Evidence map›Paper›PMID 38969371›Full record

ArticleBMJ open2024

Exploring decision-makers' challenges and strategies when selecting multiple systematic reviews: insights for AI decision support tools in healthcare.

Carole Lunny, Sera Whitelaw, Emma K Reid, Yuan Chi, Nicola Ferri, Jia He Janet Zhang, Dawid Pieper, Salmaan Kanji, Areti-Angeliki Veroniki, Beverley Shea and 5 more

Abstract read
In one paragraph

Article in BMJ open, 2024. 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

15 authors.

Carole LunnyKnowledge Translation Program, Li Ka Shing Knowledge Institute, UBC, Toronto, Ontario, Canada carole.lunny@ubc.ca.ORCID 0000-0002-7825-6765
Sera WhitelawFaculty of Medicine and Health Sciences, McGill University, Montreal, Québec, Canada.
Emma K ReidDepartment of Pharmacy, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.ORCID 0000-0002-7980-1673
Yuan ChiYealth Network, Beijing Health Technology Co., Ltd, Beijing, China.ORCID 0000-0001-7454-3970
Nicola FerriDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0002-8563-9967
Jia He Janet ZhangAnesthesiology, Pharmacology & Therapeutics, The University of British Columbia, Vancouver, British Columbia, Canada.
Dawid PieperInstitute for Health Services and Health System Research, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Neuruppin, Brandenburg, Germany.
Salmaan KanjiDepartment of Pharmacy, Ottawa Hospital, Ottawa, Ontario, Canada.
Areti-Angeliki VeronikiLi Ka Shing Knowledge Institute of St Michael's Hospital, Knowledge Translation Program, St Michael's Hospital, Toronto, Ontario, Canada.
Beverley SheaUniversity of Ottawa, Ottawa, Ontario, Canada.
Jasmeen DourkaKnowledge Translation Program, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
Clare ArdernDepartment of Family Practice, The University of British Columbia-Vancouver Campus, Vancouver, British Columbia, Canada.
Ba PhamKnowledge Translation Program, Li Ka Shing Knowledge Institute, University of Toronto, Toronto, Ontario, Canada.
Ebrahim BagheriDepartment of Electrical and Computer Engineering, Toronto Metropolitan University, Toronto, Ontario, Canada.
Andrea C TriccoInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-4114-8971

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystematic reviews (SRs) are being published at an accelerated rate. Decision-makers may struggle with comparing and choosing between multiple SRs on the same topic. We aimed to understand how healthcare decision-makers (eg, practitioners, policymakers, researchers) use SRs to inform decision-making and to explore the potential role of a proposed artificial intelligence (AI) tool to assist in critical appraisal and choosing among SRs.

methodsWe developed a survey with 21 open and closed questions. We followed a knowledge translation plan to disseminate the survey through social media and professional networks.

resultsOur survey response rate was lower than expected (7.9% of distributed emails). Of the 684 respondents, 58.2% identified as researchers, 37.1% as practitioners, 19.2% as students and 13.5% as policymakers. Respondents frequently sought out SRs (97.1%) as a source of evidence to inform decision-making. They frequently (97.9%) found more than one SR on a given topic of interest to them. Just over half (50.8%) struggled to choose the most trustworthy SR among multiple. These difficulties related to lack of time (55.2%), or difficulties comparing due to varying methodological quality of SRs (54.2%), differences in results and conclusions (49.7%) or variation in the included studies (44.6%). Respondents compared SRs based on the relevance to their question of interest, methodological quality, and recency of the SR search. Most respondents (87.0%) were interested in an AI tool to help appraise and compare SRs.

conclusionsGiven the identified barriers of using SR evidence, an AI tool to facilitate comparison of the relevance of SRs, the search and methodological quality, could help users efficiently choose among SRs and make healthcare decisions.

Indexed as

Artificial IntelligenceDecision MakingSystematic Reviews as TopicDecision Support TechniquesDelivery of Health CareHumansSurveys and Questionnairescross-sectional studiesdecision makingimplementation sciencenatural language processingquality in health caresystematic review

Identifiers

PMID38969371
PMCPMC11227798

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.