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A Decision Support System incorporating a validated patient-specific, multi-scale Balance Hypermodel towards early diagnostic Evaluation and efficient Management plan formulation of Balance Disorders The main aim of the EMBalance project has been to develop a unified webā€based platform, to be utilized by primary and secondary care physicians, for the diagnostic evaluation, behaviour prediction and effective management planning of balance problems. The final stage of the project has been the clinical evaluation of the EMBalance DSS. 198 patients have been recruited across Europe in a multicentre randomised control trial (RCT). Physicians were trained in the use of the EMBalance DSS. Individuals presenting with persistent vertigo at primary care level were invited to attend a visit witha non-specialist for further assessment. Half of these patients were assessed by non-specialists with the support of the platform, to produce a diagnosis and management plan, and the other half by non-specialists without the platform. An Expert reviewed the diagnosis and management plan for each patient . Participating physicians and experts in audiovestibular medicine were then asked to evaluate the usability of the platform through face-to-face interview and online survey. We are currently analysing these clinical results.
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