{"id":"https://openalex.org/W4407406233","doi":"https://doi.org/10.1186/s12911-025-02881-4","title":"Analytical validation of Exandra: a clinical decision support system for promoting guideline-directed therapy of type-2 diabetes in primary care \u2013 a collaborative study with experts from Diabetes Canada","display_name":"Analytical validation of Exandra: a clinical decision support system for promoting guideline-directed therapy of type-2 diabetes in primary care \u2013 a collaborative study with experts from Diabetes Canada","publication_year":2025,"publication_date":"2025-02-12","ids":{"openalex":"https://openalex.org/W4407406233","doi":"https://doi.org/10.1186/s12911-025-02881-4","pmid":"https://pubmed.ncbi.nlm.nih.gov/39939992"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-025-02881-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-02881-4","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-02881-4","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-02881-4","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5020827758","display_name":"Klaudia Grechuta","orcid":"https://orcid.org/0000-0002-4954-1372"},"institutions":[{"id":"https://openalex.org/I1330995197","display_name":"Boehringer Ingelheim (Germany)","ror":"https://ror.org/00q32j219","country_code":"DE","type":"company","lineage":["https://openalex.org/I1330995197"]},{"id":"https://openalex.org/I4210123846","display_name":"Boehringer Ingelheim (Egypt)","ror":"https://ror.org/035hns865","country_code":"EG","type":"company","lineage":["https://openalex.org/I1330995197","https://openalex.org/I4210123846"]},{"id":"https://openalex.org/I4210147504","display_name":"Boehringer Ingelheim (China)","ror":"https://ror.org/05hczvf86","country_code":"CN","type":"company","lineage":["https://openalex.org/I1330995197","https://openalex.org/I4210147504"]}],"countries":["CN","DE","EG"],"is_corresponding":true,"raw_author_name":"Klaudia Grechuta","raw_affiliation_strings":["Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany. klaudia.grechuta@boehringer-ingelheim.com","Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany. klaudia.grechuta@boehringer-ingelheim.com","institution_ids":["https://openalex.org/I4210123846","https://openalex.org/I4210147504"]},{"raw_affiliation_string":"Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany","institution_ids":["https://openalex.org/I1330995197"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010782837","display_name":"Pedram Shokouh","orcid":"https://orcid.org/0000-0002-4514-0045"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pedram Shokouh","raw_affiliation_strings":["Adivus Medical Consultancy Mpv., Aarhus, Denmark"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Adivus Medical Consultancy Mpv., Aarhus, Denmark","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5116242149","display_name":"Valentina Bayer","orcid":null},"institutions":[{"id":"https://openalex.org/I4210160255","display_name":"Boehringer Ingelheim (United States)","ror":"https://ror.org/05kffp613","country_code":"US","type":"company","lineage":["https://openalex.org/I1330995197","https://openalex.org/I4210160255"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Valentina Bayer","raw_affiliation_strings":["Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA","institution_ids":["https://openalex.org/I4210160255"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110257980","display_name":"H C Kraemer","orcid":null},"institutions":[{"id":"https://openalex.org/I1330995197","display_name":"Boehringer Ingelheim (Germany)","ror":"https://ror.org/00q32j219","country_code":"DE","type":"company","lineage":["https://openalex.org/I1330995197"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Henrich Kraemer","raw_affiliation_strings":["Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany","institution_ids":["https://openalex.org/I1330995197"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091503436","display_name":"Jeremy Gilbert","orcid":"https://orcid.org/0000-0001-7456-9396"},"institutions":[{"id":"https://openalex.org/I1323843004","display_name":"Sunnybrook Health Science Centre","ror":"https://ror.org/03wefcv03","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1323843004"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]},{"id":"https://openalex.org/I2802362269","display_name":"Health Sciences Centre","ror":"https://ror.org/05pr37258","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I110535807","https://openalex.org/I2802362269"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Jeremy Gilbert","raw_affiliation_strings":["Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada","institution_ids":["https://openalex.org/I1323843004","https://openalex.org/I2802362269","https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069412392","display_name":"Susie Jin","orcid":"https://orcid.org/0000-0001-9284-9324"},"institutions":[{"id":"https://openalex.org/I4210091383","display_name":"Diabetes