Evidence map›Paper›PMID 38502157›Full record

ArticleJournal of medical Internet research2024

Clinical Decision Support System Used in Spinal Disorders: Scoping Review.

Zheng An Toh, Bjørnar Berg, Qin Yun Claudia Han, Hwee Weng Dennis Hey, Minna Pikkarainen, Margreth Grotle, Hong-Gu He

Abstract readScoping Review
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
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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

7 authors.

Zheng An TohNational University Hospital, National University Health System, Singapore, Singapore.ORCID 0000-0001-5835-0052
Bjørnar BergCentre for Intelligent Musculoskeletal Health, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0002-9017-5562
Qin Yun Claudia HanDepartment of Nursing, Tan Tock Seng Hospital, Singapore, Singapore.ORCID 0000-0001-8751-4343
Hwee Weng Dennis HeyDivision of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore, Singapore.ORCID 0000-0002-2012-9835
Minna PikkarainenDepartment of Rehabilitation and Health Technology, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0003-4516-6584
Margreth GrotleCentre for Intelligent Musculoskeletal Health, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0001-8243-1143
Hong-Gu HeAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID 0000-0001-8545-1123

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal disorders are highly prevalent worldwide with high socioeconomic costs. This cost is associated with the demand for treatment and productivity loss, prompting the exploration of technologies to improve patient outcomes. Clinical decision support systems (CDSSs) are computerized systems that are increasingly used to facilitate safe and efficient health care. Their applications range in depth and can be found across health care specialties.

objectiveThis scoping review aims to explore the use of CDSSs in patients with spinal disorders.

methodsWe used the Joanna Briggs Institute methodological guidance for this scoping review and reported according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) statement. Databases, including PubMed, Embase, Cochrane, CINAHL, Web of Science, Scopus, ProQuest, and PsycINFO, were searched from inception until October 11, 2022. The included studies examined the use of digitalized CDSSs in patients with spinal disorders.

resultsA total of 4 major CDSS functions were identified from 31 studies: preventing unnecessary imaging (n=8, 26%), aiding diagnosis (n=6, 19%), aiding prognosis (n=11, 35%), and recommending treatment options (n=6, 20%). Most studies used the knowledge-based system. Logistic regression was the most commonly used method, followed by decision tree algorithms. The use of CDSSs to aid in the management of spinal disorders was generally accepted over the threat to physicians' clinical decision-making autonomy.

conclusionsAlthough the effectiveness was frequently evaluated by examining the agreement between the decisions made by the CDSSs and the health care providers, comparing the CDSS recommendations with actual clinical outcomes would be preferable. In addition, future studies on CDSS development should focus on system integration, considering end user's needs and preferences, and external validation and impact studies to assess effectiveness and generalizability.

trial registrationOSF Registries osf.io/dyz3f; https://osf.io/dyz3f.

Indexed as

Decision Support Systems, ClinicalAlgorithmsClinical Decision-MakingDatabases, FactualHumansback painCDSSclinical decision support systemsdiagnosisimagingpredictiveprognosisspine

Identifiers

PMID38502157
PMCPMC10988379

What OpenQuestion holds

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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.