Evidence map›Paper›PMID 33669930›Full record

Trial reportInternational journal of environmental research and public health2021

Efficacy of Artificial-Intelligence-Driven Differential-Diagnosis List on the Diagnostic Accuracy of Physicians: An Open-Label Randomized Controlled Study.

Yukinori Harada, Shinichi Katsukura, Ren Kawamura, Taro Shimizu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Artificial intelligence in sleep medicine: assessing the diagnostic precision of ChatGPT-4.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Clinical Decision Support Systems for Diagnosis in Primary Care: A Scoping Review.International journal of environmental research and public health · 2021
    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

4 authors.

Yukinori HaradaDepartment of General Internal Medicine, Nagano Chuo Hospital, Nagano 380-0814, Japan.ORCID 0000-0001-6042-7397
Shinichi KatsukuraDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi 321-0293, Japan.
Ren KawamuraDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi 321-0293, Japan.
Taro ShimizuDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University, Tochigi 321-0293, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of artificial intelligence (AI)-driven automated medical-history-taking systems with AI-driven differential-diagnosis lists on physicians' diagnostic accuracy was shown. However, considering the negative effects of AI-driven differential-diagnosis lists such as omission (physicians reject a correct diagnosis suggested by AI) and commission (physicians accept an incorrect diagnosis suggested by AI) errors, the efficacy of AI-driven automated medical-history-taking systems without AI-driven differential-diagnosis lists on physicians' diagnostic accuracy should be evaluated.

objectiveThe present study was conducted to evaluate the efficacy of AI-driven automated medical-history-taking systems with or without AI-driven differential-diagnosis lists on physicians' diagnostic accuracy.

methodsThis randomized controlled study was conducted in January 2021 and included 22 physicians working at a university hospital. Participants were required to read 16 clinical vignettes in which the AI-driven medical history of real patients generated up to three differential diagnoses per case. Participants were divided into two groups: with and without an AI-driven differential-diagnosis list.

resultsThere was no significant difference in diagnostic accuracy between the two groups (57.4% vs. 56.3%, respectively;

conclusionsPhysicians' diagnostic accuracy using AI-driven automated medical history did not differ between the groups with and without AI-driven differential-diagnosis lists.

Indexed as

Artificial IntelligencePhysiciansDiagnosis, DifferentialHumansIntelligenceMedical History Takingartificial intelligenceautomated medical-history-taking systemcommission errorsdiagnostic accuracydifferential-diagnosis listomission errors

Identifiers

PMID33669930
PMCPMC7924871

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.