-number-of-registered-physiotherapists-and-the-number-of-supplementary-and-independent-prescribers---november-2017/ [Accessed 25th February 2020].
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S. LANE, P. O’RAGHALLAIGH & D. SAMMON 2016. Requirements gathering: the journey. Journal of Decision Systems, 25, 302-312.
E. LARACCA, C. STEWART, N. POSTANS & A. ROBERTS 2014. The effects of surgical lengthening of hamstring muscles in children with cerebral palsy–the consequences of pre-operative muscle length measurement. Gait & posture, 39, 847-851.
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S. C. THOMAS 1989. An approach to the repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability. The Journal of bone and joint surgery. American volume, 71, 506-513.
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Comments

Comment on this article

[1] M. BATEMAN, S. E. OSBORNE & B. E. SMITH 2019. Physiotherapy treatment for atraumatic recurrent shoulder instability: Updated results of the Derby Shoulder Instability Rehabilitation Programme. Journal of arthroscopy and joint surgery, 6, 35-41.

[2] M. C. BRUNNER, S. E. SHEEHAN, E. M. YANKE, D. F. SITTIG, N. SAFDAR, B. HILL, K. S. LEE, J. F. ORWIN, D. J. VANNESS & C. J. HILDEBRAND 2020. Joint Design with Providers of Clinical Decision Support for Value-Based Advanced Shoulder Imaging. Applied clinical informatics, 11, 142-152.

[3] O. CASPI, P. MCKNIGHT, L. KRUSE, V. CUNNINGHAM, A. J. FIGUEREDO & L. SECHREST 2006. Evidence-based medicine: discrepancy between perceived competence and actual performance among graduating medical students. Medical Teacher, 28, 318-325.

[4] M. F. CHAN & Y. L. ZANG 2007. Nurses’ perceived and actual level of diabetes mellitus knowledge: results of a cluster analysis. Journal of Clinical Nursing, 16, 234-242.

[5] J. DEITCH, C. T. MEHLMAN, S. L. FOAD, A. OBBEHAT & M. MALLORY 2003. Traumatic anterior shoulder dislocation in adolescents. The American journal of sports medicine, 31, 758-763.

[6] C. GERBER & R. W. NYFFELER 2002. Classification of glenohumeral joint instability. Clin Orthop Relat Res, 65-76.

[7] HCPC. 2017. Total number of registered Physiotherapists and the number of supplementary and independent prescribers - November 2017 [Online]. Available: http://www.hcpcuk.co.uk/resources/freedom-of-information-requests/2017/total-number-of-registered-physiotherapists-and-the-number-of-supplementary-and-independent-prescribers---november-2017/ [Accessed 25th February 2020].

[8] M. W. JASPERS, M. SMEULERS, H. VERMEULEN & L. W. PEUTE 2011. Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings. J Am Med Inform Assoc, 18, 327-34.

[9] J. E. KUHN, T. T. HELMER, W. R. DUNN & V. T. THROCKMORTON 2011. Development and reliability testing of the frequency, etiology, direction, and severity (FEDS) system for classifying glenohumeral instability. J Shoulder Elbow Surg, 20, 548-56.

[10] S. LANE, P. O’RAGHALLAIGH & D. SAMMON 2016. Requirements gathering: the journey. Journal of Decision Systems, 25, 302-312.

[11] E. LARACCA, C. STEWART, N. POSTANS & A. ROBERTS 2014. The effects of surgical lengthening of hamstring muscles in children with cerebral palsy–the consequences of pre-operative muscle length measurement. Gait & posture, 39, 847-851.

[12] T. LEROUX, D. OGILVIE-HARRIS, C. VEILLETTE, J. CHAHAL, T. DWYER, A. KHOSHBIN, P. HENRY, N. MAHOMED & D. WASSERSTEIN 2015. The epidemiology of primary anterior shoulder dislocations in patients aged 10 to 16 years. Am J Sports Med, 43, 2111-7.

[13] A. LEWIS, T. KITAMURA & J. BAYLEY 2004. (ii) The classification of shoulder instability: new light through old windows! Current Orthopaedics, 18, 97-108.

[14] U. G. LONGO, J. A. VAN DER LINDE, M. LOPPINI, V. COCO, R. W. POOLMAN & V. DENARO 2016. Surgical Versus Nonoperative Treatment in Patients Up to 18 Years Old With Traumatic Shoulder Instability: A Systematic Review and Quantitative Synthesis of the Literature. Arthroscopy, 32, 944-52.

[15] R. G. MARX, E. C. MCCARTY, T. D. MONTEMURNO, D. W. ALTCHEK, E. V. CRAIG & R. F. WARREN 2002. Development of arthrosis following dislocation of the shoulder: A case-control study. Journal of Shoulder and Elbow Surgery, 11, 1-5.

[16] P. MORODER, V. DANZINGER, N. MAZIAK, F. PLACHEL, S. PAULY, M. SCHEIBEL & M. MINKUS 2020. Characteristics of functional shoulder instability. Journal of Shoulder and Elbow Surgery, 29, 68-78.

[17] F. PHILP, A. FAUX-NIGHTINGALE, S. WOOLLEY, E. DE QUINCEY & A. PANDYAN 2021. Implications for the design of a Diagnostic Decision Support System (DDSS) to reduce time and cost to diagnosis in paediatric shoulder instability. BMC Medical Informatics and Decision Making, 21, 78.

[18] S. C. THOMAS 1989. An approach to the repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability. The Journal of bone and joint surgery. American volume, 71, 506-513.

[19] S. A. WARBY, J. J. FORD, A. J. HAHNE, L. WATSON, S. BALSTER, R. LENSSEN & T. PIZZARI 2018. Comparison of 2 Exercise Rehabilitation Programs for Multidirectional Instability of the Glenohumeral Joint: A Randomized Controlled Trial. The American journal of sports medicine, 46, 87-97.

[20] L. WATSON, S. WARBY, S. BALSTER, R. LENSSEN & T. PIZZARI 2016. The treatment of multidirectional instability of the shoulder with a rehabilitation program: part 1. Shoulder & elbow, 8, 271-278.

[21] L. WATSON, S. WARBY, S. BALSTER, R. LENSSEN & T. PIZZARI 2017. The treatment of multidirectional instability of the shoulder with a rehabilitation programme: Part 2. Shoulder & elbow, 9, 46-53.

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