Hi,
I have been thinking quite some time on the position of RapidMiner studio and Server in clinical medicine. Besides data-mining pur-sang as in genetics or genomics, the market needs for RapidMiner in clinical medicine are to be found in the fact that despite the accelerating pace of scientific discovery, the current clinical research enterprise does not sufficiently address pressing clinical questions. Given the constraints on clinical trials, for the majority of clinical questions the only relevant data available to aid in decision making are observational.
Is this a big issue? yes it is!! Even as physician, I am not in the ability to define which part of my clinical decision is based on randomized clinical trials, which part is based on experience and which part is "Fingerspitzengefühl" (instinctive feeling, gut feeling). This is not a reflection of personal lack of expertise, even in the well-studied field of cardiology, only 19 percent of published guidelines are based on randomized controlled trials (Tricoci P, Allen JM, Kramer JM, Califf RM, Smith SC Jr. Scientific evidence underlying the ACC/AHA clinical practice guidelines. JAMA. 2009;301(8):831–41) in an industrial sector, where health expenditure, total (% of GDP) in western civilization in between >10-17%!
This frustrates me: Imagine
You are admitted to a critical care department,
you are critically ill,
your future depends on the best care available.
I have to treat your critical condition without the use of all available knowledge and technology known to mankind. Recent technology allows the use of point of care tools such as the “patients like mine” button enabling the quantification and prioritization of unanswered clinical questions for EHR-enabled randomization supporting patient care decisions in the absence of published evidence. (Longhurst CA, Harrington RA, Shah NH. A “Green Button” For Using Aggregate Patient Data At The Point Of Care. Health Aff [Internet]. 2014;33(7):1229–35. Available from:
http://content.healthaffairs.org/cgi/doi/10.1377/hlthaff.2014.0099) That is where RapidMiner can make a difference based on the fact that databases (Patient Data Management Systems) become standard in all hospitals. Looking forward to see new webapps and dashboards being developed in the future in this sector.
To finish, a nice link I found (
http://www.ohdsi.org/demos/)Cheers Sven