Evidence map›Paper›PMID 42168311›Full record

ArticleNPJ digital medicine2026

Appropriateness and utility of a clinical decision support system at the digital front door.

Andreia Pimenta, Nisha Kini, Fabienne Cotte, Filipa Dias Lourenço, Miguel Paiva Pereira, Marcel Schmude, Athena Lemesiou, Stephen Gilbert, Tauseef Mehrali, Micaela Seemann Monteiro and 1 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Andreia Pimenta *Ada Health GmbH, Neue Grünstraße 17, Berlin, Germany.ORCID http://orcid.org/0000-0002-9990-4581
Nisha Kini *Ada Health GmbH, Neue Grünstraße 17, Berlin, Germany.ORCID http://orcid.org/0000-0002-8234-9438
Fabienne CotteAda Health GmbH, Neue Grünstraße 17, Berlin, Germany.ORCID http://orcid.org/0000-0002-2898-422X
Filipa Dias LourençoCUF - Gestão de clientes e de serviços de saúde, S.A., Avenida do Forte, N 3, Edifício Suécia III, Carnaxide, Portugal.ORCID http://orcid.org/0000-0003-4921-6235
Miguel Paiva PereiraCUF - Gestão de clientes e de serviços de saúde, S.A., Avenida do Forte, N 3, Edifício Suécia III, Carnaxide, Portugal.ORCID http://orcid.org/0000-0002-3783-6114
Marcel SchmudeAda Health GmbH, Neue Grünstraße 17, Berlin, Germany.ORCID http://orcid.org/0000-0002-7519-1724
Athena LemesiouAda Health GmbH, Neue Grünstraße 17, Berlin, Germany.ORCID http://orcid.org/0009-0005-3593-4270
Stephen GilbertElse Kröner-Fresenius Center for Digital Health, TUD Dresden University of Technology, Dresden, Germany.ORCID http://orcid.org/0000-0002-1997-1689
Tauseef MehraliAda Health GmbH, Neue Grünstraße 17, Berlin, Germany.ORCID http://orcid.org/0000-0002-8086-5113
Micaela Seemann MonteiroCUF - Gestão de clientes e de serviços de saúde, S.A., Avenida do Forte, N 3, Edifício Suécia III, Carnaxide, Portugal.ORCID http://orcid.org/0009-0009-5643-8355
Pedro FloresCUF - Gestão de clientes e de serviços de saúde, S.A., Avenida do Forte, N 3, Edifício Suécia III, Carnaxide, Portugal. pedro.v.silva@cuf.pt.ORCID http://orcid.org/0000-0002-8991-1980

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Digital front doors combining symptom assessment and self-triage are increasingly used, yet real-world evidence on their clinical integration remains limited. This prospective post-market clinical follow-up evaluated a clinical decision support system embedded in routine care within a large private healthcare network. Adults completed a structured symptom assessment before consultation, and both participants and physicians completed predefined questionnaires. Treating physicians generally judged the urgency advice and assessment report to be appropriate. When the report was reviewed before the consultation, physicians reported greater preparedness and perceived efficiency gains. Participants generally reported complete symptom capture and improved preparedness. These findings provide prospective real-world evidence that a symptom assessment CDSS can generate appropriate outputs in routine care and may support both patient preparation and clinician workflow when integrated into practice.

Identifiers

PMID42168311
PMCPMC13462450

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.