Canada","ror":"https://ror.org/00arvcr78","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I4210091383"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Susie Jin","raw_affiliation_strings":["Clinical Pharmacist, Certified Diabetes Educator, Cobourg, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Pharmacist, Certified Diabetes Educator, Cobourg, Ontario, Canada","institution_ids":["https://openalex.org/I4210091383"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5012729190","display_name":"Ahmad Alhussein","orcid":"https://orcid.org/0000-0003-1000-8308"},"institutions":[{"id":"https://openalex.org/I1330995197","display_name":"Boehringer Ingelheim (Germany)","ror":"https://ror.org/00q32j219","country_code":"DE","type":"company","lineage":["https://openalex.org/I1330995197"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Ahmad Alhussein","raw_affiliation_strings":["Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boehringer Ingelheim International GmbH, Binger Stra\u00dfe 173, Ingelheim am Rhein, 55216, Germany","institution_ids":["https://openalex.org/I1330995197"]}]}],"institutions":[],"countries_distinct_count":5,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5020827758"],"corresponding_institution_ids":["https://openalex.org/I1330995197","https://openalex.org/I4210123846","https://openalex.org/I4210147504"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.03491763,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":"1","first_page":"74","last_page":"74"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.39730000495910645,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.39730000495910645,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.24199999868869781,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.043800000101327896,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/guideline","display_name":"Guideline","score":0.7677592039108276},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.7435019016265869},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.5631820559501648},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.5388104319572449},{"id":"https://openalex.org/keywords/test","display_name":"Test (biology)","score":0.45593753457069397},{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"Type 2 diabetes","score":0.45585688948631287},{"id":"https://openalex.org/keywords/clinical-practice","display_name":"Clinical Practice","score":0.4200783967971802},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.3884198069572449},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.38624560832977295},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"Diabetes mellitus","score":0.37160128355026245},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.28260302543640137},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.1741185188293457},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.17368733882904053},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.10625174641609192},{"id":"https://openalex.org/keywords/pathology","display_name":"Pathology","score":0.10343095660209656}],"concepts":[{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.7677592039108276},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7435019016265869},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.5631820559501648},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.5388104319572449},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.45593753457069397},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.45585688948631287},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.4200783967971802},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3884198069572449},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.38624560832977295},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.37160128355026245},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.28260302543640137},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.1741185188293457},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.17368733882904053},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.10625174641609192},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.10343095660209656},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D017410","descriptor_name":"Practice Guidelines as Topic","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12911-025-02881-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-02881-4","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-02881-4","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:39939992","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39939992","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11816501","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11816501","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11816501/pdf/12911_2025_Article_2881.