<?xml version="1.0" encoding="utf-8"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:hal="http://hal.archives-ouvertes.fr/" xmlns:gml="http://www.opengis.net/gml/3.3/" xmlns:gmlce="http://www.opengis.net/gml/3.3/ce" version="1.1" xsi:schemaLocation="http://www.tei-c.org/ns/1.0 http://api.archives-ouvertes.fr/documents/aofr-sword.xsd">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title>HAL TEI export of hal-00197572</title>
      </titleStmt>
      <publicationStmt>
        <distributor>CCSD</distributor>
        <availability status="restricted">
          <licence target="https://creativecommons.org/publicdomain/zero/1.0/">CC0 1.0 - Universal</licence>
        </availability>
        <date when="2026-05-24T05:23:18+02:00"/>
      </publicationStmt>
      <sourceDesc>
        <p part="N">HAL API Platform</p>
      </sourceDesc>
    </fileDesc>
  </teiHeader>
  <text>
    <body>
      <listBibl>
        <biblFull>
          <titleStmt>
            <title xml:lang="en">Determining indications for care common to competing guidelines by using classification tree analysis: application to the prevention of venous thromboembolism in medical inpatients.</title>
            <author role="aut">
              <persName>
                <forename type="first">Jean-Luc</forename>
                <surname>Bosson</surname>
              </persName>
              <email type="md5">012040f0cb3ec469b70d203dbdd88e68</email>
              <email type="domain">imag.fr</email>
              <idno type="idhal" notation="numeric">1349988</idno>
              <idno type="halauthorid" notation="string">145120-1349988</idno>
              <idno type="ORCID">https://orcid.org/0000-0003-0967-6026</idno>
              <idno type="IDREF">https://www.idref.fr/06012282X</idno>
              <idno type="ISNI">http://isni.org/isni/000000035906575X</idno>
              <idno type="RESEARCHERID">http://www.researcherid.com/rid/M-6378-2014</idno>
              <idno type="RESEARCHERID">http://www.researcherid.com/rid/AAP-5163-2020</idno>
              <idno type="VIAF">https://viaf.org/viaf/9171184718147771676</idno>
              <idno type="RESEARCHERID">http://www.researcherid.com/rid/http://www.researcherid.com/rid/M-6378-2014</idno>
              <idno type="RESEARCHERID">http://www.researcherid.com/rid/http://www.researcherid.com/rid/AAP-5163-2020</idno>
              <affiliation ref="#struct-391517"/>
            </author>
            <author role="crp">
              <persName>
                <forename type="first">Jose</forename>
                <surname>Labarere</surname>
              </persName>
              <email type="md5">1a8f7ccb5bd17297b82ff42238a5b967</email>
              <email type="domain">chu-grenoble.fr</email>
              <idno type="idhal" notation="numeric">945776</idno>
              <idno type="halauthorid" notation="string">803167-945776</idno>
              <affiliation ref="#struct-394087"/>
            </author>
            <editor role="depositor">
              <persName>
                <forename>Jose</forename>
                <surname>Labarere</surname>
              </persName>
              <email type="md5">1a8f7ccb5bd17297b82ff42238a5b967</email>
              <email type="domain">chu-grenoble.fr</email>
            </editor>
          </titleStmt>
          <editionStmt>
            <edition n="v1" type="current">
              <date type="whenSubmitted">2007-12-14 20:03:30</date>
              <date type="whenModified">2026-03-26 16:30:05</date>
              <date type="whenReleased">2007-12-14 20:03:30</date>
              <date type="whenProduced">2006-01-01</date>
              <ref type="externalLink" target="https://api.istex.fr/ark:/67375/M70-LCQ9870T-Z/fulltext.pdf?sid=hal"/>
            </edition>
            <respStmt>
              <resp>contributor</resp>
              <name key="123487">
                <persName>
                  <forename>Jose</forename>
                  <surname>Labarere</surname>
                </persName>
                <email type="md5">1a8f7ccb5bd17297b82ff42238a5b967</email>
                <email type="domain">chu-grenoble.fr</email>
              </name>
            </respStmt>
          </editionStmt>
          <publicationStmt>
            <distributor>CCSD</distributor>
            <idno type="halId">hal-00197572</idno>
            <idno type="halUri">https://hal.science/hal-00197572</idno>
