Evidence map›Paper›PMID 30908530›Full record

ArticlePloS one2019

Early experience with Watson for oncology in Korean patients with colorectal cancer.

Eui Joo Kim, Hyun Sun Woo, Jae Hee Cho, Sun Jin Sym, Jeong-Heum Baek, Won-Suk Lee, Kwang An Kwon, Kyoung Oh Kim, Jun-Won Chung, Dong Kyun Park and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% of its field
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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  6. Can Artificial Intelligence Software be Utilised for Thyroid Multi-Disciplinary Team Outcomes?Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
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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

11 authors at 2 institutions in 1 country.

Eui Joo KimDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.ORCID 0000-0001-5573-7083
Hyun Sun WooDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.ORCID 0000-0003-2388-9896
Jae Hee ChoDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Sun Jin SymDivision of Oncology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Jeong-Heum BaekDepartment of Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Won-Suk LeeDepartment of Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Kwang An KwonDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Kyoung Oh KimDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Jun-Won ChungDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Dong Kyun ParkDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Yoon Jae KimDivision of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medcal Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Gachon University · KRGachon University Gil Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWatson for oncology (WFO) is a cognitive computing system providing decision support. We evaluated the concordance rates between the treatment options determined by WFO and those determined by a multidisciplinary team (MDT).

methodsWe reviewed the medical charts of patients diagnosed with colorectal cancer who visited the MDT at a single tertiary medical center from November 2016 to April 2017. WFO classified the treatment options for specific patients into three categories: 'Recommended', 'For consideration', and 'Not recommended'. Concordance rates between the WFO- and MDT-determined chemotherapy options, and the factors that potentially influence the concordance rate, were analyzed.

resultsSixty-nine patients with colorectal cancer met with the MDT from Nov. 2016 to Feb. 2017. The mean age of the patients was 62 years (range: 34-86 years), and more patients were male (47/69) than female. Of the 69 patients, 51 (73.9%) were diagnosed with colon cancer, of whom 46.4% received the same regimen recommendation from WFO ('Recommended') as they did from the MDT. After inclusion of the 'For consideration' category from WFO, the concordance rate increased to 87.0%. The concordance rate between MDT and NCCN guidelines was 97.1%, and that between the WFO and NCCN guidelines was 88.4%. The concordance rates between WFO and MDT were significantly lower in patients with stage II, IIIC, or IV disease (P<0.001), and the colorectal cancer stage was the only statistically significant factor discriminating between WFO and MDT.

conclusionsThe concordance rate between chemotherapy regimens for colorectal cancer determined by MDT versus WFO recommendations was 46.4%. After including the 'For consideration' category from WFO, the concordance rate increased to 88.4%. Further modification and improvement of the WFO prioritizing algorithm used to recommend treatment may increase the usefulness of WFO in the clinic.

Indexed as

Decision Support Systems, ClinicalExpert SystemsAdultAgedAged, 80 and overAlgorithmsColorectal NeoplasmsComputersFemaleHumansInterdisciplinary CommunicationMaleMedical OncologyMiddle AgedNeoplasm StagingPatient Care Team

Identifiers

PMID30908530
PMCPMC6433269
OpenAlexW2942951865

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.