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Functionality of decision support system for spine and pelvic complex pathology: needs of orthopedic surgeons

Using of Decision Support System (DSS) in medicine affects the improvement of health care quality by means of increasing accuracy and specificity of diagnostics, customization of medical care, decreasing sequelae and terms of patients’ rehabilitation. DSS are using for proving of treatment efficacy and safety and let reduce personnel labour efforts. In this regard developing of DSS requires studying the needs of orthopedic surgeons as key users of such systems. Aim of this study performed at the base of 2 university medical centers in Saratov and Nizhny Novgorod which fulfill about 10% of surgeries in Russia concerning spine-and-pelvic complex pathology) deals with discovering the needs of orthopedic surgeons about desired DSS functionality by means of using the specially designed questionnaire. Results of the study determine following DSS functionality: use of geometric planning and biomechanical modeling before the surgery; surgery fate prognosis at the base of clinical and X-ray success criteria; ability to design the individual implants; integration of DSS with PACS and often using medical informational systems.