Concordance Rate between Clinicians and Watson for Oncology among Patients with Advanced Gastric Cancer: Early, Real-World Experience in Korea
Joint Authors
Choi, Youn I
Chung, Jun-won
Kim, Kyoung Oh
Kwon, Kwang An
Kim, Yoon Jae
Park, Dong Kyun
Ahn, Sung Min
Park, So Hyun
Sym, Sun jin
Shin, Dong Bok
Kim, Young Saing
Sung, Ki Hoon
Baek, Jeong-Heum
Lee, Uhn
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-03
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Backgrounds/Aims.
Watson for Oncology (WFO) is a cognitive technology that processes medical information by analyzing the latest evidence and guidelines.
However, studies of the concordance rate between WFO and clinicians for advanced gastric cancer (AGC) are lacking.
Methods.
We retrospectively reviewed 65 patients with AGC who consulted WFO and the Gachon Gil Medical Center multidisciplinary team (GMDT) in 2016 and 2017.
The recommendations of WFO were compared with the opinions of the GMDT.
WFO provided three treatment options: recommended (first treatment option), for consideration (second treatment option), and not recommended.
Results.
In total, 65 patients (mean age 61.0 years; 44 males and 21 females) were included in the study.
The concordance rate between WFO and the GMDT was 41.5% (27/65) at the recommended level and 87.7% (57/65) at the for consideration level.
The main causes of discordance between WFO and the GMDT were as follows.
First, WFO did not consider the medical history.
Second, WFO recommended the use of agents that are considered outdated in Korea.
Third, some patients wanted to be involved in a clinical trial.
Fourth, some patients refused to use the biologic agents recommended by WFO for financial reasons as they were not covered by medical insurance.
Conclusions.
The concordance rate at the recommended level was relatively low but was higher at the for consideration level.
Discordances arose mainly from the different medical circumstances at the Gachon Gil Medical Center (GMC) and the Memorial Sloan Kettering Cancer Center (MSKCC), the main WFO consulting center.
The utility of WFO as a tool for supporting clinical decision making could be further improved by incorporating regional guidelines.
American Psychological Association (APA)
Choi, Youn I& Chung, Jun-won& Kim, Kyoung Oh& Kwon, Kwang An& Kim, Yoon Jae& Park, Dong Kyun…[et al.]. 2019. Concordance Rate between Clinicians and Watson for Oncology among Patients with Advanced Gastric Cancer: Early, Real-World Experience in Korea. Canadian Journal of Gastroenterology and Hepatology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1129908
Modern Language Association (MLA)
Choi, Youn I…[et al.]. Concordance Rate between Clinicians and Watson for Oncology among Patients with Advanced Gastric Cancer: Early, Real-World Experience in Korea. Canadian Journal of Gastroenterology and Hepatology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1129908
American Medical Association (AMA)
Choi, Youn I& Chung, Jun-won& Kim, Kyoung Oh& Kwon, Kwang An& Kim, Yoon Jae& Park, Dong Kyun…[et al.]. Concordance Rate between Clinicians and Watson for Oncology among Patients with Advanced Gastric Cancer: Early, Real-World Experience in Korea. Canadian Journal of Gastroenterology and Hepatology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1129908
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129908