Tomohiro Kuroda

Tomohiro Kuroda
Kyoto University | Kyodai · Division of Medicail Information Technology and Administration Planning

Ph.D.

About

302
Publications
24,671
Reads
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1,261
Citations
Citations since 2016
133 Research Items
781 Citations
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
Introduction
Professor of Medical Informatics in Graduate School of Medicine and Graduate School of Informatics, CIO of University Hospital
Additional affiliations
November 2008 - July 2013
Kyoto University
Position
  • Professor (Associate)
Description
  • Vice CIO of University Hospital, and Associate Professor of Medical Informatics of Graduate School of Medicine and of Graduate School of Informatics
April 2007 - March 2009
Osaka University
Position
  • Professor (Associate)
February 2006 - September 2006
University of Oulu
Position
  • Professor
Education
April 1996 - March 1998
Nara Institute of Science and Technology
Field of study
  • Information Science
April 1994 - March 1996
Nara Institute of Science and Technology
Field of study
  • Information Science
April 1991 - March 1994
Kyoto University
Field of study
  • Information Engineering

Publications

Publications (302)
Article
Full-text available
To improve patients’ adherence to continuous positive airway pressure (CPAP) therapy, this study aimed to clarify whether machine learning-based data analysis can identify the factors related to poor CPAP adherence (i.e., CPAP usage that does not reach four hours per day for five days a week). We developed a CPAP adherence prediction model using lo...
Article
Background Telemonitoring the usage of continuous positive airway pressure (CPAP) devices and remote feedback on device data effectively optimizes CPAP adherence in patients with obstructive sleep apnea (OSA). Research Questions Can expanding the scope of telemonitoring and remote feedback to body weight (BW), blood pressure (BP), and physical act...
Article
Full-text available
Cardiovascular and cerebrovascular diseases are frequently interconnected due to underlying pathology involving atherosclerosis and thromboembolism. The aim of this study was to investigate the impact of clinical interactions among cardiovascular and cerebrovascular diseases on patient outcomes using a large-scale nationwide claims-based dataset. C...
Article
Full-text available
Background Hospital bed management is an important resource allocation task in hospital management, but currently, it is a challenging task. However, acquiring an optimal solution is also difficult because intraorganizational information asymmetry exists. Signaling, as defined in the fields of economics, can be used to mitigate this problem. Objec...
Article
Full-text available
Purpose To elucidate the incidence and treatment pattern of active exudative age-related macular degeneration (AMD). Design A population-based cohort study conducted using the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), a national claims database managed by the Japanese Ministry of Health, Labour, and...
Article
Full-text available
In addition to traditional clinical research, advances in information communication technologies facilitates new medical research using internet of things devices and other cutting-edge technologies. Such medical research also simplifies the collection of data on research subjects in their daily lives internationally. In this context, medical resea...
Article
Full-text available
Appropriate evaluation of the intraoperative state of a surgical team is essential for the improvement of teamwork and hence a safe surgical environment. Traditional methods to evaluate intraoperative team states such as interview and self-check questionnaire on each surgical team member often require human efforts, which are time-consuming and can...
Article
Full-text available
Designing a deep neural network model that integrates clinical images with other electronic medical records entails various preprocessing operations. Preprocessing of clinical images often requires trimming of parts of the lesions shown in the images, whereas preprocessing of other electronic medical records requires vectorization of these records;...
Conference Paper
脳卒中に伴う身体機能障害を有する患者に対し行われるリハビリテーションにおいて,医療機関への移動による身体的負荷や感染リスクを軽減するために,任意の場所でリハビリテーションを行えるシステムが望まれる.そのため動作を定量的に表す指標や患者に説明する評価理由の分析が必要である.そこで本研究では,人物の姿勢推定技術により各関節位置や可動角度の時系列情報を抽出し,定量的評価指標や評価理由の推定を試みる.具体的には,姿勢推定情報から体幹の傾斜や双肩の傾斜の二つの代償動作の度合いや肩や肘の関節の角度を算出する.また,Multi-Head Attention 層を含むニューラルネットワークを用いた評価モデルを構築し,時系列上での重要度を算出することで評価理由の推定を試みる.検証実験では,作業療法士が脳卒中後...
Chapter
Full-text available
Shortening hospital stays increases communication needs between nurses in inpatient and outpatient wards. Smooth information sharing is required to reduce the workload of nurses and improve the quality of patient care. However, electronic medical records (EMR) system does not have sufficient functions to support information sharing between wards, b...
