Evidence map›Paper›PMID 42534177›Full record

ArticleHand therapy2026

What information is available online for adults with distal radius fracture? Online literature search and synthesis using generative AI.

Daniel Ceh, Kalpesh R Vaghela, Lisa Newington

Abstract read
In one paragraph

Article in Hand therapy, 2026. 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

3 authors.

Daniel CehCentre for Bone and Joint Health, Queen Mary University of London, London, UK.ORCID https://orcid.org/0009-0005-7260-1977
Kalpesh R VaghelaCentre for Bone and Joint Health, Queen Mary University of London, London, UK.ORCID https://orcid.org/0000-0003-2787-5395
Lisa NewingtonCentre for Bone and Joint Health, Queen Mary University of London, London, UK.ORCID https://orcid.org/0000-0001-6954-2981

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Distal radius fractures (DRFs) are the most common adult fracture in the UK, and patients seek online information to support recovery. The quality of such information varies, including in artificial intelligence (AI) generated summaries. This study explored the use of a generative AI model (Gemini) for information searching and synthesis of patient information on DRF recovery. Methods: Seven health information questions were co-developed with patients, hand therapists, and surgeons. Each question was searched in Google using three terms: 'distal radius fracture', 'wrist fracture', and 'broken wrist'. For each AI Overview, the summary and cited sources were exported. Citations were screened for relevance and checked for accurate representation in the AI summary. Trustworthiness was rated using a National Institutes of Health (NIH) framework. AI summaries were compared with four UK guidelines on DRF management and rehabilitation. Results: Across all searches, 277 citations were identified; 37% were irrelevant. Of relevant citations, 57% (n = 99) were highly trustworthy, 40% (n = 70) moderately, and 3% (n = 6) low. Core messages aligned with UK guidelines, but AI summaries often gave fixed recovery timeframes. Discussion: Google's AI Overview produced generally accurate, trustworthy DRF recovery information. However, variable source relevance, differing complexity by search term, and fixed timeframes highlight the need for clinicians to understand the online content patients encounter. Terminology influenced tone, 'distal radius fracture' yielded technical summaries, 'wrist fracture' mixed technical and practical advice, 'broken wrist' offered more lay-friendly guidance. Awareness of these differences can support personalised advice and bridge gaps between AI-generated content and evidence-based practice.

Indexed as

artificial intelligencehealth information seeking behaviourhealth literacyradius fracturesrehabilitation

Identifiers

PMID42534177
PMCPMC13420124

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.