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INFORMS Philadelphia – 2015

411

3 - Using Linear Programming Based Exploratory Techniques in Gene

Expression Consensus Clustering

Victoria Ellison, North Carolina State University, Campus Box

7913, 2500 Stinson Drive, Raleigh, NC, 27695, United States of

America,

vmelliso@ncsu.edu

, Yahya Fathi, Amy Langville

We propose a divisive hierarchical consensus clustering algorithm (DHCCA) by

modifying a BILP formulation of the Median Partition problem and applying

several proposed parametric programming algorithms based on the optimal

partition parametric programming algorithm. We prove that executing our

DHCCA, under certain assumptions, is equivalent to solving the minimum ratio

cut problem. This equivalency can be useful in creating fast heuristics to the

Median Partition problem.

4 - Using Data Mining to Predict Drug Courts Outcome

Hamed Majidi Zolbanin, Oklahoma State University, 309 S. West

St, Unit 6, Stillwater, Ok, 74075, United States of America,

hamed.majidi@gmail.com

, Durand Crosby, Dursun Delen

Drug court is an alternative for traditional criminal courts that attempts to shift

from a punitive to a therapeutic jurisprudence. Under this new philosophy, the

eligible offenders are held as individuals in need of rehabilitative treatments. The

initiative is proved to be effective in lowering the costs and breaking the cycle of

narcotics use. To better manage the resources and maximize the benefits, this

study develops a model to predict who will or will not graduate from these courts.

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33-Room 410, Marriott

Methods and Applications in Disease Detection and

Treatment

Sponsor: Health Applications

Sponsored Session

Chair: Shan Liu, Assistant Professor, University of Washington,

Seattle, WA, United States of America,

liushan@uw.edu

1 - Sequencing Chemotherapy Agents for Metastatic Colorectal

Cancer Patients

Lakovos Toumazis, PhD Candidate, Department of Industrial and

Systems Engineering, University at Buffalo, SUNY, Buffalo,

United States of America,

iakovost@buffalo.edu

, Artemis

Toumazi, Loukia Karacosta, Daniel A. Goldstein, Changhyun

Kwon, Murat Kurt

Colorectal cancer is the third most lethal cancer in the US affecting both genders.

Despite advancements in chemotherapy treatment, long-term survival for the

advanced stage of the disease remains poor. With the goal of improving the

effectiveness of chemotherapy treatment for metastatic colorectal cancer patients

we developed a Markov decision process model that jointly optimize the duration

and sequence of the available drugs. The obtained optimal policy improves

survival by at least 6 months.

2 - Large-scale Personalized Health Surveillance by

Selective Sensing

Ying Lin, University of Washington, Box 352650, Seattle, WA,

98195-2650, United States of America,

linyeliana.ie@gmail.com

,

Shan Liu, Shuai Huang

Detecting subjects who have been on the trajectory towards disease onset holds

promises for preventative healthcare. Development of personalized health

surveillance is enabled by sensing and information technologies. To scale up

personalized surveillance, we developed a selective sensing method that

integrates degradation modeling, prognosis, and optimization, which can cost-

effectively monitor a large number of individuals by exploiting the similarities of

their disease trajectories.

3 - Cost Effectiveness of Expanding Anti-retroviral Therapy to

Untreated Subpopulations in Botswana

Thomas Keller, University of Minnesota, 111 Church St. SE,

Minneapolis, MN, 55455, United States of America,

kelle665@umn.edu

, Gregory Bisson, Diana Negoescu,

Daniel Winetsky

In 2002 the Botswana government initiated Africa’s first national anti-retroviral

program, which has enrolled over 200,000 Batswana HIV-infected patients since

its inception. We develop a dynamic compartmental model to evaluate the cost

effectiveness of expanding this program to serve more Batswana citizens as well

as migrant workers, who constitute a significant proportion of HIV-infected

patients.