Article
Full-text available
Poor implementation and variable quality of cardiac rehabilitation (CR) for coronary heart disease (CHD) have been a global concern. This nationwide study aimed to clarify the implementation of and participation in CR among CHD patients and associated factors in Japan. We conducted a retrospective cohort study using data extracted from the National...
Article
Full-text available
Aims The aim of this study was to elucidate the epidemiological background of central serous chorioretinopathy (CSC), including its incidence and treatment pattern. Methods This was a population-based longitudinal cohort study using a nationwide health insurance claims database of the Japan Ministry of Health, Labour and Welfare (MHLW). As Japan e...
Conference Paper
Full-text available
Teamwork of the surgical team is an essential factor for building a safe medical environment in an operating room. However, no efficient approach has been discussed for objectively evaluating the intraoperative teamwork. The goal of this study is to analyze the teamwork from videos recorded in an operating room for better understanding the situatio...
Preprint
BACKGROUND Medical research for processing medical data is required to incorporate a governance system. Health data governance includes various elements. Among the values of governance, this study focuses on accountability and transparency. OBJECTIVE This paper proposes the system requirements for a communication platform to help medical researche...
Article
Gender equality is one of the most important issues in the promotion of diversity. The participation status of female urologists in academic activities has not been clarified. In the present study, we analyzed a total of 10,288 articles published by 58,914 authors in Acta Urologica Japonica since the first issue in 1955 to the present. The author's...
Article
PurposeTo evaluate the efficacy of the claims’-based definition of age-related macular degeneration (AMD) in detecting clinically-diagnosed AMD.Study designA validation study using cross-sectional data.Methods Seven hundred clinically-diagnosed AMD patients and seven hundred non-AMD individuals were randomly selected from patients at the Kyoto Univ...
Article
Full-text available
The administration of intensive end-of-life care just before death in older patients has become a major policy concern, as it increases medical costs; however, care intensity does not necessarily indicate quality. This study aimed to describe the temporal trends in the administration of life-sustaining treatments (LSTs) and intensive care unit (ICU...
Preprint
BACKGROUND Hospital bed management is an important resource allocation task in hospital management, but currently, it is a challenging task. However, acquiring an optimal solution is also difficult because intraorganizational information asymmetry exists. Signaling, as defined in the fields of economics, can be used to mitigate this problem. OBJEC...
Article
Full-text available
Background Pervasive games aim to create more fun and engaging experiences by mixing elements from the real world into the game world. Because they intermingle with players’ lives and naturally promote more casual gameplay, they could be a powerful strategy to stimulate physical activity among older adults. However, to use these games more effectiv...
Chapter
Establishing an industrial production process for the manufacturing of complex e-textiles is indispensable for making wearable sensors commodity goods. This chapter introduces weaving, the most common approach to develop textiles. Weaving enables both prototyping and mass-production with the same production process and is available to embed complex...
Conference Paper
Blood Donation, Deferred Blood Donors, Gamification, Usability The deferral experience-when a prospective donor is not able to donate for some reason-can affect the return rate of participants, especially in the groups of young and first-time donors. Information and Communication Technologies (ICT) could be a tool to support deferred donors, in par...
Conference Paper
In Japan, while there have been efforts to improve citizens participation in blood donation, challenges related to deferral cases seem to remain. This article analyzes the intentions of Japanese citizens to donate again after a possible deferral situation using cross-sectional and statistical inference analysis on the results of an online survey of...
Conference Paper
Conventional evaluation indices for upper limb function rehabilitation are based on the time to complete a task and the duration of movement. However , these metrics are insufficient to quantify motor performance attributes, such as smoothness of movement and presence of compensatory movements. This study aims to introduce a quantitative index for...
Article
Full-text available
Age-related macular degeneration (AMD) causes visual acuity (VA) loss in people aged ≥ 50 years. Common treatments include intravitreal injection of anti-vascular endothelial growth factor agents such as aflibercept. However, lack of response in some patients makes prediction of posttreatment VA difficult. In this paper, we propose a deep neural ne...
Article
Background Renal transplantation improves the quality of life (QOL) of end-stage renal disease (ESRD) patients with renal failure. However, it remains unclear which renal disease-specific QOL aspects determine general health-related QOL of ESRD patients. This study aimed to identify these QOL items by examining the QOL of ESRD patients using the Ki...
Article
Full-text available
Electronic Medical Record (EMR) systems are the computers used inside healthcare clinics. EMR systems have multiple stakeholders whose needs continuously evolve. The traditional EMR design approach focuses on designing systems that perfectly fit the requirements of some stakeholders as they are understood in the initial design stages. This results...
