ArticleJournal of medical Internet research2008
Answers to questions posed during daily patient care are more likely to be answered by UpToDate than PubMed.
Article in Journal of medical Internet research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
46 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Question answering systems for health professionals at the point of care-a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2024Pooled it
- Impact of Clinicians' Use of Electronic Knowledge Resources on Clinical and Learning Outcomes: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2019Pooled it
- Context-sensitive decision support (infobuttons) in electronic health records: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Increasing the quantity and quality of searching for current best evidence to answer clinical questions: protocol and intervention design of the MacPLUS FS Factorial Randomized Controlled Trials.Implementation science : IS · 2014Trial
- Comparing patient characteristics, type of intervention, control, and outcome (PICO) queries with unguided searching: a randomized controlled crossover trial.Journal of the Medical Library Association : JMLA · 2012Trial
- Trial
- Article
- RealMedQA: A pilot biomedical question answering dataset containing realistic clinical questions.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Almanac: Retrieval-Augmented Language Models for Clinical Medicine.Research square · 2023Article
- Effective web-based clinical practice guidelines resources: recommendations from a mixed methods usability study.BMC primary care · 2023Article
- The Development History and Research Tendency of Medical Informatics: Topic Evolution Analysis.JMIR medical informatics · 2022Article
- What Would it Take to get Biomedical QA Systems into Practice?Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2021Article
- A study on how using an interactive multimedia e-book improves teachers' ability to teach evidence-based medicine depending on their seniority.BMC medical education · 2021Article
- Successes, lessons and opportunities: 15-year follow-up of an integrated evidence-based medicine curriculum.BMJ evidence-based medicine · 2021Review
- Is Electronic Health Literacy Associated with Learning Outcomes among Medical Students in the First Clinical Year?: A Cross-Sectional Study.European journal of investigation in health, psychology and education · 2021Article
- UpToDate versus DynaMed: a cross-sectional study comparing the speed and accuracy of two point-of-care information tools.Journal of the Medical Library Association : JMLA · 2021Article
- How searching under time pressure impacts clinical decision making.Journal of the Medical Library Association : JMLA · 2020Article
- Using a Collaborative, Virtual Discussion Platform to Mobilize Oncologic Expertise for the COVID-19 Pandemic.JCO clinical cancer informatics · 2020Article
- A Mobile Medical Knowledge Dissemination Platform (HeadToToe): Mixed Methods Study.JMIR medical education · 2020Article
- Impact of a Search Engine on Clinical Decisions Under Time and System Effectiveness Constraints: Research Protocol.JMIR research protocols · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUpToDate and PubMed are popular sources for medical information. Data regarding the efficiency of PubMed and UpToDate in daily medical care are lacking.
objectiveThe purpose of this observational study was to describe the percentage of answers retrieved by these information sources, comparing search results with regard to different medical topics and the time spent searching for an answer.
methodsA total of 40 residents and 30 internists in internal medicine working in an academic medical center searched PubMed and UpToDate using an observation portal during daily medical care. The information source used for searching and the time needed to find an answer to the question were recorded by the portal. Information was provided by searchers regarding the topic of the question, the situation that triggered the question, and whether an answer was found.
resultsWe analyzed 1305 patient-related questions sent to PubMed and/or UpToDate between October 1, 2005 and March 31, 2007 using our portal. A complete answer was found in 594/1125 (53%) questions sent to PubMed or UpToDate. A partial or full answer was obtained in 729/883 (83%) UpToDate searches and 152/242 (63%) PubMed searches (P < .001). UpToDate answered more questions than PubMed on all major medical topics, but a significant difference was detected only when the question was related to etiology (P < .001) or therapy (P = .002). Time to answer was 241 seconds (SD 24) for UpToDate and 291 seconds (SD 7) for PubMed.
conclusionsSpecialists and residents in internal medicine generally use less than 5 minutes to answer patient-related questions in daily care. More questions are answered using UpToDate than PubMed on all major medical topics.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.