Information Systems and Health Care-VI: Medical Nomograms with Decision Support Systems: A Case Study and an Enhanced Architecture

Abstract

Nomograms are used extensively in medical practice as decision aids to adjust treatment protocols based on knowledge gained from previous outcomes. In this paper, we describe a case study of a surgical nomogram system that was developed for estimating laser settings in refractive eye surgery. This system was developed in Microsoft Access with add-ins from Total Access Statistics. It is being used in one of the authors' surgical practice. Based on experiences with the system, we present an enhanced architecture for a nomogram server that can be used in other areas of medicine.