Article
Full-text available
As the super-aging society at Japan will increase medical expenses, we are focusing on studies using Real World Data, which is expected to have high external validity, to derive the evidence that can contribute to healthcare policy. Under Act on Anonymized Medical Data That Are Meant to Contribute to Research and Development in the Medical Field, t...
Article
Full-text available
Hypertension is a heterogeneous disease for which role sharing in treatment between specialized facilities and small clinics is needed for efficient healthcare provision. However, the Japanese healthcare system has a "free access" attribute; therefore, nobody can control treatment resource allocation. We aimed to describe the current situation of r...
Article
Full-text available
Subjective, objective, assessment, and plan (SOAP) notes are widely used by physicians to document clinical reasoning in assessing, diagnosing, and treating patients. SOAP notes are also used in medical coding tasks for reimbursement of insurance claims. In Indonesia, medical coders who are independent from physicians assess SOAP notes to assign di...
Article
Full-text available
Subjective, objective, assessment, and plan (SOAP) notes are widely used by physicians to document clinical reasoning in assessing, diagnosing, and treating patients. SOAP notes are also used in medical coding tasks for reimbursement of insurance claims. In Indonesia, medical coders who are independent from physicians assess SOAP notes to assign di...
Chapter
Liver surgery is typically performed to dissect part of the liver to remove a malignant tumor. The role of technology is to assist the surgeon to swiftly navigate to the area of interest. Our work involved the development of a liver surgery navigation system in which a steepest descent liver tracking algorithm is used to accurately track the real l...
Article
Full-text available
Electronic Medical Record (EMR) systems are complex systems with interdependent features. Redesigning one feature of the system can create a cascade effect affecting the other features. By calculating the cascade effect, the designers can understand how each individual feature could be affected. This understanding allows them to maximize the positi...
Article
The goal of this research was to design a solution to detect non-reported incidents, especially severe incidents. To achieve this goal, we proposed a method to process electronic medical records and automatically extract clinical notes describing severe incidents. To evaluate the proposed method, we implemented a system and used the system. The sys...
Article
Full-text available
Effective bed management is important for hospital management. Until now, bed allocation process is generally controlled by administrative staffs in centralized manner but it is not always effective. In the present study, we proposed and evaluated new method for bed allocation applying market mechanism via token. Evaluation was performed with newly...
Article
Full-text available
Objectives: Emergency Physicians utilize multiple patient information (PI) sources within Emergency Departments. Access to a centralized health record system is ideal but not always available to physicians. A technological gap exists in the context of PI sharing regarding patients’ representative and their in-situ involvement as an alternative PI s...
Article
Full-text available
Background: To parse free text medical notes into structured data such as disease names, drugs, procedures, and other important medical information first, it is necessary to detect medical entities. It is important for an Electronic Medical Record (EMR) to have structured data with semantic interoperability to serve as a seamless communication plat...
Article
Full-text available
The use of social network service (SNS) applications for health communication has revolutionized communication between physicians in recent years. We performed an unrestricted retrospective study focusing on emergency physicians (EPs) in Kyoto University Hospital (KUHP) since timely communication is important during emergencies. EPs used LINE, a po...
Article
Full-text available
The goal of this research was to design a solution to detect non-reported incidents, especially severe incidents. To achieve this goal, we proposed a method to process electronic medical records and automatically extract clinical notes describing severe incidents. To evaluate the proposed method, we implemented a system and used the system. The sys...
Article
Full-text available
The amount and complexity of data accumulated in electronic health record (EHR) is quite large, and the quantity of information that clinicians can examine and handle is very limited. Thus, it is necessary to enhance the accessibility of EHR by improving the user experience (UX). To apply information visualization that turns EHR data into an unders...
Preprint
Full-text available
The archetype-based approach has now been adopted by the major EHR interoperability standards. Soon, due to an increase in EHR adoption, more health data will be created and frequently accessed. Previous works show that conventional persistence mechanisms such as Relational and XML databases have scalability issues when storing and querying archety...
Article
Background: The number of patients with nontuberculous mycobacteriosis (NTM) has increased exponentially in recent years. In Japan, approximately 88.8% of patients with NTM suffer from Mycobacterium avium-intracellulare complex (MAC) lung disease. Incidence of MAC lung disease is increasing in particularly among the middle-aged and elderly women o...
Article
Introduction The chemotherapeutic regimen recommended by guidelines to prevent the development of a drug-resistant strain of Mycobacterium avium complex (MAC) consists of a combination of clarithromycin, rifampicin, and ethambutol. In severe cases, it is desirable to use either kanamycin or streptomycin in addition to these three drugs. However, it...
