Evidence map›Paper›PMID 28089913›Full record

ArticleJournal of biomedical informatics2017

Physicians' perception of alternative displays of clinical research evidence for clinical decision support - A study with case vignettes.

Stacey L Slager, Charlene R Weir, Heejun Kim, Javed Mostafa, Guilherme Del Fiol

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Clinical Research Informatics: a Decade-in-Review.Yearbook of medical informatics · 2024
    Review
  2. 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

5 authors.

Stacey L SlagerDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Charlene R WeirDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA; George E Whalen VA Medical Center, Salt Lake City, UT, USA.
Heejun KimSchool of Information and Library Science, University of North Carolina, Chapel Hill, NC, USA.
Javed MostafaSchool of Information and Library Science, University of North Carolina, Chapel Hill, NC, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, USA. Electronic address: guilherme.delfiol@utah.edu.

Funding

Meeting Clinicians' Information Needs with Highly Tailored Knowledge SummariesR01LM011416 · NLM · UNIVERSITY OF UTAH · PI DEL FIOL, GUILHERME · 2013 to 2016
$1.3M
NLM NIH HHS R01 LM011416
6 · The paper itself

Abstract

objectiveTo design alternate information displays that present summaries of clinical trial results to clinicians to support decision-making; and to compare the displays according to efficacy and acceptability.

methodsA 6-between (information display presentation order) by 3-within (display type) factorial design. Two alternate displays were designed based on Information Foraging theory: a narrative summary that reduces the content to a few sentences; and a table format that structures the display according to the PICO (Population, Intervention, Comparison, Outcome) framework. The designs were compared with the summary display format available in PubMed. Physicians were asked to review five clinical studies retrieved for a case vignette; and were presented with the three display formats. Participants were asked to rate their experience with each of the information displays according to a Likert scale questionnaire.

resultsTwenty physicians completed the study. Overall, participants rated the table display more highly than either the text summary or PubMed's summary format (5.9vs. 5.4vs. 3.9 on a scale between 1 [strongly disagree] and 7 [strongly agree]). Usefulness ratings of seven pieces of information, i.e. patient population, patient age range, sample size, study arm, primary outcome, results of primary outcome, and conclusion, were high (average across all items=4.71 on a 1 to 5 scale, with 1=not at all useful and 5=very useful). Study arm, primary outcome, and conclusion scored the highest (4.9, 4.85, and 4.85 respectively). Participants suggested additional details such as rate of adverse effects.

conclusionThe table format reduced physicians' perceived cognitive effort when quickly reviewing clinical trial information and was more favorably received by physicians than the narrative summary or PubMed's summary format display.

Indexed as

Data DisplayDecision MakingDecision Support Systems, ClinicalNarrationHumansOutcome Assessment, Health CarePhysiciansClinical decision makingClinician information needsInformation displayInformation foraging theoryInformation seeking

Identifiers

PMID28089913
PMCPMC5509533

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.