{"id":13546,"date":"2022-09-16T08:34:00","date_gmt":"2022-09-16T06:34:00","guid":{"rendered":"https:\/\/www.kapcode.fr\/?p=13546"},"modified":"2023-01-13T18:45:34","modified_gmt":"2023-01-13T17:45:34","slug":"qualite-de-vie","status":"publish","type":"post","link":"https:\/\/www.kapcode.fr\/en\/articles\/quality-of-life\/","title":{"rendered":"Design and validation of a health-related quality of life algorithm"},"content":{"rendered":"\t\t
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Sur les r\u00e9seaux sociaux, forums et blogs, nombreux sont les patients qui se rassemblent en communaut\u00e9 num\u00e9rique. Libre expression de l\u2019histoire de leur maladie, la perception de leurs traitements, des retours d\u2019exp\u00e9riences et soutien face aux fardeaux de leurs sympt\u00f4mes<\/strong>. D\u2019un point de vue sant\u00e9, ces t\u00e9moignages constituent des donn\u00e9es de vie r\u00e9elle. Ces informations facilitent la compr\u00e9hension de la vie quotidienne des patients<\/a>, partageant leur quotidien sur les r\u00e9seaux sociaux<\/strong>.<\/p>

Des indicateurs de qualit\u00e9 de vie, questionnaires, \u00e9chelles, servent \u00e0 \u00e9valuer comment un profil de sant\u00e9 peut impacter les populations de patients au quotidien. Afin de permettre une m\u00e9thodologie d\u2019analyse standardis\u00e9e des impacts de qualit\u00e9 de vie li\u00e9e \u00e0 la sant\u00e9, un algorithme d\u2019intelligence artificielle, bas\u00e9 sur les questionnaires g\u00e9n\u00e9riques valid\u00e9s SF-36 et EQ-5D, a \u00e9t\u00e9 d\u00e9velopp\u00e9 par la soci\u00e9t\u00e9 Kap Code<\/strong>. Cet algorithme de machine learning, utilisant des techniques de Traitement Automatis\u00e9 du Langage a \u00e9t\u00e9 entra\u00een\u00e9 \u00e0 reconna\u00eetre, dans les verbatims patients, les expressions t\u00e9moignant d\u2019un impact de qualit\u00e9 de vie<\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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La qualit\u00e9 de vie li\u00e9e \u00e0 la sant\u00e9<\/h2>

Selon l’OMS [1]<\/a>, la qualit\u00e9 de vie<\/strong> est d\u00e9finie comme<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\u00ab La perception qu\u2019a un individu de sa place dans l\u2019existence, dans le contexte de la culture et du syst\u00e8me de valeurs dans lesquels il vit, en relation avec ses objectifs, ses attentes, ses normes et ses inqui\u00e9tudes. Il s\u2019agit d\u2019un large champ conceptuel, englobant de mani\u00e8re complexe la sant\u00e9 physique de la personne, son \u00e9tat psychologique, son niveau d\u2019ind\u00e9pendance, ses relations sociales, ses croyances personnelles et sa relation avec les sp\u00e9cificit\u00e9s de son environnement. \u00bb\t\t\t<\/p>\n\t\t\t\t\t\t\t

\n\t\t\t\t\t\t\t\t\t\t\tOrganisation Mondiale de la Sant\u00e9 (OMS)<\/cite>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/blockquote>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Une personne malade peut voir sa qualit\u00e9 de vie<\/strong> impact\u00e9e par son \u00e9tat de sant\u00e9. Le plus souvent, des outils valid\u00e9s permettent d\u2019\u00e9valuer cette qualit\u00e9 de vie li\u00e9e \u00e0 la sant\u00e9. Parmi ces derniers, l\u2019EQ-5D<\/strong> et le SF-36<\/strong> sont recommand\u00e9s par la Haute Autorit\u00e9 de Sant\u00e9 (HAS)<\/a><\/strong> pour standardiser les tests de mesures de la qualit\u00e9 de vie.<\/p>

A l\u2019aide de ces outils, l\u2019impact sur la qualit\u00e9 de vie des patients au travers de leurs messages sur les r\u00e9seaux sociaux est quantifiable. Cela au niveau de cinq dimensions\u00a0: relationnel, physique, psychologique, financi\u00e8re et activit\u00e9s quotidiennes.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Le d\u00e9veloppement de l’algorithme\u00a0<\/h2>

