Validation in daily clinical situations of Diascope® , a software developed to help healthcare professionals individualize antidiabetic treatment in type 2 diabetes

• Published in: Endocrinologia, diabetes y nutricion Vol. 64; no. 3; pp. 128 - 137
• Main Authors: Ampudia-Blasco, Francisco Javier, García-Soidán, Francisco Javier, Rubio Sánchez, Manuela, Phan, Tra-Mi
• Format: Journal Article
• Language: English
• Published: Spain Elsevier España, S.L.U 01.03.2017
• Subjects: Algorithms; Algoritmo de tratamiento; Attitude of Health Personnel; Clinical Decision-Making; Databases, Factual; Decision Support Techniques; Diabetes Mellitus, Type 2 - drug therapy; Diabetes tipo 2; DiaScope; Disease Management; Drug Prescriptions; Endocrinology; Endocrinology and Metabolism; Female; Humans; Hypoglycemic Agents - therapeutic use; Internal Medicine; Male; Precision Medicine - methods; Primary Health Care; Software; Tratamiento; Treatment; Treatment algorithm; Type 2 diabetes; Type 2 diabetes; Treatment; Diabetes tipo 2; Tratamiento; DiaScope; Algoritmo de tratamiento; Treatment algorithm; DiaScope(®)
• ISSN: 2530-0180; 2530-0180; 2530-0172
• DOI: 10.1016/j.endien.2017.04.005

Abstract Introduction DiaScope® is a software to help in individualized prescription of antidiabetic treatment in type 2 diabetes. This study assessed its value and acceptability by different professionals. Material and methods DiaScope® was developed based on the ADA-EASD 2012 algorithm and on the recommendation of 12 international diabetes experts using the RAND/UCLA appropriateness method. The current study was performed at a single session. In the first phase, 5 clinical scenarios were evaluated, selecting the most appropriated therapeutic option among 4 possibilities (initial test). In a second phase, the same clinical cases were evaluated with DiaScope® (final test). Opinion surveys on DiaScope® were also performed (questionnaire). Results DiaScope® changed the selected option 1 or more times in 70.5% of cases. Among 275 evaluated questionnaires, 54.0% strongly agree that DiaScope® allowed finding easily a similar therapeutic scenario to the corresponding patient, and 52.5 among the obtained answers were clinically plausible. Up to 58.3% will recommend it to a colleague. In particular, primary care physicians with >20 years of professional dedication found with DiaScope® the most appropriate option for a particular situation against specialists or those with less professional dedication ( p < 0.05). Discussion DiaScope® is an easy to use tool for antidiabetic drug prescription that provides plausible solutions and is especially useful for primary care physicians with more years of professional practice.