Evidence map›Paper›PMID 28611017›Full record

SynthesisJournal of medical Internet research2017

Web Use for Symptom Appraisal of Physical Health Conditions: A Systematic Review.

Julia Mueller, Caroline Jay, Simon Harper, Alan Davies, Julio Vega, Chris Todd

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Trial
  2. Trial
  3. The readability of total elbow arthroplasty educational materials.Journal of shoulder and elbow arthroplasty · 2026
    Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Otosclerosis online: a critical analysis of quality, reliability, readability and content of otosclerosis information.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. User Experience of Symptom Checkers: A Systematic Review.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    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

6 authors.

Julia MuellerSchool of Health Sciences, University of Manchester, Manchester, United Kingdom.ORCID 0000-0002-4939-7112
Caroline JaySchool of Computer Science, University of Manchester, Manchester, United Kingdom.ORCID 0000-0002-6080-1382
Simon HarperSchool of Computer Science, University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-9301-5049
Alan DaviesSchool of Computer Science, University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-5737-5629
Julio VegaSchool of Computer Science, University of Manchester, Manchester, United Kingdom.ORCID 0000-0002-0140-3392
Chris ToddSchool of Health Sciences, University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-6645-4505

Funding

Medical Research Council 1354978
6 · The paper itself

Abstract

backgroundThe Web has become an important information source for appraising symptoms. We need to understand the role it currently plays in help seeking and symptom evaluation to leverage its potential to support health care delivery.

objectiveThe aim was to systematically review the literature currently available on Web use for symptom appraisal.

methodsWe searched PubMed, EMBASE, PsycINFO, ACM Digital Library, SCOPUS, and Web of Science for any empirical studies that addressed the use of the Web by lay people to evaluate symptoms for physical conditions. Articles were excluded if they did not meet minimum quality criteria. Study findings were synthesized using a thematic approach.

resultsA total of 32 studies were included. Study designs included cross-sectional surveys, qualitative studies, experimental studies, and studies involving website/search engine usage data. Approximately 35% of adults engage in Web use for symptom appraisal, but this proportion varies between 23% and 75% depending on sociodemographic and disease-related factors. Most searches were symptom-based rather than condition-based. Users viewed only the top search results and interacted more with results that mentioned serious conditions. Web use for symptom appraisal appears to impact on the decision to present to health services, communication with health professionals, and anxiety.

conclusionsWeb use for symptom appraisal has the potential to influence the timing of help seeking for symptoms and the communication between patients and health care professionals during consultations. However, studies lack suitable comparison groups as well as follow-up of participants over time to determine whether Web use results in health care utilization and diagnosis. Future research should involve longitudinal follow-up so that we can weigh the benefits of Web use for symptom appraisal (eg, reductions in delays to diagnosis) against the disadvantages (eg, unnecessary anxiety and health care use) and relate these to health care costs.

Indexed as

AdultCross-Sectional StudiesDelivery of Health CareHumansInternetMedical Informaticshealth information seekingInternetOnline health informationsearch strategiessymptom appraisalWeb search

Identifiers

PMID28611017
PMCPMC5487739

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.