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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 12/2013

01-12-2013 | Editorial

Medicine Based Upon Data

Author: Charles Safran, MD, MS

Published in: Journal of General Internal Medicine | Issue 12/2013

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Excerpt

In this issue of JGIM, Shirts and colleagues1 demonstrate how information from an institution’s electronic health record can be used to tailor clinical decision support for a particular patient. Using the example of celiac disease, they highlight the importance of local context when aggregating clinical data. Not only does the sensitivity and specificity of a diagnostic procedure vary with the institution as compared to published averages, but these parameters also vary within the institution according to who is ordering the procedure. …
Literature
1.
Shirts BH, Bennett ST, Brian RJ. Using patients like my patient for clinical decision support: institution-specific probability of celiac disease diagnosis using simplified near-neighbor classification. J Gen Intern Med. doi:10.​1007/​s11606-013-2443-z.
2.
McDonald CJ, Hui SL. The analysis of humongous databases: problems and promises. Stat Med. 1991;10:511–8.PubMedCrossRef
3.
Safran C, Porter D, Lightfoot J, Rury CD, Underhill LH, Bleich HL, Slack WV. ClinQuery: a system for online searching of data in a teaching hospital. Ann Intern Med. 1989;111:751–6.PubMedCrossRef
4.
Jaffe ES. The 2008 WHO classification of lymphomas: implications for clinical practice and translational research. Hematology. 2009;2009:523–31.CrossRef
5.
Knottnerus JA, Dinant GJ. Medicine based evidence, a prerequisite for evidence-based medicine. BJM. 1997;315:1109–10.CrossRef
Metadata
Title
Medicine Based Upon Data
Author
Charles Safran, MD, MS
Publication date
01-12-2013
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 12/2013
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-013-2549-3

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Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

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Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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