The Patient Equation

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The Patient Equation Page 27

by Glen de Vries


  Hatfull, Dr. Graham, 99–101

  HealthKit app, 176, 209

  Heart disease, 220–222

  Helme, Kady, 73, 74

  HER2/neu gene, 94

  Herophilus, 6, 8, 14

  Herrling, Paul, 6–7, 119

  Heywood, Jamie, 26–28, 32

  High blood pressure AI model to predict hypertension, 86

  DeepHeart (algorithm) prediction of, 45

  Hypertension study (2018), 31

  Hippocrates, 3, 4

  HITLAB (Healthcare Innovation and Technology Lab), 183

  HIV, 111

  Hodgkin's lymphoma, 147

  Hodgkins, Michael, 223

  Hook‐Barnard, India, 88

  Hourani, Andrew, 177

  Hypertension, 45, 86

  Hypertension study (2018), 31

  Hypothermia, 5

  IBM's Watson failure, 44, 47, 133–134, 219

  Icahn School of Medicine (Mount Sinai), 8

  Idiopathic multicentric Castleman disease (iMCD), 106–109

  IEEE Spectrum, 83

  Ikeguchi, Dr. Edward, 137–138

  Illness benefits of catching early, 81–82, 86–87

  challenges of stopping spread through data, 87–89

  See also Diseases

  Immunotherapy treatments for Alzheimer's disease, 99

  customized, 98–99

  great potential of, 101–102

  Kymriah, 98, 210, 211

  Incyte, 87

  Inside Signal Processing newsletter, 82

  Institute for Next Generation Healthcare, 8

  Insulin artificial pancreas‐type system to replace, 72–74

  multi‐hormone closed loop system to supplement, 74

  International Programme on Chemical Safety (WHO), 17

  iPhones, 51, 195

  IVF, 64

  I‐SPY 2 breast cancer study, 157–162, 197

  Janssen (Johnson & Johnson), 177

  Jawbone fitness trackers, 195

  Jenkins, Julian, 87, 88

  Jobs, Steve, 51

  Johnson & Johnson, 177

  Journal of Chronic Diseases, 162

  Journal of Medical Internet Research, 84

  “Junk DNA,” 25

  Jurassic Park (film), 234

  Kachnowski, Dr. Stan, 183–185, 186–187

  Kaiser Permanente (Oregon and Washington State), 85

  Kennedy, Ted, 161

  Kepler, Johannes, 130

  Keytruda, 98–99, 145, 155

  Koenig, Pascal, 61–62, 64–66

  Kuelper, John, 207

  Kymriah, 98, 210, 211

  The Lancet, 45

  Lassman, Andrew, 161

  Latent autoimmune diabetes of adulthood (LADA), 76

  Lee, David, 107, 136

  Lee, Dr. Jerry, 94, 126–129, 130, 137

  Lind, James, 8–9, 10, 154

  Livongo, 223, 227, 228

  Los Angeles Times, 135

  Lumosity, 126

  Lyme disease, 225, 232

  Lymphoma, 111

  L‐DOPA, 223

  Machine learning systems, 85–86

  Margolis, Jeff, 226–227

  Mars Climate Orbiter (1998), 133, 134–136, 137, 140

  McCain, John, 32, 161

  Measurements discrete points vs. continuous, 39–40

  how doctors can use improved digital, 219–222

  low cost of better digital, 37–40

  Nest Learning Thermostat, 53–54, 60

  to predict fertility, 59–60

  to predict heart disease, 220–222

  See also Biomarkers; Steam tables

  MedCityNews, 186, 223, 226

  Medical devices Ava (ovulation‐tracking bracelet), 60–63, 64–67, 70, 71

  Bloomlife, 66

  Fitbit, 52, 66, 76, 153

  Medtronic Minimed 670G, 73

  See also Digital technologies; Smartphones; Wearables

  Medical reimbursement. See Value‐based reimbursement

  Medidata Solutions, Inc. ADAPTABLE trial involvement by, 150–151

  advantages of data sharing by, 198–199

  creating value from data, 136–141

  demystifying clinical trials data, 135–136

  the founding and focus of, 138–141

  PARADE study role of, 209

  purchased by Dassault Systèmes, 237

  synthetic control model developed by, 165–168, 198

  work with Castleman Disease Collaborative Network, 140

  Medtronic Minimed 670G, 73, 77

  Memorial Sloan Kettering Cancer Center (New York City), 130, 211

  Mendel, Gregor, 4

  Merad, Dr. Miriam, 98–99

  mHealthIntelligence, 223

  Migraine Alert app, 45, 46

  Mindstrong, 36

  Mind‐body connections, 34–36

  Misra, Dr. Veena, 70–72

  MIT Connection Science, 86, 87

  MobiHealthNews website, 66, 88, 177

  Mobile apps. See Apps

  Molecular data, 6fig, 123

  MoovCare app, 177

  Morphogens, 12

  Mount Sinai Health System, 7–8, 86

  MRIs, 135–136

  mTOR, 108

  Muscular dystrophy, 38

  Mycobacterium abscessus strains, 101

  National Cancer Institute (NCI), 126, 127

