Iris Publishers - Current Trends in Clinical & Medical Sciences (CTCMS)
If Medical Science could provide a Solution to One Healthcare Issue which would you choose?
Authored by Jack Ray Gallagher
Ischemic heart disease and stroke
have remained leading causes of death globally since the turn of this century,
accounting for 15.2 million deaths in 2016 [1]. Alzheimer’s disease and related
dementias became the fifth leading cause of death in 2016 but were not in the
top 10 in 2000, [1] and a study published this month in The Lancet notes that
while cardiovascular disease is still the No. 1 cause of death worldwide,
cancer has surpassed it in wealthier nations [2]. Would you pick a cure for one
of these deadly diseases as the most pressing healthcare issue to solve, or
would you give higher priority to development of a spectacular technological
advancement such as artificial neural networks with the broad potential to
resolve a number of fatal diseases? Before deciding on the healthcare issue
most in need of an immediate solution, consider these lines from English poet
Samuel Taylor’s “The Rime of the Ancient Mariner” [3]:
Water, water everywhere, / Nor any
drop to drink. To be relevant to today’s healthcare issues, this line could be
rephrased as: Data, data everywhere, / Nor any know to think.
Like the sailor stranded on a ship
surrounded by saltwater that he cannot drink, we are surrounded by inconsistent
or spotty realworld data that we cannot use to help find cures and solutions to
our most serious diseases and healthcare issues. Our collective task is to
determine how to “desalinate” our oceans of real-world data to generate the
useful and actionable real-world evidence needed to help resolve critical
healthcare issues. The relatively recent emergence of big data in healthcare is
an organized attempt to accomplish this onerous task.
Big data analytics potentially
offer great benefits to all spectrums of medical and clinical care including
improved efficiency and effectiveness of medical treatments, accelerated drug
discovery, and enhanced personalization of patient care [4]. Big data in
healthcare are derived from such sources as electronic health records (EHRs),
claims and other payor records, public records, research studies, government
agencies, web and social media, specialized commercial databases (e.g., medical
imaging, genomic sequencing), smart phones, and wearable devices. Big data are
distinguished from traditional data used in healthcare decision making by their
high levels of the “3 Vs”-velocity, volume, and variability-and are far too
large to manage with traditional software and/or hardware [5]. Artificial
intelligence, machine learning, and natural language processing are among tools
that have evolved to help accommodate big-data demands. Compared with other
industries, healthcare has been slow to adopt and leverage these and other new
analytical technologies, possibly due in part to the special data challenges in
healthcare including issues of privacy, security, and standardization [6].
I maintain that curing our
big-data woes is as important as curing even the most prevalent deadly disease
and could provide the tools to cure or ameliorate many diseases. I also believe
scientific journals have a responsibility to highlight the shortcomings of
existing big data and to share solutions. Current Trends in Clinical &
Medical Sciences is committed to this task.
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