[Automated system for personalization of therapeutic management tactics for comorbid elderly patients with type 2 diabetes mellitus.].

The aim of the study was to develop and clinically test a comprehensive automated system for personalizing therapeutic management tactics for comorbid elderly patients with type 2 diabetes mellitus (T2DM). Research design: longitudinal, non-interventional; type: case study; duration 6,5 years. The general sample included patients of all ages (n=1261) with impaired carbohydrate metabolism registered in the specialized local registry of the developed software Automated Workplace of an Endocrinologist for outpatient admission of patients with DM (AWPE DM). A group of elderly patients with T2DM with comorbid pathology (n=462) was selected from the sample in order to develop modules for a medical decision support system based on an analysis of clinical and metabolic parameters. In the course of the study, the following elements of the personalization system were developed: a formalized protocol for outpatient consultation of a patient with diabetes; AWPE DM is a computer program that allows the collection and storage of primary patient medical information in digital format in an outpatient setting.; a database (local registry) that provides the systematization and accumulation of medical information in the form of structured electronic medical documents; a comprehensive medical decision support system that allows you to personalize the therapeutic tactics of managing comorbid elderly patients with T2DM based on embedded algorithms. Various ways of applying the modules of the medical decision support system in daily outpatient practice during clinical approbation are considered.