Evidence map›Paper›PMID 38019365›Full record

ArticleDrug safety2024

The Unseen Hand: AI-Based Prescribing Decision Support Tools and the Evaluation of Drug Safety and Effectiveness.

Harriet Dickinson, Dana Y Teltsch, Jan Feifel, Philip Hunt, Enriqueta Vallejo-Yagüe, Arti V Virkud, Katoo M Muylle, Taichi Ochi, Macarius Donneyong, Joseph Zabinski and 3 more

Abstract read
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In one paragraph

Article in Drug safety, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  5. Review
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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

13 authors.

Harriet DickinsonGilead Sciences, Uxbridge, UK. Harriet.dickinson@gilead.com.ORCID 0000-0001-7753-2820
Dana Y TeltschTakeda, Cambridge, MA, USA.
Jan FeifelMerck Healthcare KGaA, Darmstadt, Germany.
Philip HuntInstitute of Pharmaceutical Sciences, ETH Zurich, Zurich, Switzerland.
Enriqueta Vallejo-YagüeAstraZeneca, Gaithersberg, MD, USA.
Arti V VirkudKidney Center School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Katoo M MuylleAstraZeneca BeLux, Groot-Bijgaarden, Belgium.
Taichi OchiDepartment of PharmacoTherapy, Epidemiology and Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.
Macarius DonneyongOhio State University, Columbus, OH, USA.
Joseph ZabinskiOM1, Inc., Boston, MA, USA.
Victoria Y StraussBoehringer Ingelheim, Binger Str. 173, 55218, Ingelheim am Rhein, Germany.
Juan M Hincapie-CastilloDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Actionable AI group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of artificial intelligence (AI)-based tools to guide prescribing decisions is full of promise and may enhance patient outcomes. These tools can perform actions such as choosing the 'safest' medication, choosing between competing medications, promoting de-prescribing or even predicting non-adherence. These tools can exist in a variety of formats; for example, they may be directly integrated into electronic medical records or they may exist in a stand-alone website accessible by a web browser. One potential impact of these tools is that they could manipulate our understanding of the benefit-risk of medicines in the real world. Currently, the benefit risk of approved medications is assessed according to carefully planned agreements covering spontaneous reporting systems and planned surveillance studies. But AI-based tools may limit or even block prescription to high-risk patients or prevent off-label use. The uptake and temporal availability of these tools may be uneven across healthcare systems and geographies, creating artefacts in data that are difficult to account for. It is also hard to estimate the 'true impact' that a tool had on a prescribing decision. International borders may also be highly porous to these tools, especially in cases where tools are available over the web. These tools already exist, and their use is likely to increase in the coming years. How they can be accounted for in benefit-risk decisions is yet to be seen.

Indexed as

Artificial IntelligenceDelivery of Health CareDrug PrescriptionsElectronic Health RecordsHumansRisk Assessment

Identifiers

What OpenQuestion holds

Textmetadata
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.