论文标题
临床决策中的主观评分
Aligning Subjective Ratings in Clinical Decision Making
论文作者
论文摘要
除了客观指标（例如实验室值）外，临床数据通常还包含专家（例如疾病严重性评估）的主观评估。尽管客观指标更加透明和强大，但主观评估包含丰富的专家知识和直觉。在这项工作中，我们证明了成对排名方法的潜力，使主观评估与客观指标保持一致，从而创建了一个新的分数，以结合其优势并促进诊断。在一项有关有牛皮癣关节炎风险患者的案例研究中，我们说明结果得分（1）在检测疾病存在/不存在时提高了分类准确性，（2）稀疏，（3）提供了对严重程度的细微评估，以进行后续分析。
In addition to objective indicators (e.g. laboratory values), clinical data often contain subjective evaluations by experts (e.g. disease severity assessments). While objective indicators are more transparent and robust, the subjective evaluation contains a wealth of expert knowledge and intuition. In this work, we demonstrate the potential of pairwise ranking methods to align the subjective evaluation with objective indicators, creating a new score that combines their advantages and facilitates diagnosis. In a case study on patients at risk for developing Psoriatic Arthritis, we illustrate that the resulting score (1) increases classification accuracy when detecting disease presence/absence, (2) is sparse and (3) provides a nuanced assessment of severity for subsequent analysis.