  National Institutes of Health (NIH), 145

  National Patient‐Centered Clinical Research Network, 150

  Nest Learning Thermostat, 53–54, 60

  New Atlas, 76

  New England Journal of Medicine, 31

  Newsweek magazine, 95

  New York Times on benefits of Ava bracelet, 61

  criticism of clinical trial procedures by, 144

  on doctors' use of data to predict disease, 232–233

  on lack of treatment for rare cancers, 98

  on proteins used to diagnose disease, 20

  on social indicators of depression, 36

  Nixon, Richard, 93, 94

  Nokia Health (now Withings), 51–52

  Noom app‐based diet and life coaching tool, 211

  North Carolina State University's ASSIST program, 70

  Northwestern University, 46

  Norton, Larry, 130

  Novartis, 6–7, 98, 119, 177, 178, 210

  Novella Clinical, 98

  Nuclear attack data story, 224

  Omada Health, 211

  OneDrop app, 75–77, 175, 180, 186

  OneZero, 99

  Open Artificial Pancreas System project (#OpenAPS), 74–75

  Otsuka Pharmaceutical, 194

  Outcomes‐based contracts (OBCs), 210–211

  Ovulation‐tracking Ava bracelet for, 60–63, 64–67, 70, 71

  differing methods used for, 59–60

  p53 mutation, 20, 96–97

  Pahwa, Dr. Rajesh, 223–224

  PARADE study (Patient Rheumatoid Arthritis Data from the RealWorld), 209

  Parkinson's disease, 223

  Parsa, Ali, 45

  Patient‐Centered Outcomes Research Institute (PCORI), 150

  Patient equations building a steam table to represent, 115–119

  a call to action and future use of, 235–238

  cognitive dimension of, 34–36

  Dr. Fajgenbaum's research on leveraging, 102, 106, 107–110, 140, 153, 170

  moving from univariate to multivariate approaches to, 31–33, 43

  progressing through Alzheimer's disease, 119–125

  See also Data

  Patients doctors partnering with, 222–224

  empowering through new technologies, 224–228, 232–233

  finding a marketing niche that benefits the, 66–67

  how apps can help compliance through engagement strategy, 179–182

  making clinical trials patient‐centric, 149–152

  medical devices and changing role of, 63–64

  quality of life over duration of life, 207–210, 2
15, 219

  survival rates of, 204

  PatientsLikeMe, 26–28

  Patient territory data, 22–24

  Pear Therapeutics, 177

  Personalized medicine for Alzheimer's disease, 99

  customized immunotherapy treatments as, 98–99

  Kymriah, 98, 210

  phage therapy used as, 93–94, 99–102, 106

  Petrov, Stanislav, 224

  Phage therapy, 93–94, 99–102, 106

  Pharma “digital from the beginning” applications by, 180–185

  drug development by, 105–106, 211

  making the case for value‐based reimbursement, 203–216

  Pharmaceutical Technology magazine, 107

  Pharma Times, 152

  PharmaVOICE, 98

  Phase diagrams on transition from matter to liquid or gas, 116fig

  for treatment choices, 118fig

  Phenotypic scale, 5–6fig

  Phenotype description and examples of, 4

  genotype vs., 3–4, 11fig–13

  multiscale view of health role of, 6fig

  Physical therapy (PT), 205–206

  Physicians. See Doctors

  Physiological data combining genetic information with, 13–14

  multiscale view of health including, 6fig

  PLOS Medicine, 48

  Pocock, Stuart J., 162, 165

  Poon, Dr. Eric, 83, 85

  “Powering Your Own Wellness” TEDx Talk (Misra), 72

  PP2A cell regulator protein, 97

  PPROM (preterm premature rupture of membranes), 61

  Precision Immunology Institute (Mount Sinai School of Medicine), 99

  Privacy, 234–235

  Progesterone, 94

  Project Baseline (Verily), 195–196

  Prostate cancer, 18–19, 21, 115–118fig, 120

  Proteins beta‐amyloid plaques, 119–120

  cancer treatment using proteomics, 94

  p53 tumor suppressor, 96–97

  PP2A cell regulator, 97

  Proteomics, 94

  Proteus Digital Health, 177, 178, 179

  PSA (prostate‐specific antigen), 18–19, 21, 115–118fig, 120–121, 155

  PSA mRNA, 19

  Quality of life (QOL), 207–210, 215, 219

  Radical prostatectomy, 115–116fig

  Razorfish, 75

  Regulators, 204–205

  Reimbursement. See Value‐based reimbursement

  reSET app, 177

  Rheumatoid arthritis (RA), 111, 209

  “The Rise of Consumer Health Wearables: Promises and Barriers” (PLOS Medicine), 48

