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A simulation-based approach for the behavioural analysis of cancer pathways

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Datamod2020_CWT_Paper9.pdf (516.1Kb)
Date
2021
Author
Silvina, Agastya
Redeker, Guilherme Alfredo
Webber, Thais
Kuster Filipe Bowles, Juliana
Keywords
Cancer pathway
Cancer waiting time
Discrete event simulation
Process modelling
QA75 Electronic computers. Computer science
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
3rd-DAS
SDG 3 - Good Health and Well-being
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Abstract
Cancer pathway is the name given to a patient’s journey from initial suspicion of cancer through to a confirmed diagnosis and, if applicable, the definition of a treatment plan. Typically, a cancer patient will undergo a series of procedures, which we designate as events, during their cancer care. The initial stage of the pathway, from suspected diagnosis to confirmed diagnosis and start of a treatment is called cancer waiting time(CWT). This paper focuses on the modelling and analysis of the CWT. Health boards are under pressure to ensure that the duration of CWT satisfies predefined targets. In this paper, we first create the visual representation of the pathway obtained from real patient data at a given health board, and then compare it with the standardised pathway considered by the board to find and flag a deviation in the execution of the cancer pathway. Next, we devise a discrete event simulation model for the cancer waiting time pathway. The input data is obtained from historical records of patients. The outcomes from this analysis highlight the pathway bottlenecks and transition times which maybe used to reveal potential improvements for CWT in the future.
Citation
Silvina , A , Redeker , G A , Webber , T & Kuster Filipe Bowles , J 2021 , A simulation-based approach for the behavioural analysis of cancer pathways . in J Bowles , G Broccia & M Nanni (eds) , From Data to Models and Back : 9th International Symposium, DataMod 2020, Virtual Event, October 20, 2020, Revised Selected Papers . Lecture Notes in Computer Science , vol. 12611 , Springer , Cham , pp. 57-71 . https://doi.org/10.1007/978-3-030-70650-0_4
Publication
From Data to Models and Back
DOI
https://doi.org/10.1007/978-3-030-70650-0_4
ISSN
0302-9743
Type
Conference item
Rights
Copyright © 2021 Springer Nature Switzerland AG. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1007/978-3-030-70650-0_4.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/21685

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