Googling for a diagnosis - use of Google as a diagnostic

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Googling for a diagnosis - use of Google as a diagnostic

  1. 1. Googling for a diagnosis— use of Google as a diagnostic aid: internet based study Hangwi Tang, Jennifer Hwee Kwoon Ng BMJ 2006;333;1143-1145 Speaker : Yen‐Jhih Huang  Advisor  : Yu‐Chuan Li
  2. 2. How good is Google in helping doctors to  reach the correct diagnosis? 
  3. 3. Method Difficult diagnostic cases • New England Journal of Medicine (2005) • Excluded management cases • Selected three to five search terms Copyright  is aWee   http://www.flickr.com/photos/entrospeck/7760134/ 
  4. 4. Method • Search • Select & Record (three most prominent diagnoses) - First three pages (30 documents) - Not Suggest : three most likely diagnoses • Compared the correct diagnoses
  5. 5. Results • Identified 26 cases • Correct diagnosis in 15 cases (58%, 95% confidence interval 38% to 77%) Copyright  is pigpogm  http://www.flickr.com/photos/pigpogm/143999774/ 
  6. 6. Discussion • Complex diseases with non-specific symptoms • Common diseases with rare presentations • Depend on the searchers’ knowledge base • Doctor • Patient • Google Scholar vs PubMed
  7. 7. Case 10 • Fever • Bilateral thigh pain • Weakness Google Diagnosis:Amyotrophy Final Diagnosis:Ehrlichiosis Copyright  is  e walk http://www.flickr.com/photos/walker ep/3086674683/ 
  8. 8. Case 18 • Fibroma • Astrocytoma • Tumor • Leiomyoma • Scoliosis Google Diagnosis:Tuberous Sclerosis Final Diagnosis:Endometriosis Copyright  is  e walk http://www.flickr.com/photos/walker ep/3086674683/ 
  9. 9. Conclusions • Most common uses of the web ( Health Information , 2001) • Need to become proficient
  10. 10. My Test • 4 case success (case 14、16、18、19) • 19/26 (73%) • Case 31 : Terms unsuitable 

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