Method for selecting a clinical treatment plan tailored to patient defined health goals

• US 20030229513A1
• Filed: 06/07/2002
• Published: 12/11/2003
• Est. Priority Date: 06/07/2002
• Status: Active Grant

• Current Assignee: Terumo Medical Corporation (Terumo Corporation)
• Original Assignee: Health Outcomes Sciences, LLC
• Inventors: Spertus, John
• Granted Patent: US 8,744,867 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 20/00 ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment

Abstract

The invention discloses a method by which the health care professional or patient may draw upon historical medical data concerning patients similarly situated in medical condition, to assist him/her in deciding on a clinical intervention procedure to select. This method is specifically tailored to the patient, as data is provided and evaluated from only similarly situated patients, and provides an expectation of potential outcome of the patient should one or the other of the options be selected. The invention further provides a database that may be used in order to provide this comparison based evaluation method. A computer based software system is further disclosed that implements the method. The invention more speiocifically provides a method by which a post-coronary event patient may make an informed decision of which post-coronary revascularization procedure to undergo in the future management of his disease. This method employs the patient'"'"'s health status date (symptoms, function and quality of life), and provides projections of the patient'"'"'s expected survival, risk, and 1-year health status outcome from the selection of revascularization procedure, such as Coronary Artery Bypass Grafting (CABG) or Percutaneous Coronary Intervention (PCI).

Claims

1. A method for selecting an appropriate clinical treatment plan for an individual patient based upon individual preferences and goals to achieve a desired health outcome, comprising steps of:

identifying a disease state and demographics of the individual patient;

assessing health status parameters from the individual patient to provide a first data assessment profile;

identifying the projected outcomes most meaningful to the individual patient based upon said individual preferences and goals;

assessing health status parameters from a population of patients having similar demographics to said individual patient, said population of patients having received different treatments, thereby providing a library of specific projected health outcomes for each different treatment;

presenting to the patient the outcomes observed from the previous population that were identified by the patient as most important and meaningful

selecting the clinical treatment that has a projected health outcome that is most similar to the individual patient'"'"'s desired projected health outcome after consideration of both potential benefits and risks.

2. The method of claim 1, comprising the further stop of monitoring the individual patient after receiving the selected treatment for at least one year thereafter to determine treatment outcome.

3. The method of claim 1 wherein the step of assessing said set of health status parameters comprises assessing individual patient data.

4. The method of claim 1, further comprising a step of monitoring the individual patient after receiving the clinical treatment for at least one year thereafter to determine a treatment outcome.

5. The method of claim 1, wherein the step of assessing said health status parameters comprises assessing individual patient data.

6. A method for selecting an appropriate clinical procedure for an individual patient having had a cardiovascular disease episode, comprising steps of:

identifying a disease state and demographics of the individual patient, said demographic comprising age, sex, economic burden, living situation, social support, employment status, type of employment, and education level of the individual patient;

assessing a set of health status parameters from the patient to provide a first data assessment profile, a first population of patients to provide a first reference data assessment profile, and a second population of patients to provide a second reference data assessment profile, said first and second populations of the patients having similar demographics as the individual patient and respectively having had first and second types of a revascularization procedure;

projecting the survival and quality of life probability of the individual patient from the first and second reference data assessment profiles to respectively provide first and second projected post-procedural outcomes of the first and second types of the revascularization procedure;

comparing the first projected post-procedural outcome to the second projected post-procedural outcome; and

selecting an appropriate revascularization procedure for the individual patient in response to the step of comparing.

7. The method of claim 6, wherein the step of projecting comprises a step of determining the probability from a group consisting essentially of a relative risk of mortality and one-year health status.

8. The method of claim 6, wherein the step of assessing the health status parameters comprises a step of determining symptoms, function, and quality of life of the individual patient.

9. The method of claim 6, wherein the step of determining the symptoms comprises a step of determining frequency of angina, relative physical limitations, satisfaction level with current medical treatment, and perceived daily living limitations of the individual patient.

10. The method of claim 6, wherein the step of assessing said health status parameters comprises a step of assessing individual patient data.

11. The method of claim 6, wherein the first and second types of the revascularization procedure respectively include a coronary artery bypass grafting (CABG) procedure and a Percutaneous Coronary Intervention procedure.

12. The method of claim 6, further comprising a step of collecting the first and second reference data assessment profiles within at least one-year after the revascularization procedure.

13. The method of claim 6 comprising assessing health status parameters from a third population of patients that have not undergone the revascularization procedure, and having received a non-invasive post-coronary event clinical treatment regimen.

14. The method of claim 13, the non-invasive post coronary event clinical treatment regimen selected from a group consisting essentially of anti-coronary disease medication, diet modification, herbal remedy, and other non-surgical intervention procedure.

15. A computer based method for selecting an appropriate post-cardiac clinical regimen for an individual patient having had a cardiovascular disease episode, comprising steps of:

storing group data in a database, the group data comprising group responses to a questionnaire having a plurality of questions regarding quality of life and demographic information from a plurality of patients having survived a coronary event post 1 year, wherein a first group of said plurality of the patients received a post-coronary event revascularization procedure and a second group of said plurality of patients had not received post-coronary event revascularization procedure, the demographic statistics being similar to those of the individual patient;

presenting questionnaire to the individual patient;

receiving patient responses to said questionnaire from the patient, said patient responses providing an individual patient quality of life assessment and demographic data profile;

selecting the individual patient quality of life assessment and demographic data profile from the group data of the first group of said plurality of the patients based on the group responses; and

performing a statistical analysis on the individual patient quality of life profile, wherein said statistical analysis indicates to the individual patient an appropriate post-cardiac clinical regimen.

16. The method of claim 15, wherein the revascularization procedure comprises a coronary artery bypass grafting (CABG) procedure and a Percutaneous Coronary Intervention (PCI) procedure.

17. The method of claim 15, wherein the questionnaire includes questions to assess symptoms selected from the group consisting essentially of frequency of angina, relative physical limitations, satisfaction level with current medical treatment, and perceived daily living limitations.

18. The method of claim 15, wherein the step of performing the statistical analysis comprises computing a statistical average.

19. The method of claim 18, wherein the step of performing the statistical analysis further comprises a step of computing a statistical deviation.

20. The method of claim 15, wherein the second group of said patients has received an anti-thrombotic medication.

21. A computer system adapted for use in a medical or clinical health care facility to identify an appropriate post-cardiac event regimen for an individual patient considering options for post-coronary event treatment, comprising:

a storage unit configured for storing group data in a database, the group data comprising responses to a questionnaire having a plurality of questions regarding quality of life and demographic information from a plurality of patients having survived a coronary event, wherein a first group of said plurality of patients have received a post-coronary event revascularization procedure and a second group of said patients had not received the post-coronary event revascularization procedure, said first and second group of patients having demographic information similar to the individual patient;

an interface configured for receiving responses to the plurality of questions from the individual patient; and

a processor communicatively connected to the database and to the interface for performing statistical analysis on the responses from the plurality of patients and from the individual patient, wherein a comparison of said statistical analysis from the responses from the plurality of patients and from the individual patient provides a basis upon which the individual patient may select a post-cardiac event treatment appropriate to preferences and goals of the individual patient.