2020
DOI: 10.1007/s00268-020-05401-9
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Concordance Study in Hepatectomy Recommendations Between Watson for Oncology and Clinical Practice for Patients with Hepatocellular Carcinoma in China

Abstract: Background With the improvement in diagnostic imaging, perioperative care and surgical technique, the indications and complexity of liver resections have developed. However, the surgical indications remain controversial especially for some complex or advanced hepatocellular carcinomas. This study was designed to evaluate the concordance between hepatectomy recommendations proposed by Watson for Oncology, a cognitive technology providing decision support, and those determined by surgeons in our center for patie… Show more

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Cited by 9 publications
(6 citation statements)
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“…Besides the technical level, the renewal of nursing concept is also the key point to improve the quality of nursing. In the process of child care, "people-oriented" is the core concept of nursing; more patience and care are needed [17], only by fully understanding the cultural background of children and their parents, respecting the values of children, and meeting the personalized needs of different children can we better build a harmonious nurse patient relationship. Watson theory believes that nursing work is a discipline of nurses' sincerity, care, and love [18].…”
Section: Discussionmentioning
confidence: 99%
“…Besides the technical level, the renewal of nursing concept is also the key point to improve the quality of nursing. In the process of child care, "people-oriented" is the core concept of nursing; more patience and care are needed [17], only by fully understanding the cultural background of children and their parents, respecting the values of children, and meeting the personalized needs of different children can we better build a harmonious nurse patient relationship. Watson theory believes that nursing work is a discipline of nurses' sincerity, care, and love [18].…”
Section: Discussionmentioning
confidence: 99%
“…Gastric cancer was reviewed in three studies ( 21 , 24 , 29 ), while cervical ( 21 , 32 ) and prostate cancers ( 33 , 44 ) were each the focus of two studies. Thyroid cancer was examined in two studies ( 26 , 40 ), and there was one study each for ovarian cancer ( 21 ), basal cell carcinoma ( 42 ), and hepatocellular carcinoma (HCC) ( 28 ).…”
Section: Resultsmentioning
confidence: 99%
“…The overall concordance rate was found to be 72%. In subgroup analyses, concordance varied from 66% for major hepatectomy to 88% for BCLC stage 0-A, indicating a higher level of agreement in less complex cases ( 28 ) ( Table 2 ).…”
Section: Resultsmentioning
confidence: 99%
“…WFO's treatment recommendations are divided into three groups and have corresponding labels: green represents “recommended treatment”, which has a strong evidence base, orange represents “consideration treatment”, and according to their clinical judgment, doctors can consider it as a suitable substitute, while red represents non-recommended treatment, which means due to specific contraindications or strong evidence against their use. If WFO is not aware of it at the time of the analysis, the treatment recommended by the oncology committee is classified as “unavailable” 26 .…”
Section: Composition and Treatment Judgment Of The Cdssmentioning
confidence: 99%