title: Design, construction, and technical implementation of a web-based interdisciplinary symptom evaluation (WISE) - a heuristic proposal for orofacial pain and temporomandibular disorders.
abstract: BACKGROUND
  Medical symptoms independent of body location burden individuals to varying degrees and may require care by more than one expert. Various paper and computer-based tools exist that aim to comprehensively capture data for optimal clinical management and research.
  
  
  METHODS
  A web-based interdisciplinary symptom evaluation (WISE) was newly designed, constructed, and technically implemented. For worldwide applicability and to avoid copyright infringements, open source software tools and free validated questionnaires available in multiple languages were used. Highly secure data storage limits access strictly to those who use the tool for collecting, storing, and evaluating their data. Concept and implementation is illustrated by a WISE sample tailored for the requirements of a single center in Switzerland providing interdisciplinary care to orofacial pain and temporomandibular disorder patients.
  
  
  RESULTS
  By combining a symptom- burden checklist with in-depth questionnaires serving as case-finding instruments, an algorithm was developed that assists in clarifying case complexity and need for targeted expert evaluation. This novel modular approach provides a personalized, response-tailored instrument for the time- and cost-effective collection of symptom-burden focused quantitative data. The tool includes body drawing options and instructional videos. It is applicable for biopsychosocial evaluation in a variety of clinical settings and offers direct feedback by a case report summary.
  
  
  CONCLUSIONS
  In clinical practice, the new instrument assists in clarifying case complexity and referral need, based on symptom burden and response -tailored case finding. It provides single-case summary reports from a biopsychosocial perspective and includes graphical symptom maps. Secure, centrally stored data collection of anonymous data is possible. The tool enables personalized medicine, facilitates interprofessional education and collaboration, and allows for multicenter patient-reported outcomes research.
authors: Orofacial Pain Unit of the Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
authors: Dominik A
authors: DA
authors: Ettlin
authors: Orofacial Pain Unit of the Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
authors: Isabelle
authors: I
authors: Sommer
authors: Orofacial Pain Unit of the Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
authors: Ben
authors: B
authors: Brönnimann
authors: S3IT: Service and Support for ScienceIT, University of Zurich, Zurich, Switzerland.
authors: Sergio
authors: S
authors: Maffioletti
authors: Institut für Informationssysteme, Hochschule für Angewandte Wissenschaften Hof, Hof, Germany.
authors: Jörg
authors: J
authors: Scheidt
authors: Orofacial Pain Unit of the Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
authors: Mei-Yin
authors: MY
authors: Hou
authors: Orofacial Pain Unit of the Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
authors: Nenad
authors: N
authors: Lukic
authors: Orofacial Pain Unit of the Center of Dental Medicine, University of Zurich, Zurich, Switzerland. beat.steiger@zzm.uzh.ch.
authors: Beat
authors: http://orcid.org/0000-0001-9200-7696
authors: B
authors: Steiger
mesh_terms: D003362:Cost-Benefit Analysis; D005157:Facial Pain / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D000066506:Heuristics; D006801:Humans; D020407:Internet; D016730:Program Development; D015397:Program Evaluation; D036301:Qualitative Research; D012985:Software Design; D011795:Surveys and Questionnaires; D013557:Switzerland; D063189:Symptom Assessment / Q000295:instrumentation*; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D014584:User-Computer Interface
keywords: Orofacial pain; Patient-reported outcome measures; Personalized medicine; Questionnaire; Temporomandibular disorders