Article
Full-text available
Easy-to-use wearable smart textile devices are expected to improve chronic disease treatment. As a preliminary application using wearable smart textile devices, we focused on periodic limb movement disorder (PLMD), in which nocturnal awakening is caused by periodic limb movements (PLMs) during sleep. Although PLMD requires both early detection and...
Article
Rationale: The effects of telemedicine on adherence in obstructive sleep apnea patients with long-term continuous positive airway pressure (CPAP) use have never been investigated. Objectives: To examine effects of a telemedicine intervention on adherence in long-term CPAP users. Methods: In a prospective, randomized, multicenter non-inferiorit...
Conference Paper
Longitudinal analyses has been a long-time interest for clinical physicians. These analyses provide many benefits for them, such as insight on the medication strategy over different period of time. With the development of clinical research, new medication is released to provide better treatment outcomes. In this paper, we assess the medication stra...
Article
Full-text available
Aims/introduction: Although the epidemiologic relationship between hypoglycemia and increased risk of acute coronary syndrome (ACS) has been well established, the time period for increased risk of ACS following a severe hypoglycemic episode remains unknown. This study aimed to determine the ACS risk following a severe hypoglycemic episode. Materi...
Preprint
BACKGROUND Pervasive games aim to create more fun and engaging experiences by mixing elements from the real world into the game world. Because they intermingle with players’ lives and naturally promote more casual gameplay, they could be a powerful strategy to stimulate physical activity among older adults. However, to use these games more effectiv...
Conference Paper
Full-text available
In this paper, we present an agent-based completion that cooperates with a physician to optimize parameter-text pairs collection from a medical note. Currently, in hospitals, there is a medical coding process, which collects certain parameter-text pairs from the medical note's narrative text. The process starts with categorizing the text into certa...
Conference Paper
Full-text available
Pervasive games incorporate elements from the real world into their gameplay, creating more engaging experiences that can be used to stimulate positive behaviour. In this paper, we describe the evaluation of a pervasive game that used social interaction as a design element to promote physical activity among older adults. We used two variations of t...
Article
The amount of text of electronic medical records and its changes over time are not clear. In designing an electronic medical records system, prediction of the amount of text is important. We analyzed the number of characters described in the electronic medical records. As a result, it became clear that the annual text quantity of electronic medical...
Article
Nephrosis is disease characterized by abnormal protein loss from impaired kidney. We constructed early prediction model using machine learning from clinical time series data, that can predict onset of nephrosis for more than one month. Long short-term memory capable of recognizing temporal sequential data patterns, was adopted as early prediction m...
Article
Full-text available
Redesigning Electronic Medical Record (EMR) systems is needed to improve their usefulness and usability. For user-centered redesign, designers should consider which EMR features are the most important to the users. However, prioritizing the EMR features is complicated because: (i) EMR systems involve multiple users with different, and sometimes con...
Article
Full-text available
Background: The novel genre of pervasive games, which aim to create more fun and engaging experiences by promoting deeper immersion, could be a powerful strategy to stimulate physical activity among older adults. To use these games more effectively, it is necessary to understand how different design elements affect player behavior. Objective: Th...
Article
Full-text available
Background: Redesigning electronic medical record (EMR) systems is needed to improve their usability and usefulness. Similar to other artifacts, EMR systems can evolve with time and exhibit situated roles. Situated roles refer to the ways in which a system is appropriated by its users, that is, the unintended ways the users engage with, relate to,...
Article
Full-text available
Introduction Promoting active lifestyles among older adults can bring drastic benefits for their quality of life. The innovative mechanics of pervasive games – that mix real and virtual worlds – can further engage and motivate elderly people into that goal. Using social interaction as a study case, we designed and evaluated the feasibility of a per...
Chapter
We present the design process and evaluation of a pervasive, location-based mobile game created to act as an experiment system and allow evaluation of how different design elements can influence player behaviour, using social interaction as a study case. A feasibility study with a group of community dwelling elderly volunteers from the city of Kyot...
Article
Full-text available
Woman-centered antenatal care necessitates Electronic Medical Record (EMR) systems that respect women’s preferences. However, women’s preferences regarding EMR systems in antenatal care remain unknown. This work aims to understand the EMR-related experiences that pregnant Japanese women want. First, we conducted a field-based observational study at...
Article
Objectives Living donor kidney transplant relieves the disease burden of patients with end-stage renal disease but may shorten donor life expectancy; however, their quality of life (QOL) is preserved. Nevertheless, the magnitude of the net gain of this procedure is unknown. We evaluated the QOL of both donors and recipients concurrently and calcula...