            <idno type="halBibtex">bosson:hal-00197572</idno>
            <idno type="halRefHtml">&lt;i&gt;Medical Decision Making&lt;/i&gt;, 2006, 26 (1), pp.63-75. &lt;a target="_blank" href="https://dx.doi.org/10.1177/0272989X05284105"&gt;&amp;#x27E8;10.1177/0272989X05284105&amp;#x27E9;&lt;/a&gt;</idno>
            <idno type="halRef">Medical Decision Making, 2006, 26 (1), pp.63-75. &amp;#x27E8;10.1177/0272989X05284105&amp;#x27E9;</idno>
            <availability status="restricted"/>
          </publicationStmt>
          <seriesStmt>
            <idno type="stamp" n="UGA">HAL Grenoble Alpes</idno>
            <idno type="stamp" n="IMAG">IMAG</idno>
            <idno type="stamp" n="CNRS">CNRS - Centre national de la recherche scientifique</idno>
            <idno type="stamp" n="UNIV-GRENOBLE1">Université Joseph Fourier - Grenoble I</idno>
            <idno type="stamp" n="INPG">Institut polytechnique de Grenoble</idno>
            <idno type="stamp" n="SANTE_PUB_INSERM" corresp="INSERM">Santé Publique à l'Inserm</idno>
            <idno type="stamp" n="TIMC-IMAG">TIMC</idno>
            <idno type="stamp" n="UNIV-LYON">Université de Lyon</idno>
            <idno type="stamp" n="TEST-UGA">TEST-UGA</idno>
          </seriesStmt>
          <notesStmt>
            <note type="audience" n="2">International</note>
            <note type="popular" n="0">No</note>
            <note type="peer" n="1">Yes</note>
          </notesStmt>
          <sourceDesc>
            <biblStruct>
              <analytic>
                <title xml:lang="en">Determining indications for care common to competing guidelines by using classification tree analysis: application to the prevention of venous thromboembolism in medical inpatients.</title>
                <author role="aut">
                  <persName>
                    <forename type="first">Jean-Luc</forename>
                    <surname>Bosson</surname>
                  </persName>
                  <email type="md5">012040f0cb3ec469b70d203dbdd88e68</email>
                  <email type="domain">imag.fr</email>
                  <idno type="idhal" notation="numeric">1349988</idno>
                  <idno type="halauthorid" notation="string">145120-1349988</idno>
                  <idno type="ORCID">https://orcid.org/0000-0003-0967-6026</idno>
                  <idno type="IDREF">https://www.idref.fr/06012282X</idno>
                  <idno type="ISNI">http://isni.org/isni/000000035906575X</idno>
                  <idno type="RESEARCHERID">http://www.researcherid.com/rid/M-6378-2014</idno>
                  <idno type="RESEARCHERID">http://www.researcherid.com/rid/AAP-5163-2020</idno>
                  <idno type="VIAF">https://viaf.org/viaf/9171184718147771676</idno>
                  <idno type="RESEARCHERID">http://www.researcherid.com/rid/http://www.researcherid.com/rid/M-6378-2014</idno>
                  <idno type="RESEARCHERID">http://www.researcherid.com/rid/http://www.researcherid.com/rid/AAP-5163-2020</idno>
                  <affiliation ref="#struct-391517"/>
                </author>
                <author role="crp">
                  <persName>
                    <forename type="first">Jose</forename>
                    <surname>Labarere</surname>
                  </persName>
                  <email type="md5">1a8f7ccb5bd17297b82ff42238a5b967</email>
                  <email type="domain">chu-grenoble.fr</email>
                  <idno type="idhal" notation="numeric">945776</idno>
                  <idno type="halauthorid" notation="string">803167-945776</idno>
                  <affiliation ref="#struct-394087"/>
                </author>
              </analytic>
              <monogr>
                <idno type="halJournalId" status="VALID">16980</idno>
                <idno type="issn">0272-989X</idno>
                <title level="j">Medical Decision Making</title>
                <imprint>
                  <publisher>SAGE Publications</publisher>
                  <biblScope unit="volume">26</biblScope>
                  <biblScope unit="issue">1</biblScope>
                  <biblScope unit="pp">63-75</biblScope>
                  <date type="datePub">2006-01-01</date>
                </imprint>
              </monogr>
              <idno type="doi">10.1177/0272989X05284105</idno>
              <idno type="pubmed">16495202</idno>
            </biblStruct>
          </sourceDesc>
          <profileDesc>
            <langUsage>
