Evidence map›Paper›PMID 40605993›Full record

ArticleDigital health

Effectiveness of physician-based diagnosis versus diagnostic artificial intelligence algorithms in detecting communicable febrile diseases in Mexico.

Enrique Alonso Medina Fuentes, Carmen Alicia Ruíz Valdez, Porfirio Felipe Hernández Bautista, David Alejandro Cabrera Gaytán, Guadalupe Minerva Olivas Fabela, José Alberto Mireles Garza, Olga María Alejo Martínez, Brenda Leticia Rocha Reyes, Alfonso Vallejos Parás, Lumumba Arriaga Nieto and 5 more

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Enrique Alonso Medina FuentesHospital General Regional No. 1 Obregón, Instituto Mexicano del Seguro Social, Sonora, México.ORCID https://orcid.org/0009-0000-4472-0841
Carmen Alicia Ruíz ValdezHospital General Regional No. 1 Obregón, Instituto Mexicano del Seguro Social, Sonora, México.
Porfirio Felipe Hernández BautistaCoordinación de Calidad de Insumos y Laboratorios Especializados, Instituto Mexicano del Seguro Social, Mexico City, México.
David Alejandro Cabrera GaytánCoordinación de Calidad de Insumos y Laboratorios Especializados, Instituto Mexicano del Seguro Social, Mexico City, México.ORCID https://orcid.org/0000-0001-5314-4786
Guadalupe Minerva Olivas FabelaUnidad Médica de Alta Especialidad No. 2 Centro Médico Nacional del Noroeste Obregón, Instituto Mexicano del Seguro Social, Sonora, México.ORCID https://orcid.org/0009-0003-3128-4704
José Alberto Mireles GarzaHospital General Regional No. 1 Obregón, Instituto Mexicano del Seguro Social, Sonora, México.ORCID https://orcid.org/0009-0003-2289-4623
Olga María Alejo MartínezHospital General de Zona con Medicina Familiar No. 28, Costa Rica, Instituto Mexicano del Seguro Social, Sonora, México.
Brenda Leticia Rocha ReyesUnidad Médica de Alta Especialidad No. 8, Hospital de Especialidades. Ciudad Obregón, Instituto Mexicano del Seguro Social, Sonora, México.
Alfonso Vallejos ParásCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Mexico City, México.
Lumumba Arriaga NietoCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Mexico City, México.ORCID https://orcid.org/0000-0003-0243-768X
Yadira Pérez AndradeCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Mexico City, México.
Leticia Jaimes BetancourtUnidad de Medicina Familiar No. 7, Instituto Mexicano del Seguro Social, Mexico City, México.
Gabriel Valle AlvaradoCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Mexico City, México.
Oscar Cruz OrozcoCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Mexico City, México.
Mónica Grisel Rivera MaheyCoordinación de Vigilancia Epidemiológica, Instituto Mexicano del Seguro Social, Mexico City, México.ORCID https://orcid.org/0000-0002-5972-5706

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital medicine is an important tool in the current healthcare landscape. Fever is an important reason for evaluating patients at first and second levels of care and a frequent symptom of diseases subject to epidemiological surveillance. Objective: To evaluate the diagnostic effectiveness of various algorithms in detecting communicable diseases of epidemiological interest in febrile patients at Hospital General Regional No. 1, Cd. Obregón, Sonora. Methods: An observational, descriptive, and retrospective study was conducted in a second-level hospital from 1 January 2022 to 31 December 2023, to determine Cohen's kappa and the sensitivity, specificity, positive and negative predictive values, precision and Youden's J index of diagnostic algorithms for 20 communicable diseases with respect to the doctors' diagnoses. Results: Diagnostic algorithms were applied to the data of 909 cases. The sensitivities of Mediktor®, an artificial neural network-based algorithm, a medical diagnostic algorithm and a composite diagnostic algorithm were 11.97%, 64.09%, 69.92% and 99.37%, respectively, and the corresponding specificities were 93.43%, 91.24%, 27.01% and 5.11%, respectively. The neural network-based method yielded the highest Youden's J index. Conclusions: The medical diagnostic algorithm had the best sensitivity, whereas the specificity was greater for the two artificial intelligence algorithms.

Indexed as

artificial intelligenceartificial neural networkdiagnostic algorithmFever

Identifiers

PMID40605993
PMCPMC12217570

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.