Evidence map›Paper›PMID 35659056›Full record

ArticleJournal of biomedical semantics2022

Synthesizing evidence from clinical trials with dynamic interactive argument trees.

Olivia Sanchez-Graillet, Christian Witte, Frank Grimm, Steffen Grautoff, Basil Ell, Philipp Cimiano

Abstract read
In one paragraph

Article in Journal of biomedical semantics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Olivia Sanchez-GrailletSemantic Computing Group, Cluster of Excellence Cognitive Interaction Technology (CITEC), Bielefeld University, Bielefeld, 33619, Germany. olivia.sanchez@uni-bielefeld.de.ORCID 0000-0003-3483-265X
Christian WitteSemantic Computing Group, Cluster of Excellence Cognitive Interaction Technology (CITEC), Bielefeld University, Bielefeld, 33619, Germany.
Frank GrimmSemantic Computing Group, Cluster of Excellence Cognitive Interaction Technology (CITEC), Bielefeld University, Bielefeld, 33619, Germany.
Steffen GrautoffZentrale Notaufnahme, Klinikum Herford, Herford, Germany.
Basil EllSemantic Computing Group, Cluster of Excellence Cognitive Interaction Technology (CITEC), Bielefeld University, Bielefeld, 33619, Germany.
Philipp CimianoSemantic Computing Group, Cluster of Excellence Cognitive Interaction Technology (CITEC), Bielefeld University, Bielefeld, 33619, Germany.

Funding

Deutsche Forschungsgemeinschaft 376059226 / SPP-1999
6 · The paper itself

Abstract

backgroundEvidence-based medicine propagates that medical/clinical decisions are made by taking into account high-quality evidence, most notably in the form of randomized clinical trials. Evidence-based decision-making requires aggregating the evidence available in multiple trials to reach -by means of systematic reviews- a conclusive recommendation on which treatment is best suited for a given patient population. However, it is challenging to produce systematic reviews to keep up with the ever-growing number of published clinical trials. Therefore, new computational approaches are necessary to support the creation of systematic reviews that include the most up-to-date evidence.We propose a method to synthesize the evidence available in clinical trials in an ad-hoc and on-demand manner by automatically arranging such evidence in the form of a hierarchical argument that recommends a therapy as being superior to some other therapy along a number of key dimensions corresponding to the clinical endpoints of interest. The method has also been implemented as a web tool that allows users to explore the effects of excluding different points of evidence, and indicating relative preferences on the endpoints.

resultsThrough two use cases, our method was shown to be able to generate conclusions similar to the ones of published systematic reviews. To evaluate our method implemented as a web tool, we carried out a survey and usability analysis with medical professionals. The results show that the tool was perceived as being valuable, acknowledging its potential to inform clinical decision-making and to complement the information from existing medical guidelines.

conclusionsThe method presented is a simple but yet effective argumentation-based method that contributes to support the synthesis of clinical trial evidence. A current limitation of the method is that it relies on a manually populated knowledge base. This problem could be alleviated by deploying natural language processing methods to extract the relevant information from publications.

Indexed as

Evidence-Based MedicineTreesHumansResearch DesignSystematic Reviews as TopicAggregation of clinical trial evidenceArgument-based systemsEvidence synthesisSystematic review automation

Identifiers

PMID35659056
PMCPMC9166347

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LicenceCC BY
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Registered trials

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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.