Evidence map›Paper›PMID 30854352›Full record

ArticleCanadian journal of gastroenterology & hepatology2019

Concordance Rate between Clinicians and Watson for Oncology among Patients with Advanced Gastric Cancer: Early, Real-World Experience in Korea.

Youn I Choi, Jun-Won Chung, Kyoung Oh Kim, Kwang An Kwon, Yoon Jae Kim, Dong Kyun Park, Sung Min Ahn, So Hyun Park, Sun Jin Sym, Dong Bok Shin and 4 more

Abstract readComparative Study
In one paragraph

Article in Canadian journal of gastroenterology & hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. When Predictive Models Collide.JCO clinical cancer informatics · 2020
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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

14 authors.

Youn I ChoiDepartment of Gastroenterology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.ORCID 0000-0001-6561-6752
Jun-Won ChungDepartment of Gastroenterology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.ORCID 0000-0002-0869-7661
Kyoung Oh KimDepartment of Gastroenterology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Kwang An KwonDepartment of Gastroenterology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Yoon Jae KimDepartment of Gastroenterology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Dong Kyun ParkDepartment of Gastroenterology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.ORCID 0000-0002-2862-6641
Sung Min AhnDepartment of Oncology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
So Hyun ParkDepartment of Oncology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Sun Jin SymDepartment of Oncology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Dong Bok ShinDepartment of Oncology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Young Saing KimDepartment of Oncology, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Ki Hoon SungDepartment of Radiation Oncology, Gachon University Gil Medical Center, Republic of Korea.
Jeong-Heum BaekDepartment of Surgery, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
Uhn LeeDepartment of Neurosurgery and Director of AI-Based Precision Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds/Aims: Watson for Oncology (WFO) is a cognitive technology that processes medical information by analyzing the latest evidence and guidelines. However, studies of the concordance rate between WFO and clinicians for advanced gastric cancer (AGC) are lacking. Methods: We retrospectively reviewed 65 patients with AGC who consulted WFO and the Gachon Gil Medical Center multidisciplinary team (GMDT) in 2016 and 2017. The recommendations of WFO were compared with the opinions of the GMDT. WFO provided three treatment options: recommended (first treatment option), for consideration (second treatment option), and not recommended. Results: In total, 65 patients (mean age 61.0 years; 44 males and 21 females) were included in the study. The concordance rate between WFO and the GMDT was 41.5% (27/65) at the recommended level and 87.7% (57/65) at the for consideration level. The main causes of discordance between WFO and the GMDT were as follows. First, WFO did not consider the medical history. Second, WFO recommended the use of agents that are considered outdated in Korea. Third, some patients wanted to be involved in a clinical trial. Fourth, some patients refused to use the biologic agents recommended by WFO for financial reasons as they were not covered by medical insurance. Conclusions: The concordance rate at the recommended level was relatively low but was higher at the for consideration level. Discordances arose mainly from the different medical circumstances at the Gachon Gil Medical Center (GMC) and the Memorial Sloan Kettering Cancer Center (MSKCC), the main WFO consulting center. The utility of WFO as a tool for supporting clinical decision making could be further improved by incorporating regional guidelines.

Indexed as

Patient Acceptance of Health CareAgedBiological FactorsDecision Support Systems, ClinicalFemaleHumansMaleMiddle AgedPatient Care TeamRepublic of KoreaRetrospective StudiesStomach NeoplasmsBiological Factors

Identifiers

PMID30854352
PMCPMC6377977

What OpenQuestion holds

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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.