  RNA, PSA, 19

  Rosenthal, Arnon, 99

  Rose, Sophia Miryam Schüssler‐Fiorenza, 232–233

  Schizophrenia, 86

  Science Friday (NPR), 86

  Science Translational Medicine, 74

  Scripps Translational Science Institute (San Diego), 36

  Scurvy, 8–9

  Sendak, Dr. Mark, 82, 83

  Sepsis description and mortality rate of, 82

  using data to catch it earlier, 82–85

  Sepsis Watch system (Duke University Hospital), 82–85, 89

  Shark Tank (TV show), 224

  Sharpe, T. J., 144–145, 146, 149

  Sherif, Tarek, 138, 152

  6‐minute walk test, 38–39

  Slate magazine, 48

  Sleep apnea, 45

  Smartphones Apple Watches, 30, 46, 76, 153, 195, 233

  iPhones, 51, 195

  as a medical device, 14, 15, 51

  See also Apps; Medical devices

  Smart toilets, 52

  Snyder, Michael, 232

  Social media Facebook, 195

  tracking the flu using, 87–88

  “The Stakes of Uncertainty: Developing and Integrating Machine Learning in Clinical Care” (Elish), 84

  Staley, Alicia, 147–148, 149

  Stanford's Center for Genomics and Personalized Medicine, 232

  Statistics Bayesian methodology, 156–162, 168–170

  frequentist methodology, 156, 157

  See also Data

  STAT (publication), 207

  Steam tables for cancer, 126–128

  example of a, 115–116fig

  how to improve graphs and, 118–119

  See also Measurements

  Steinhubl, Dr. Steve, 36

  Survival difference between quality of life and, 207–210, 215, 219

  Synthetic control Bayesian adaptive model used with, 168–170

  conducting clinical trials with, 162–165

  Medidata's model for, 165–168

  Tay‐Sachs disease, 11

  T‐cell acute lymphoblastic leukemia (T‐ALL), 97

  Thalassemia, 211

  Theranos, 44, 47

  Thermometer readings, 4–5

  TP53 gene, 127

  Trak (at‐home testing kit), 66

  Treatment/clinical care application of data to cancer, 22–23

  factors involved in cognitive impairment, 123–125

  Keytruda used in cancer, 98–99, 145

  phage therapy, 93–94, 99–102, 106

  steam tables and phase diagram for choosing, 115–118fig

  See also Cancer treatments; Diagnosis

  Triple‐negative tumors, 94

  Tuberculosis, 101

  Tullman, Glen, 223, 227–228

  23andMe, 36

  UnitedHealth, 26

  University of California, San Francisco, 88

  University of Kansas Medical Center, 223

  University of Pennsylvania, 106, 108

  University of Pittsburgh, 99

  University of Southern California, 94, 126

  University of South Florida, 126

  University of Texas M.D. Anderson Cancer Center, 156

  Value‐based reimbursement doctors incentivized to prevent diseases, 206–207

  incentives for delivery of therapeutic value, 211

  making value‐based care the future, 212–216

  van Leeuwenhock, Anton, 8, 14

  Vator News, 211

  Vector (Boston Children's Hospital blog), 97

  Verily, 44, 47, 195–196

  Washington Post, 224

  Waterlogged app, 175, 176

  Watson, James, 4, 10, 14

  Wearables Apple Watch, 30, 46, 76, 153, 195, 233

  asthma monitoring, 71

  Ava ovulation‐tracking bracelet, 60–63, 64–67, 70, 71, 219

  battery technology barrier to, 48, 51

  Consumer Electronics Show (CES) exhibitors on, 46

  criticism of, 175–176

  Fitbit, 52, 66, 76, 153

  potential and developments in, 46–48, 49, 52

  Verily's work on, 44, 47, 195–196

  See also Apps; Digital technologies; Medical devices

  Weather Channel, 87

  WebMD, 45

  Wellness transition, 129–130

  WellTok, 226

  Whelan, Jack, vii–x, 225

  Win probability added (WPA), 213

  Wired magazine, 100, 134

  Withings (was Nokia Health), 51–52

  World Health Organization, 17, 123

  Yadegar, Dr. Daniel, 216, 220–222

  YO (at‐home semen analysis), 66

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