8 ms·

> But where is the value to the patient? Does it help to have Patient A’s cholesterol information in the same database table when treating Patient B? No. This

> But where is the value to the patient? Does it help to have Patient A’s cholesterol information in the same database table when treating Patient B? No. This is incorrect. Phil might have experience from the DB side, but apparently not sufficent experience from the patient side. One example where it has major value for the patient: While contemplating a heart valve replacement at age 71, a recent patient had many conflating factors (diabetes etc). What is the previous history of people with the same conflating factors surviving? How about surviving but only with a ventilator? Only after considering the DB of about 100K entries did the patient decide on the valve replacement. (I'm happy to report she came through with flying colors.)

carbocation 14y ago
If you care to disclose, are you at Vanderbilt? I ask because this is one of the few places (known to me) to have such a large, query-able database and I am curious to learn about others.
- jpdoctor 14y ago
  The location was Yale-New Haven. To be clear: It wasn't me running queries, I was hearing about this second hand.
  - carbocation 14y ago
    Thanks! What's hilarious is that I was literally there today and they didn't mention this extraordinary capability during the entire 8 hours I was there. Talk about missed opportunities!
    - jpdoctor 14y ago
      This was one of the links from the discussion: http://riskcalc.sts.org/STSWebRiskCalc273/de.aspx http://riskcalc.sts.org/STSWebRiskCalc273/de.aspx The tl;dr = Society of Thoracic Surgeons reduced a dataset and built a website. For people dealing with some pretty heavy heart issues, it's a damn useful item.
      - carbocation 14y ago
        We definitely used that site clinically (STS risk score) when I was rotating through the CVSICU at JHH. I don't usually barf out whatever I'm thinking, but I figured some people on HN would also be interested to know that this is actively used.
ScottBurson 14y ago
Phil has a good point in the comments, though: why waste expensive doctors' and nurses' time reducing the data to structured form when this work could easily be outsourced?

carbocation 14y ago

If you care to disclose, are you at Vanderbilt? I ask because this is one of the few places (known to me) to have such a large, query-able database and I am curious to learn about others.

jpdoctor 14y ago
The location was Yale-New Haven. To be clear: It wasn't me running queries, I was hearing about this second hand.
- carbocation 14y ago
  Thanks! What's hilarious is that I was literally there today and they didn't mention this extraordinary capability during the entire 8 hours I was there. Talk about missed opportunities!
  - jpdoctor 14y ago
    This was one of the links from the discussion: http://riskcalc.sts.org/STSWebRiskCalc273/de.aspx http://riskcalc.sts.org/STSWebRiskCalc273/de.aspx The tl;dr = Society of Thoracic Surgeons reduced a dataset and built a website. For people dealing with some pretty heavy heart issues, it's a damn useful item.
    - carbocation 14y ago
      We definitely used that site clinically (STS risk score) when I was rotating through the CVSICU at JHH. I don't usually barf out whatever I'm thinking, but I figured some people on HN would also be interested to know that this is actively used.

ScottBurson 14y ago

Phil has a good point in the comments, though: why waste expensive doctors' and nurses' time reducing the data to structured form when this work could easily be outsourced?