4 - Minimizing Overdiagnosis in Cancer Screening

Maboubeh Madadi, University of Arkansas,

mmadadi@uark.edu

,

Shengfan Zhang, Edward Pohl, Chase Rainwater

Overdiagnosis is defined as the diagnosis of screen-detected cancers that would

not have presented clinically in a woman’s lifetime in the absence of screening.

Overdiagnosis is known to be the most important disadvantage of cancer

screening and it can adversely affect people’s lives. In this study a mathematical

programming model is developed to find the optimal cancer screening policy with

respect to overdiagnosis risk, while maintaining the lifetime cancer mortality risk

at a low threshold.

WB34

34-Room 411, Marriott

Medical Decision Making

Sponsor: Health Applications

Sponsored Session

Chair: Pooyan Kazemian, PhD Candidate, University of Michigan-

Ann Arbor, 1205 Beal Ave., Ann Arbor, MI, 48105,

United States of America,

pooyan@umich.edu

1 - Why is Screening so Common for Some Diseases when

Evidence is so Uncertain?

Ozge Karanfil, PhD Candidate, MIT Sloan School of Management,

100 Main Street, E62-379, Cambridge, MA, 02142,

United States of America,

karanfil@mit.edu,

John D. Sterman

Practice guidelines for routine screening such as mammography or PSA testing

have changed significantly over time. Evidence-based guidelines are often not

followed by clinicians and patients, with significant over or under screening. In

this study we describe a dynamic model to explain changes in policy action

thresholds. We use quantitative and qualitative data to document evidence of

gaps between guidelines and practice. Qualitative data includes interviews with

health/medical professionals.

2 - Planning for HIV Screening, Testing, and Care at the Veteran’s

Health Administration

Kumar Rajaram, Professor of Decisions, Operations, and

Technology Management, UCLA Anderson School of

Management, B410 Gold Hall, UCLA Anderson, Los Angeles, CA,

90024, United States of America,

krajaram@anderson.ucla.edu

,

Matthew Goetz, Uday Karmarkar, Sandeep Rath, Sarang Deo

CDC has recommended a routine screening policy for HIV. We modeled a QALY

maximizing nonlinear mixed integer program incorporating system dynamics and

disease progression and found that routine screening may not be always feasible.

We applied this model to the Greater Los Angeles station of the Veterans Health

Administration and used it to develop and evaluate managerially relevant policies

within existent capacity and budgetary constraints to improve upon the current

screening policy.

3 - Value of Patient-centric Treatment Policies for Pelvic Organ

Prolapse in Women

Yueran Zhuo, Ph.D. Candidate, University of Massachusetts

Amherst, Isenberg School of Management, Amherst, MA, 01003,

United States of America,

yzhuo@som.umass.edu

, Senay Solak

Pelvic organ prolapse (POP) is a common condition that impacts many women’s

health and quality of life. The selection of a treatment option for POP depends on

several factors, but personal preferences of the patient play a more significant role

than most other similar conditions. We specifically take this aspect of POP into

account and identify patient-centric treatment recommendations for this

syndrome. The value of these policies is then assessed through comparisons with

physician decisions.

4 - On Low-cost In-home Sensor Placement for Personalized

Tracking of Activity of Older Adults

Alexander Nikolaev, Assistant Professor, University at Buffalo

(SUNY), 312 Bell Hall, Buffalo, NY, 14260-2050,

United States of America,

anikolae@buffalo.edu

, Ann Bisantz,

Siddhartha Nambiar, Melissa Green, Lora Cavuoto

Activity-tracking sensors can now be used for personalized care; yet, challenges

with usability and cost may prevent their adoption by the elderly. We assess how

low-cost in-home sensor systems help infer physical activity levels of tenants. The

American Time Use Survey and real apartment layouts are used to study optimal

sensor count, placement, and activity prediction error levels. We describe sensor

placement strategies and apartment layouts best suited for sensor technology use.

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