Abstract
With the intensification of chronical disease within older people, concurrent use of different drugs (polypharmacy) is becoming increasingly frequent. However, there is no established manner to determine whether polypharmacy is appropriate or not. We propose an original method of classifying polypharmacy using a Delphi survey results and multi-criteria decision-aid methods. To do this, we provided clinicians with a list of drugs that could be potentially prescribed to the typical elderly person suffering from three diseases (diabetes, chronic obstructive pulmonary disease, and heart failure). Clinicians expressed their opinions on a 5-point Likert scale, allowing for hesitation between two or more answers. They evaluated risks, benefits, and impacts of each drug on the patient’s quality of life. We then aggregated these evaluations in order to obtain, for each drug, a multi-criteria evaluation vector representing the collective opinion of the clinicians consulted. Subsequently, ELECTRE Tri-C and ELECTRE Tri multi-criteria sorting methods were used to evaluate and assign the polypharmacy to one of the following three categories: appropriate, more or less appropriate, or not appropriate. The proposed approach is innovative and enables the integration of a variety of conflicting criteria in the evaluation of polypharmacy quality. It also allows clinicians to express their opinion, and their hesitation where relevant, linguistically.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hovstadius, B., Petersson, G.: Factors leading to excessive polypharmacy. Clin. Geriatr. Med. 28, 159–172 (2012)
Sirois, C., Émond, V.: La polypharmacie: enjeux méthodologiques à considérer. J. Population Ther. Clin. Pharmacol. 22, 285–291 (2015)
Patterson, S.M., Hughes, C., Kerse, N., Cardwell, C.R., Bradley, M.C.: Interventions to improve the appropriate use of polypharmacy for older people. Cochrane Database Syst. Rev. 5, CD008165 (2012). https://doi.org/10.1002/14651858.cd008165.pub2
Perny, P.: Multicriteria filtering methods based on concordance and non-discordance principles. Ann. Oper. Res. 80, 137–165 (1998)
Henriet, L.: Systèmes d’évaluation et de classification multicritères pour l’aide à la décision, construction de modèles et procédures d’affectation. Université Paris-Dauphine, Thèse de doctorat (2000)
Jacquet-Lagrèze, E.: An application of the UTA discriminant model for the evaluation of R&D projects. In: Pardalos, P.M., Siskos, Y., Zopuunidis, C., (eds.) Advances in Multi-Criteria Analysis, Kluwer Academic Publishers, Dordrecht, pp. 203–211 (1995)
Zopounidis, C., Doumpos, M.: Multicriteria classification and sorting methods: a literature review. Eur. J. Oper. Res. 138, 229–246 (2002)
Zopounidis, C., Doumpos, M.: Building additive utilities for multi-group hierarchical discrimination: the M.H.Dis method. Optim. Methods Softw. 14, 219–240 (2000)
Yu, W.: ELECTRE TRI: Aspects méthodologiques et guide d’utilisation. Document du LAMSADE, Université Paris-Dauphine, 74 (1992)
Roy, B., Bouyssou, D.: Aide multicritère à la décision, Economica, Paris (1993)
Tervonen, T., Figueira, J.R., Lahdelma, R., Dias, J.A., Salminen, P.: A stochastic method for robustness analysis in sorting problems. Eur. J. Oper. Res. 192, 236–242 (2009)
Almeida-Dias, J., Figueira, J.R., Roy, B.: Electre Tri-C: a multiple criteria sorting method based on characteristic reference actions. Eur. J. Oper. Res. 204, 565–580 (2010)
Ishizaka, A., Nemery, P.: Assigning machines to incomparable maintenance strategies with ELECTRE-SORT. Omega 47, 45–59 (2014)
Doumpos, M., Zopounidis, C.: A multicriteria classification approach based on pairwise comparisons. Eur. J. Oper. Res. 158, 378–389 (2004)
Hu, Y.-C., Chen, C.-J.: A PROMETHEE-based classification method using concordance and discordance relations and its application to bankruptcy prediction. Inf. Sci. 181, 4959–4968 (2011)
Belacel, N.: Multicriteria assignment method PROAFTN: methodology and medical application. Eur. J. Oper. Res. 125, 175–183 (2000)
Belacel, N., Boulassel, M.R.: Multicriteria fuzzy assignment method: a useful tool to assist medical diagnosis. Artif. Intell. Med. 21, 201–207 (2001)
Belacel, N., Raval, H.B., Punnen, A.P.: Learning multicriteria fuzzy classification method PROAFTN from data. Comput. Oper. Res. 34, 1885–1898 (2007)
Falcò, E., Garcìa-Lapresta, J.L., Rosellò, L.: Aggregating imprecise linguistic expressions. In: Human-Centric Decision-Making Models for Social Sciences, Studies in Computational Intelligence, vol. 502, pp. 97–113 (2013)
Dias, J., Figueira, J., Roy, B.: ELECTRE TRi-C: a multiple criteria sorting method based on central reference actions (2008). https://hal.archives-ouvertes.fr/hal-00281307v2
Greco, S., Kadzinski, M., Slowinski, R.: Selection of a representative value function in robust multiple criteria sorting. Comput. Oper. Res. 38(11), 1620–1637 (2011)
Kadzinski, M., Ciomek, K., Slowinski, R.: Modeling assignment-based pairwise comparisons within integrated framework for value-driven multiple criteria sorting. Eur. J. Oper. Res. 241(3), 830–841 (2015)
Koksalan, M., Bilgin Ozpeynirci, S.: An interactive sorting method for additive utility functions. Comput. Oper. Res. 36(9), 2565–2572 (2009)
Zhang, J., Shi, Y., Zhang, P.: Several multi-criteria programming methods for classification. Comput. Oper. Res. 36(3), 823–836 (2009)
Benabbou, L.: Contributions à la classification supervisée multi-classes et multicritère en aide à la décision. Université Laval, Thèse de doctorat (2009)
Broekhuizen, H., Groothuis-Oudshoorn, C.G.M., van Til, J.A., Hummel, J.M., Ijzerman, M.J.: A review and classification of approaches for dealing with uncertainty in multi-criteria decision analysis for healthcare decisions. PharmacoEconomics 33(5), 445–455 (2015)
Figueira, J.R., Greco, S., Roy, B., Slowinski, R.: An overview of ELECTRE methods and their recent extensions. J. Multi Criteria Decis. Anal. 20(1–2), 61–85 (2013)
Zare, M., Pahl, C., Rahnama, H., Nilashi, M., Mardani, A., Ibrahim, O., Ahmadi, H.: Multicriteria decision making approach in E-learning: a systematic review and classification. Appl. Soft Comput. 45, 108–128 (2016)
Frini, A., Sirois C., Laroche, M-L.: A linguistic multi-criteria classification approach for the evaluation of polypharmacy quality. In: Proceedings of the International Multi-Conference of Engineers and Computer Scientists 2018, Lecture Notes in Engineering and Computer Science, Hong Kong, 14–16 March 2018, pp. 944–949 (2018)
Acknowledgment
This work was supported by University of Quebec at Rimouski.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this paper
Cite this paper
Frini, A., Sirois, C., Laroche, ML. (2020). A Hybrid Delphi Multi-criteria Sorting Approach for Polypharmacy Evaluations. In: Ao, SI., Kim, H., Castillo, O., Chan, As., Katagiri, H. (eds) Transactions on Engineering Technologies. IMECS 2018. Springer, Singapore. https://doi.org/10.1007/978-981-32-9808-8_22
Download citation
DOI: https://doi.org/10.1007/978-981-32-9808-8_22
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-32-9807-1
Online ISBN: 978-981-32-9808-8
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)