ArticleJournal of child neurology2014
Evidence-based decision support for neurological diagnosis reduces errors and unnecessary workup.
Article in Journal of child neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis 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.
Empowering Physicians With Evidence-Based Decision Support for Pediatric Rheumatology
Testing Pediatric Rheumatology Diagnostic Decision Support in Clinical Use
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Role of Artificial Intelligence Applications in Real-Life Clinical Practice: Systematic Review.Journal of medical Internet research · 2021Pooled it
- A Measure of the Impact on Real-Time Patient Care of Evidence-based Medicine Logs.The western journal of emergency medicine · 2024Article
- The role of implementation science in improving epilepsy surgery utilization.Epilepsy & behavior : E&B · 2022Review
- User testing of a diagnostic decision support system with machine-assisted chart review to facilitate clinical genomic diagnosis.BMJ health & care informatics · 2021Article
- Clinician-centric diagnosis of rare genetic diseases: performance of a gene pertinence metric in decision support for clinicians.Orphanet journal of rare diseases · 2020Article
- Experience with Integrating Diagnostic Decision Support Software with Electronic Health Records: Benefits versus Risks of Information Sharing.EGEMS (Washington, DC) · 2017Article
- Evidence-based decision support for pediatric rheumatology reduces diagnostic errors.Pediatric rheumatology online journal · 2016Article
- Genome interpretation: Clinical correlation is recommended.Applied & translational genomics · 2015Article
- Clinical pertinence metric enables hypothesis-independent genome-phenome analysis for neurologic diagnosis.Journal of child neurology · 2015Article
- Data collaboration will lead precision medicine.Genomics data · 2014Article
- An international effort towards developing standards for best practices in analysis, interpretation and reporting of clinical genome sequencing results in the CLARITY Challenge.Genome biology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
Abstract
Using vignettes of real cases and the SimulConsult diagnostic decision support software, neurologists listed a differential diagnosis and workup before and after using the decision support. Using the software, there was a significant reduction in error, up to 75% for diagnosis and 56% for workup. This error reduction occurred despite the baseline being one in which testers were allowed to use narrative resources and Web searching. A key factor that improved performance was taking enough time (>2 minutes) to enter clinical findings into the software accurately. Under these conditions and for instances in which the diagnoses changed based on using the software, diagnostic accuracy improved in 96% of instances. There was a 6% decrease in the number of workup items accompanied by a 34% increase in relevance. The authors conclude that decision support for a neurological diagnosis can reduce errors and save on unnecessary testing.
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.