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通过谷歌搜索进行诊断——将谷歌用作诊断辅助工具:基于互联网的研究

Googling for a diagnosis--use of Google as a diagnostic aid: internet based study.

作者信息

Tang Hangwi, Ng Jennifer Hwee Kwoon

机构信息

Department of Respiratory and Sleep Medicine, Princess Alexandra Hospital, Brisbane, Q4102, Australia.

出版信息

BMJ. 2006 Dec 2;333(7579):1143-5. doi: 10.1136/bmj.39003.640567.AE. Epub 2006 Nov 10.

Abstract

OBJECTIVE

To determine how often searching with Google (the most popular search engine on the world wide web) leads doctors to the correct diagnosis.

DESIGN

Internet based study using Google to search for diagnoses; researchers were blind to the correct diagnoses.

SETTING

One year's (2005) diagnostic cases published in the case records of the New England Journal of Medicine.

CASES

26 cases from the New England Journal of Medicine; management cases were excluded.

MAIN OUTCOME MEASURE

Percentage of correct diagnoses from Google searches (compared with the diagnoses as published in the New England Journal of Medicine).

RESULTS

Google searches revealed the correct diagnosis in 15 (58%, 95% confidence interval 38% to 77%) cases.

CONCLUSION

As internet access becomes more readily available in outpatient clinics and hospital wards, the web is rapidly becoming an important clinical tool for doctors. The use of web based searching may help doctors to diagnose difficult cases.

摘要

目的

确定使用谷歌(万维网上最流行的搜索引擎)进行搜索时,医生能找到正确诊断结果的频率。

设计

利用谷歌进行诊断搜索的基于互联网的研究;研究人员对正确诊断结果不知情。

地点

发表于《新英格兰医学杂志》病例记录中的一年(2005年)诊断病例。

病例

来自《新英格兰医学杂志》的26个病例;排除管理病例。

主要观察指标

谷歌搜索得出正确诊断结果的百分比(与《新英格兰医学杂志》发表的诊断结果相比)。

结果

谷歌搜索在15个病例(58%,95%置信区间38%至77%)中揭示了正确诊断结果。

结论

随着门诊诊所和医院病房更易接入互联网,网络正迅速成为医生的重要临床工具。使用基于网络的搜索可能有助于医生诊断疑难病例。

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