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We treated each weekly flare report as a binary outcome. It was left up to the patient to decide what was classified as a flare. Weeks with an unanswered (missing) flare question are not included in this analysis.
To fit a binary classification model, it was necessary to extract a “feature vector” or list of predictors from the sequence of daily symptom data that were mapped to each weekly flare report. The 7 days up to and including each flare report were treated as the exposure period.
JMIR Form Res 2024;8:e50679
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If the score is indicative of a disease flare, the BPA instructs the user to activate a corresponding Smart Set.
Snapshot of the inflammatory bowel disease (IBD) flare clinical decision support system, showing the initial Best Practice Advisory. Best Practice Advisories act as alerts that present targeted patient-specific guidance to users.
JMIR Med Inform 2024;12:e55314
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There has been little research exploring the causes of the development or worsening of IBD-related symptoms and what exactly it means when a patient reports a “flare.” Persons with IBD often attribute symptom exacerbation to changes in diet and stress, although there is currently little understanding of which dietary or psychological factors play a role.
JMIR Res Protoc 2018;7(11):e11317
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