Personalized Prognosis of Oncosurgical Patients Using Standard Tool Microsoft Access

Abstract

The most common treatment for oncological diseases is using of surgery. Despite successful methods of surgery, the problem of a personalized prediction of the outcome of hospitalization is an important and fundamental problem in the treatment of a noncosurgical patient with five or more concomitant diseases. This is due to the fact that at present the choice of an unified approach to the decision to conduct a planned surgical intervention in the case of oncological pathology with appropriate recommendations puts the physician before a difficult choice of treatment tactics for each case separately. There are many prognostic models, both implemented and not implemented in the form of various computer and mobile applications that allowedphysician to assess the severity of the patient’s condition and predict the outcome of treatment. Therefore, to support the physician of a medical decision, simple and accessible tools are needed, allowing divide patients according to individual selection of the treatment regimen. Nevertheless, the introduction of specific models for predicting therapeutic measures (for example, surgical intervention) in patients, in particular elderly patients, in clinical practice often remains at the level of basic research and is used only in a few clinics related to that studies.The purpose of our work is to implement a decision rule as the Microsoft Access software, which allowed ranking patients with oncological diseases by the probability of lethal outcome before surgical intervention.The software implementation methodology was implemented using elements of the standard Access database.The result of our research was the implementation of a decision rule in the form of Microsoft Access software Oncoprognosis 1.0, which allows physician to rank oncosurgical patients according to the likelihood of death in oncology.