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:e793e9f9605341669bacb0642a2fc8b4","is_oa":true,"landing_page_url":"https://doaj.org/article/e793e9f9605341669bacb0642a2fc8b4","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 25, Iss 1, Pp 1-12 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12911-025-02881-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-025-02881-4","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-025-02881-4","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320314353","display_name":"Diabetes Canada","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4407406233.pdf","grobid_xml":"https://content.openalex.org/works/W4407406233.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W775060719","https://openalex.org/W1990793325","https://openalex.org/W2047045454","https://openalex.org/W2051293354","https://openalex.org/W2055708457","https://openalex.org/W2075357812","https://openalex.org/W2551481457","https://openalex.org/W2586887053","https://openalex.org/W2892355320","https://openalex.org/W2911557642","https://openalex.org/W2953621575","https://openalex.org/W2964466054","https://openalex.org/W3036099596","https://openalex.org/W3082116330","https://openalex.org/W3089099811","https://openalex.org/W3139087622","https://openalex.org/W3172718437","https://openalex.org/W3205143810","https://openalex.org/W4200379264","https://openalex.org/W4220930107","https://openalex.org/W4283722675","https://openalex.org/W4361219083","https://openalex.org/W4379741934","https://openalex.org/W4388610256","https://openalex.org/W4389560941","https://openalex.org/W4391839719","https://openalex.org/W4392200504","https://openalex.org/W4404758352"],"related_works":["https://openalex.org/W4245848028","https://openalex.org/W2743915337","https://openalex.org/W2046929026","https://openalex.org/W2779278343","https://openalex.org/W2094884221","https://openalex.org/W1996434451","https://openalex.org/W1569026615","https://openalex.org/W2791725133","https://openalex.org/W2098668137","https://openalex.org/W2338117633"],"abstract_inverted_index":{"BACKGROUND:":[0],"Individuals":[1],"with":[2,29,51,110,113,214],"type":[3],"2":[4],"diabetes":[5],"(T2D)":[6],"have":[7],"a":[8,114,209,240,267],"high":[9,241],"prevalence":[10],"of":[11,23,80,102,152,160,176,181,217,226,243,260,274],"cardiovascular":[12],"and":[13,93,130,138,157,222,245,254,276],"renal":[14],"comorbidities.":[15,257,278],"Despite":[16],"clinical":[17,37,56,91],"practice":[18,57],"guidelines":[19,58],"recommending":[20],"the":[21,103,142,149,155,161,198,206,215,218,228,234,272],"use":[22],"cardiorenal":[24],"protective":[25],"medications,":[26],"many":[27],"people":[28],"T2D":[30,52,253,275],"are":[31],"not":[32],"prescribed":[33],"these":[34],"medications.":[35],"A":[36,178],"decision":[38],"support":[39],"system":[40],"called":[41],"Exandra":[42,69,81,143,153,170,220,235,238,265],"was":[43,148,167,202],"developed":[44],"to":[45,66,134,141,195,205],"provide":[46],"treatment":[47],"recommendations":[48,94,112,250],"for":[49,251,270],"individuals":[50],"based":[53],"on":[54,233],"current":[55,63],"from":[59],"Diabetes":[60],"Canada.":[61],"The":[62,145,163,258],"study":[64,262],"aimed":[65],"medically":[67],"validate":[68],"via":[70],"review":[71],"by":[72,97,191],"external":[73],"medical":[74],"experts":[75],"in":[76,84,247],"T2D.":[77],"METHODS:":[78],"Validation":[79],"took":[82],"place":[83],"two":[85],"phases.":[86],"Test":[87],"cases":[88,182],"using":[89,208],"simulated":[90],"scenarios":[92],"were":[95,125,184,193],"generated":[96],"Exandra.":[98],"In":[99,121],"Phase":[100,122],"1":[101],"validation,":[104],"reviewers":[105,124,192,223],"evaluated":[106],"whether":[107],"they":[108],"agreed":[109],"Exandra's":[111],"\"yes,\"":[115],"\"no,\"":[116],"or":[117,188],"\"not":[118,131,189],"sure\"":[119,132,190],"response.":[120],"2,":[123],"interviewed":[126],"about":[127],"their":[128],"\"no\"":[129,187],"responses":[133],"determine":[135],"possible":[136],"reasons":[137],"potential":[139],"fixes":[140],"system.":[144],"primary":[146],"outcome":[147],"precision":[150,165,174,246],"rate":[151,166,175],"following":[154,197],"interviews":[156],"final":[158],"adjudication":[159],"cases.":[162],"target":[164],"90%.":[168],"RESULTS:":[169],"displayed":[171,232,239],"an":[172],"overall":[173],"95.5%.":[177],"large":[179],"proportion":[180],"that":[183,264],"initially":[185],"labeled":[186],"changed":[194],"\"yes\"":[196],"interview":[199],"phase.":[200],"This":[201],"largely":[203],"due":[204],"validation":[207],"simplified":[210],"user":[211],"interface":[212],"compared":[213],"complexity":[216],"actual":[219],"system,":[221],"needing":[224],"clarification":[225],"how":[227],"outputs":[229],"would":[230],"be":[231],"platform.":[236],"CONCLUSION:":[237],"level":[242],"accuracy":[244],"providing":[248],"guideline-directed":[249],"managing":[252],"its":[255,277],"common":[256],"results":[259],"this":[261],"indicate":[263],"is":[266],"promising":[268],"tool":[269],"improving":[271],"management":[273]},"counts_by_year":[],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}
