Computerized interactive method and system for determining a risk of developing a disease and the consequences of developing the disease

• US 6,322,504 B1
• Filed: 03/27/2000
• Issued: 11/27/2001
• Est. Priority Date: 03/27/2000
• Status: Expired due to Fees

• Current Assignee: R-T Limited
• Original Assignee: R-T Limited
• Inventors: Kirshner, Ronald
• Primary Examiner(s): Lacyk, John P.
• Assistant Examiner(s): Astorino, Michael
• Application Number:
  US09/535,689
• Time in Patent Office: 610 Days
• Field of Search: 600/300-301, 128/903-904, 128/920-925, 703/2-3, 707/104
• US Class Current: 600/300
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 50/30 for calculating health indices; for individual health risk assessment
• CPC Class Codes: G16H 70/60 relating to pathologies
• CPC Class Codes: Y10S 128/904 Telephone telemetry
• CPC Class Codes: Y10S 128/92 Computer assisted medical diagnostics

Abstract

An interactive computerized method and system for determining the risk of developing a disease, consequences of the disease, providing ways of modifying the risk, and tracking the progress of an individual as his or her risk factors change or remain the same. The method includes:

transmitting questions to the individual pertaining to risk factors for the disease via a processor;

receiving responses to the questions from the individual via the processor;

transmitting contemporaneous feedback to the responses via the processor;

determining the risk of the individual developing the disease or the associated consequences of having the disease using at least one of the responses and practice guidelines for the disease;

transmitting a summary of positive risk factors and risk modification information to the individual via the processor; and

tracking changes in the responses and the positive risk factors of the individual over time.

The system includes a processor executing a program that performs the method.

Claims

1. An interactive computerized method for determining the risk of an individual developing a disease and the consequences of developing the disease, comprising the steps of:

transmitting questions to a user pertaining to risk factors for the disease via a processor;

receiving responses to the questions from the user via the processor;

transmitting substantially contemporaneous feedback to the responses via the processor;

if the individual does not have the disease, determining the risk of the individual developing the disease using at least one of the responses and practice guidelines for the disease;

if the individual does have the disease, determining associated consequences of the disease using at least one of the responses and the practice guidelines for the disease;

transmitting a summary of positive risk factors and risk modification information to the user via the processor;

tracking changes in the responses and the positive risk factors for the individual over time.

2. The method according to claim 1, wherein:

the disease includes coronary artery disease.

3. The method according to claim 1, wherein:

the questions include questions about at least one of physical characteristics, lifestyle, and medical history.

4. The method according to claim 3, wherein:

at least one of;

the physical characteristics include age, gender, race, height and weight;

the lifestyle questions include questions about at least one of smoking habits, drinking habits, vitamin intake, and stress; and

the medical history Questions include questions about at least one of blood pressure, diabetes, menopause, ovary removal, hormone replacement, CAD, heart attack, coronary artery bypass surgery, angioplasty, peripheral vascular disease, left ventricular hypertophy, family history, lipid profile, stress tests, and angiograms.

5. The method according to claim 1, further comprising the step of:

determining the risk factors for the disease using the practice guidelines.

6. The method according to claim 1, wherein:

the processor operates in one of a LAN environment, WAN environment, the WWW and the Internet.

7. The method according to claim 1, wherein:

the step of receiving the responses includes storing the responses in memory.

8. The method according to claim 7, wherein:

the memory includes at least one database.

9. The method according to claim 1, wherein:

the contemporaneous feedback includes at least one of general information about at least one risk factor, and whether the risk factor is positive for the individual.

10. The method according to claim 1, wherein:

the practice guidelines include practice guidelines published by at least one of the American College of Cardiology and American Heart Association, U.S. Department of Health and Human Services Agency for Healthcare Policy and Research, and the National Heart Lung and Blood Institute.

11. The method according to claim 1, wherein:

the associated consequences include at least one of invasive intervention and noninvasive intervention.

12. The method according to claim 11, wherein:

at least one of;

the invasive intervention includes at least one of surgery and angioplasty; and

the noninvasive intervention includes at least one of pharmacological therapy and education.

13. The method according to claim 1, wherein:

the positive risk factors include being a male, being one of a postmenopausal female and a postmenopausal female with ovaries removed, being a male over 40 years of age, being a female over 45 years of age, having a BMI that indicates the user is overweight or obese, being a smoker, having diabetes mellitus, having elevated lipid levels, having known CAD, having known peripheral vascular disease, not exercising, having hypertension, having feelings of stress and anxiety, having left ventricular hypertophy, not taking anti-oxidant vitamins, having high homocysteine levels, not getting the RDA of folate, vitamin B6 or vitamin B12, having a high lipoprotein level, having a low alcohol intake, having a positive family history of coronary disease, and not taking one aspirin per day.

14. The method according to claim 1, wherein:

the risk factor modification information includes information about how to change the positive risk factors to negative risk factors.

15. The method according to claim 1, wherein:

the step of tracking includes advising the user when there has been one of a change and no change in a risk factor.