googling for a diagnosis - use of google as a diagnostic
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Googling for a diagnosis—use of Google as a diagnostic aid: internet based studyHangwi Tang, Jennifer Hwee Kwoon Ng
BMJ 2006;333;1143-1145
Speaker : Yen‐Jhih Huang Advisor : Yu‐Chuan Li
How good is Googlein helping doctors to reach the correct diagnosis?
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MethodDifficult diagnostic cases
• New England Journal of Medicine (2005)
• Excluded management cases
• Selected three to five search terms
• Search• Select & Record (three most prominent diagnoses)
- First three pages (30 documents)- Not Suggest : three most likely diagnoses
• Compared the correct diagnoses
Method
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• Identified 26 cases• Correct diagnosis in 15 cases
(58%, 95% confidence interval 38% to 77%)
Results
• Complex diseases with non-specific symptoms• Common diseases with rare presentations
• Depend on the searchers’ knowledge base• Doctor• Patient
• Google Scholar vs PubMed
Discussion
Case 10• Fever• Bilateral thigh pain • Weakness
Google Diagnosis:Amyotrophy
Final Diagnosis:Ehrlichiosis
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Case 18• Fibroma• Astrocytoma• Tumor• Leiomyoma• Scoliosis
Google Diagnosis:Tuberous Sclerosis
Final Diagnosis:Endometriosis
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Conclusions
• Most common uses of the web( Health Information , 2001)
• Need to become proficient
My Test• 4 case success
(case 14、16、18、19)
• 19/26 (73%)
• Case 31 : Terms unsuitable