Evidence map›Paper›PMID 17712086›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Knowledge-based methods to help clinicians find answers in MEDLINE.

Charles A Sneiderman, Dina Demner-Fushman, Marcelo Fiszman, Nicholas C Ide, Thomas C Rindflesch

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Automated identification of molecular effects of drugs (AIMED).Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  5. SimQ: real-time retrieval of similar consumer health questions.Journal of medical Internet research · 2015
    Article
  6. Article
  7. Collaborative search in electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2011
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Comparison of ontology-based semantic-similarity measures.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008
    Article
  14. Semantic processing to support clinical guideline development.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2008
    Article
  15. Review
  16. Article
  17. Voice capture of medical residents' clinical information needs during an inpatient rotation.Journal of the American Medical Informatics Association : JAMIA
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Charles A SneidermanNational Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894, USA. charlie@nlm.nih.gov
Dina Demner-Fushman
Marcelo Fiszman
Nicholas C Ide
Thomas C Rindflesch

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

objectivesLarge databases of published medical research can support clinical decision making by providing physicians with the best available evidence. The time required to obtain optimal results from these databases using traditional systems often makes accessing the databases impractical for clinicians. This article explores whether a hybrid approach of augmenting traditional information retrieval with knowledge-based methods facilitates finding practical clinical advice in the research literature.

designThree experimental systems were evaluated for their ability to find MEDLINE citations providing answers to clinical questions of different complexity. The systems (SemRep, Essie, and CQA-1.0), which rely on domain knowledge and semantic processing to varying extents, were evaluated separately and in combination. Fifteen therapy and prevention questions in three categories (general, intermediate, and specific questions) were searched. The first 10 citations retrieved by each system were randomized, anonymized, and evaluated on a three-point scale. The reasons for ratings were documented. MEASUREMENTS: Metrics evaluating the overall performance of a system (mean average precision, binary preference) and metrics evaluating the number of relevant documents in the first several presented to a physician were used.

resultsScores (mean average precision = 0.57, binary preference = 0.71) for fusion of the retrieval results of the three systems are significantly (p < 0.01) better than those for any individual system. All three systems present three to four relevant citations in the first five for any question type.

conclusionThe improvements in finding relevant MEDLINE citations due to knowledge-based processing show promise in assisting physicians to answer questions in clinical practice.

Indexed as

Knowledge BasesMEDLINEAbstracting and IndexingInformation Storage and RetrievalMedical Subject Headings

Identifiers

PMID17712086
PMCPMC2213491

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.