Un corpus de 20\u00a0000 messages<\/strong> a \u00e9t\u00e9 extrait entre 2000 et 2019<\/strong>, \u00e0 partir de 19 sources<\/strong> de forums sant\u00e9 francophones en fonction de la pr\u00e9sence d\u2019un traitement ou d\u2019une maladie<\/strong> (al\u00e9atoire) dans le corps du texte. De mani\u00e8re al\u00e9atoire un corpus final de 1\u00a0400 messages de patients, a \u00e9t\u00e9 constitu\u00e9. <\/strong>\u00a0<\/p>

Ce corpus comportant 71% de mentions de maladie<\/strong> (cancers, diab\u00e8tes, endom\u00e9triose, \u2026) et de 29% de mentions de traitements<\/strong> (vaccins, Levothyrox, \u2026) a par la suite \u00e9t\u00e9 annot\u00e9 de fa\u00e7on manuelle par un professionnel de sant\u00e9 et un data scientist. L\u2019\u00e9tape d\u2019annotation a permis<\/strong> de classifier les messages dans les cinq dimensions d\u2019impacts\u00a0: physique, psychologique, activit\u00e9s financi\u00e8res, relationnel et financi\u00e8re.<\/p>

En adaptant les variables \u00e0 chaque dimensions, l\u2019algorithme a pu gagner en performance et en sp\u00e9cificit\u00e9.<\/p>

Avec une courbe ROC<\/strong><\/a> pr\u00e9sentant un score de 0,785<\/strong>, l\u2019algorithme de qualit\u00e9 de vie d\u00e9velopp\u00e9 par Kap Code apparait performant [2]<\/a>. Une performance permise par la qualit\u00e9 de l\u2019extraction de l\u2019outil Detec\u2019t<\/strong>, mais aussi gr\u00e2ce aux diff\u00e9rents niveaux de validation du mod\u00e8le. Une validation en partie humaine\u00a0: en effet, l\u2019Homme est encore plus \u00e0 m\u00eame \u00e0 comprendre les subtilit\u00e9s du langage de surcroit sur les r\u00e9seaux sociaux.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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A l\u2019\u00e8re du Big Data, o\u00f9 l\u2019usage des r\u00e9seaux sociaux continue de cro\u00eetre et o\u00f9 les communaut\u00e9s de patients se retrouvent et s\u2019expriment librement, un tel outil capable d\u2019analyser le profil d\u2019impact de qualit\u00e9 de vie d\u2019une population sp\u00e9cifique de patients, serait un vecteur de compr\u00e9hension forte du quotidien des patients, du v\u00e9cu de leurs fardeaux associ\u00e9s, afin de continuer \u00e0 \u0153uvrer dans le but d\u2019optimiser leur prise en charge.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t<\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\tVoir la publication scientifique<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tVoir toutes nos publication scientifiques<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Sources<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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[1] <\/a>Quality of Life Assessment. The WHOQOL Group, 1994. What Quality of Life? The WHOQOL Group. In: World Health Forum. WHO, Geneva, 1996<\/p>

[2]<\/a> https:\/\/www.idbc.fr\/tutoriel-comment-lire-une-courbe-roc-et-interpreter-son-auc\/<\/p>

<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

An algorithm capable of analyzing patients' comments on social networks, particularly concerning the impact on their quality of life, would be a way of understanding patients' daily lives.<\/p>","protected":false},"author":12,"featured_media":13570,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[12],"tags":[95,51,21,18],"class_list":["post-13546","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-detect","tag-analyse","tag-experience-patient","tag-reseaux-sociaux","tag-rwd"],"_links":{"self":[{"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/posts\/13546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/comments?post=13546"}],"version-history":[{"count":3,"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/posts\/13546\/revisions"}],"predecessor-version":[{"id":14662,"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/posts\/13546\/revisions\/14662"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/media\/13570"}],"wp:attachment":[{"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/media?parent=13546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/categories?post=13546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.kapcode.fr\/en\/wp-json\/wp\/v2\/tags?post=13546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}