              <language ident="en">English</language>
            </langUsage>
            <textClass>
              <classCode scheme="mesh">Algorithms</classCode>
              <classCode scheme="mesh">Cross-Sectional Studies</classCode>
              <classCode scheme="mesh">France</classCode>
              <classCode scheme="mesh">Guidelines as Topic</classCode>
              <classCode scheme="mesh">Humans</classCode>
              <classCode scheme="mesh">Inpatients</classCode>
              <classCode scheme="mesh">Practice Guidelines as Topic</classCode>
              <classCode scheme="mesh">Venous Thrombosis</classCode>
              <classCode scheme="halDomain" n="sdv.spee">Life Sciences [q-bio]/Santé publique et épidémiologie</classCode>
              <classCode scheme="halTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halOldTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halTreeTypology" n="ART">Journal articles</classCode>
            </textClass>
            <abstract xml:lang="en">
              <p>BACKGROUND: Substantial variations have been reported in the advice given by competing guidelines addressing the same clinical problem. OBJECTIVE: This study aimed to assess the usefulness of classification tree analysis in comparing competing guidelines. METHOD: The authors implemented a classification tree-growing algorithm on cross-sectional data from 818 patients to determine indications for prophylactic heparin treatment common to 4 competing guidelines disseminated between 1998 and 2000 and addressing the prophylaxis of venous thromboembolism in medical inpatients. RESULTS: The resulting classification tree involved 10 terminal nodes. Its mean accuracy estimated by performing 10-fold cross-validation was 82% (s=3). The guidelines consistently supported prophylactic heparin treatment for 5 indications: a previous episode of deep vein thrombosis or pulmonary embolism, recent paralysis of lower limb(s), congestive heart failure with one or more risk factors, recent myocardial infarction, and malignancy with one or more risk factors. These indications involved 257 patients (31.4%) and were supported by robust scientific evidence. Deep vein thrombosis was detected in 27 of these patients (10.5%). Two consistent negative indications involved 347 patients (42.4%). Deep vein thrombosis was detected in 9 of these patients (2.6%). Three indications involving 214 patients (26.2%) were discordant over the 4 guidelines. CONCLUSION: Classification tree analysis of real patient data is a useful strategy to identify indications common to competing guidelines. These indications should be considered for inclusion when updating guidelines. The findings of recently completed randomized trials have partly resolved the disagreement among the 4 guidelines. This approach may be helpful when developing new guidelines or for identifying topics warranting further complementary clinical trials.</p>
            </abstract>
          </profileDesc>
        </biblFull>
      </listBibl>
    </body>
    <back>
      <listOrg type="structures">
        <org type="researchteam" xml:id="struct-391517" status="INCOMING">
          <orgName>TIMB</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-707" type="direct"/>
            <relation active="#struct-51016" type="indirect"/>
            <relation active="#struct-89889" type="indirect"/>
            <relation active="#struct-301767" type="indirect"/>
            <relation name="UMR5525" active="#struct-441569" type="indirect"/>
            <relation active="#struct-2603" type="direct"/>
            <relation name="CIC3" active="#struct-303623" type="indirect"/>
          </listRelation>
        </org>
        <org type="researchteam" xml:id="struct-394087" status="INCOMING">
          <orgName>TIMB</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation active="#struct-707" type="direct"/>
            <relation active="#struct-51016" type="indirect"/>
            <relation active="#struct-89889" type="indirect"/>
            <relation active="#struct-301767" type="indirect"/>
            <relation name="UMR5525" active="#struct-441569" type="indirect"/>
            <relation active="#struct-257328" type="direct"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-707" status="OLD">
          <idno type="IdRef">14728936X</idno>
          <idno type="ISNI">0000 0004 4687 1979</idno>
          <idno type="RNSR">199511969L</idno>
