Evidence map›Paper›PMID 31304364›Full record

ReviewNPJ digital medicine2019

It is time to learn from patients like mine.

Saurabh Gombar, Alison Callahan, Robert Califf, Robert Harrington, Nigam H Shah

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Data Consult Service: Can we use observational data to address immediate clinical needs?Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  13. ACE: the Advanced Cohort Engine for searching longitudinal patient records.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  14. Review
  15. Article
  16. Enabling Counterfactual Survival Analysis with Balanced Representations.ACM CHIL 2021 : proceedings of the 2021 ACM Conference on Health, Inference, and Learning : April 8-9, 2021, Virtual Event. ACM Conference on Health, Inference, and Learning (2021 : Online) · 2021
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

5 authors.

Saurabh Gombar *1Department of Pathology, School of Medicine, Stanford University, CA Stanford, USA.ORCID 0000-0002-5581-8569
Alison Callahan *2Department of Medicine, School of Medicine, Stanford University, CA Stanford, USA.
Robert Califf3Duke University, Durham, NC USA.
Robert Harrington2Department of Medicine, School of Medicine, Stanford University, CA Stanford, USA.
Nigam H Shah2Department of Medicine, School of Medicine, Stanford University, CA Stanford, USA.

Funding

Methods for generalized ontology terms enrichment analysisR01LM011369 · NLM · STANFORD UNIVERSITY · PI SHAH, NIGAM H · 2013 to 2020
$5.0M
NLM NIH HHS R01 LM011369
6 · The paper itself

Abstract

Clinicians are often faced with situations where published treatment guidelines do not provide a clear recommendation. In such situations, evidence generated from similar patients' data captured in electronic health records (EHRs) can aid decision making. However, challenges in generating and making such evidence available have prevented its on-demand use to inform patient care. We propose that a specialty consultation service staffed by a team of medical and informatics experts can rapidly summarize 'what happened to patients like mine' using data from the EHR and other health data sources. By emulating a familiar physician workflow, and keeping experts in the loop, such a service can translate physician inquiries about situations with evidence gaps into actionable reports. The demand for and benefits gained from such a consult service will naturally vary by practice type and data robustness. However, we cannot afford to miss the opportunity to use the patient data captured every day via EHR systems to close the evidence gap between available clinical guidelines and realities of clinical practice. We have begun offering such a service to physicians at our academic medical center and believe that such a service should be core offering by clinical informatics professional throughout the country. Only if we launch such efforts broadly can we systematically study the utility of learning from the record of routine clinical practice.

Indexed as

Health policyHealth servicesTranslational research

Identifiers

PMID31304364
PMCPMC6550176

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.