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Palliative Care

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Large Language Models to Identify Advance Care Planning in Patients With Advanced Cancer.

Journal of pain and symptom management
CONTEXT: Efficiently tracking Advance Care Planning (ACP) documentation in electronic heath records (EHRs) is essential for quality improvement and research efforts. The use of large language models (LLMs) offers a novel approach to this task.

Using voice recognition and machine learning techniques for detecting patient-reported outcomes from conversational voice in palliative care patients.

Japan journal of nursing science : JJNS
AIM: Patient-reported outcome measures (PROMs) are increasingly used in palliative care to evaluate patients' symptoms and conditions. Healthcare providers often collect PROMs through conversations. However, the manual entry of these data into electr...

Leveraging Artificial Intelligence/Machine Learning Models to Identify Potential Palliative Care Beneficiaries: A Systematic Review.

Journal of gerontological nursing
PURPOSE: The current review examined the application of artificial intelligence (AI) and machine learning (ML) techniques in palliative care, specifically focusing on models used to identify potential beneficiaries of palliative services among indivi...

A prospectively deployed deep learning-enabled automated quality assurance tool for oncological palliative spine radiation therapy.

The Lancet. Digital health
BACKGROUND: Palliative spine radiation therapy is prone to treatment at the wrong anatomic level. We developed a fully automated deep learning-based spine-targeting quality assurance system (DL-SpiQA) for detecting treatment at the wrong anatomic lev...

Towards clinical prediction with transparency: An explainable AI approach to survival modelling in residential aged care.

Computer methods and programs in biomedicine
BACKGROUND AND OBJECTIVE: Scalable, flexible and highly interpretable tools for predicting mortality in residential aged care facilities for the purpose of informing and optimizing palliative care decisions, do not exist. This study is the first and ...

Multidisciplinary clinician perceptions on utility of a machine learning tool (ALERT) to predict 6-month mortality and improve end-of-life outcomes for advanced cancer patients.

Cancer medicine
BACKGROUND: There are significant disparities in outcomes at the end-of-life (EOL) for minoritized patients with advanced cancer, with most dying without a documented serious illness conversation (SIC). This study aims to assess clinician perceptions...

The predictive role of identifying frailty in assessing the need for palliative care in the elderly: the application of machine learning algorithm.

Journal of health, population, and nutrition
BACKGROUND: Palliative care is a key component of integrated care to improve care quality and reduce hospitalization costs for patients with chronic obstructive pulmonary disease (COPD). This study aims to use machine learning algorithms to create an...

Systematic literature review on the application of explainable artificial intelligence in palliative care studies.

International journal of medical informatics
BACKGROUND: As machine learning models become increasingly prevalent in palliative care, explainability has become a critical factor in their successful deployment in this sensitive field, where decisions can profoundly impact patient health and qual...

Leveraging Artificial Intelligence to Uncover Symptom Burden in Palliative Care: Analysis of Nonscheduled Visits Using a Phi-3 Small Language Model.

JCO global oncology
PURPOSE: This study aimed to differentiate nonscheduled visits (NSVs) in an outpatient palliative care setting that are driven by or accompanied by uncontrolled symptoms from those that are administrative or routine, such as prescription refills and ...

Lexical associations can characterize clinical documentation trends related to palliative care and metastatic cancer.

Scientific reports
Palliative care is known to improve quality of life in advanced cancer. Natural language processing offers insights to how documentation around palliative care in relation to metastatic cancer has changed. We analyzed inpatient clinical notes using u...