          <idno type="ROR">https://ror.org/03985kf35</idno>
          <orgName>Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525</orgName>
          <orgName type="acronym">TIMC-IMAG</orgName>
          <date type="start">1993-01-01</date>
          <date type="end">2015-12-31</date>
          <desc>
            <address>
              <addrLine>Domaine de la Merci, 38706 La Tronche, France</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www-timc.imag.fr</ref>
          </desc>
          <listRelation>
            <relation active="#struct-51016" type="direct"/>
            <relation active="#struct-89889" type="direct"/>
            <relation active="#struct-301767" type="direct"/>
            <relation name="UMR5525" active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-51016" status="OLD">
          <idno type="IdRef">026404796</idno>
          <idno type="ROR">https://ror.org/02aj0kh94</idno>
          <orgName>Université Joseph Fourier - Grenoble 1</orgName>
          <orgName type="acronym">UJF</orgName>
          <date type="end">2015-12-31</date>
          <desc>
            <address>
              <addrLine>BP 53 - 38041 Grenoble Cedex 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.ujf-grenoble.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-89889" status="OLD">
          <idno type="IdRef">026388804</idno>
          <idno type="ROR">https://ror.org/05sbt2524</idno>
          <orgName>Institut polytechnique de Grenoble - Grenoble Institute of Technology</orgName>
          <orgName type="acronym">Grenoble INP</orgName>
          <date type="start">2007-01-01</date>
          <date type="end">2019-12-31</date>
          <desc>
            <address>
              <addrLine>46 avenue Félix Viallet 38031 Grenoble Cedex 1</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.grenoble-inp.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-301767" status="VALID">
          <idno type="ROR">https://ror.org/01c7wz417</idno>
          <orgName>VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement</orgName>
          <orgName type="acronym">VAS</orgName>
          <date type="start">2010-01-01</date>
          <desc>
            <address>
              <addrLine>Université de Lyon, VetAgro Sup, 69280 Marcy l'Etoile (campus vétérinaire); Université de Clermont, VetAgro Sup, 63370 Lempdes (campus agronomique)</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.vetagro-sup.fr/</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-441569" status="VALID">
          <idno type="IdRef">02636817X</idno>
          <idno type="ISNI">0000000122597504</idno>
          <idno type="ROR">https://ror.org/02feahw73</idno>
          <orgName>Centre National de la Recherche Scientifique</orgName>
          <orgName type="acronym">CNRS</orgName>
          <date type="start">1939-10-19</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.cnrs.fr/</ref>
          </desc>
        </org>
        <org type="laboratory" xml:id="struct-2603" status="INCOMING">
          <orgName>CIC - Grenoble</orgName>
          <desc>
            <address>
              <addrLine>Centre Hospitalier Universitaire LYON 38043 GRENOBLE CEDEX 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.lyon.inserm.fr/cic-grenoble/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-51016" type="direct"/>
            <relation name="CIC3" active="#struct-303623" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-303623" status="VALID">
          <idno type="IdRef">026388278</idno>
          <idno type="ROR">https://ror.org/02vjkv261</idno>
          <orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
          <orgName type="acronym">INSERM</orgName>
          <desc>
            <address>
              <addrLine>101, rue de Tolbiac, 75013 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.inserm.fr</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-257328" status="VALID">
          <idno type="IdRef">034137076</idno>
          <idno type="ROR">https://ror.org/041rhpw39</idno>
          <orgName>CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble</orgName>
          <orgName type="acronym">CHUGA</orgName>
          <desc>
            <address>
              <addrLine>CS 1021738043 Grenoble cedex 9</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.chu-grenoble.fr/</ref>
          </desc>
        </org>
      </listOrg>
    </back>
  </text>
</TEI>