Living guidelines published as versioned, computable rules
Cancer treatment guidelines would be updated continuously and published in a form computers can read, so hospital systems, apps and decision tools update themselves the day the evidence changes.
Guidelines are PDFs updated annually or less; software that encodes them lags further. The proposal is for major guideline bodies (NCCN, ESMO, ASCO, national bodies) to publish recommendations as structured, versioned data (HL7 Clinical Practice Guidelines on FHIR, with explicit population, intervention, evidence grade and citation), updated within weeks of practice-changing evidence, with a public change log. The Australian living stroke and COVID guidelines and MAGICapp show living, structured guidance is feasible.
- Knowledge reaches practice too slowly · Knowledge diffusion is slow: it takes years for a proven result to change what most patients receive, and no one can keep up with the literature.
Pages like this
not linked directly; found by shared links- IdeaA guideline fast track for repurposed drugs with phase 3 evidence but no manufacturer
Shares ESMO Clinical Practice Guidelines & MCBS, NCCN Guidelines, European Society for Medical Oncology (ESMO), American Society of Clinical Oncology (ASCO).
- IdeaGuidelines list the open trials at every decision point, updated monthly
Shares ESMO Clinical Practice Guidelines & MCBS, NCCN Guidelines, European Society for Medical Oncology (ESMO), Knowledge reaches practice too slowly.
- IdeaAn open knowledge graph linking trials, results, biomarkers, drugs and recommendations
Shares A public API serving the current standard of care for any cancer, stage and biomarker, Decision support that cites the exact trial and guideline line it relies on, Knowledge reaches practice too slowly.
- IdeaOpen licences for publicly funded cancer guidelines
Shares NCCN Guidelines, European Society for Medical Oncology (ESMO), Knowledge reaches practice too slowly.
- IdeaLabel every biomarker claim with an evidence phase, like drugs
Shares ESMO Clinical Practice Guidelines & MCBS, NCCN Guidelines, Knowledge reaches practice too slowly.
- CollectionASCO clinical practice guidelines
Shares ESMO Clinical Practice Guidelines & MCBS, NCCN Guidelines, American Society of Clinical Oncology (ASCO).
- IdeaLive guideline-concordance dashboards for every tumour board, generated from the record
Shares ESMO Clinical Practice Guidelines & MCBS, NCCN Guidelines, Knowledge reaches practice too slowly.
- IdeaOffline decision support for generalists treating common cancers in low-resource settings
Shares NCCN Guidelines, American Society of Clinical Oncology (ASCO), Knowledge reaches practice too slowly.