Why are we still looking through guidelines to get a clinical answer? Naturally, we need a chatbot that was trained on these guidelines so we can simply ask⚡ [Thread] 👇
A quick & dirty search on PubMed revealed no relevant studies among 61 results. A 2022 scoping review did not report any chatbots like that either: doi.org/10.2196/35882 BTW, only 88% of the chatbots studied were reported technically well 😱 2/8
In one study, a chatbot providing management guidelines for patients with beta thalassemia was developed, but it was rule-based, which clearly isn’t the state of the art today: doi.org/10.1155/2022/9… 3/8 Framework of an expert system using the chatbot for the mana
Some other chatbot was created for hidradenitis suppurativa, but it didn’t look quite like the subject judging from the report: doi.org/10.1159/000511… 4/8
Another chatbot was developed for giving wound dressing guidance, but it seemed to be trained on its own knowledge base, not published guidelines; and it wasn’t so good with NLP either: doi.org/10.1016/j.ijme… 5/8
One other study provided a notable use case of incorporating an ontology in the development of a chatbot but had another purpose: doi.org/10.2196/29289 6/8
Another ScR on chatbots in health care is in progress, but its protocol excluded chatbots targeted at HCPs: doi.org/10.2196/40265 7/8
Finally, and probably most importantly, when I google CPG + chatbot, there isn’t anything there…but it could be! I’ve already procured a list of the most searched for guidelines from Google Keyword Planner, so we have training data… 😏 What do you say? 8/8
*88% of the chatbots studied were NOT reported technically well, indeed! A typo 😔 doi.org/10.2196/35882

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More from @drzhelnov

Jan 24
When someone asks me what I do, and I reply with something like ‘I’m an evidence synthesis researcher,’ they are usually having a hard time understanding that. It need not be this way. In fact, knowledge synthesis is something everybody does every day of their lives. [Thread] 👇
When we’re asking Google to list restaurants in the area, this is knowledge synthesis. And when we’re scrolling today’s news, this is knowledge synthesis too. The platforms do it in our stead. But when a physician is looking up options for treating a difficult patient? 2/8
Or when a financial analyst is gathering clues to making their investment decision? Or when an OSINT journalist is collecting evidence of a war crime? These would be knowledge synthesis too. However, the greater the negative impact of an adverse decision, the bigger the call. 3/8
Read 8 tweets
Nov 12, 2022
It’s been two years since I started working on my Reproducible Systematic Subset query for #PubMed to power my knowledge synthesis appraisals at zheln.com, and look what I have found so far ⬇ 1/8
First and foremost, your regular PubMed searches you see when reading through evidence syntheses are fundamentally irreproducible ­– in part, at best. This is because they usually do not account for indexing dates – the issue I fixed in the RSSB 2/8
RSSB, being short for Reproducible Systematic Subset, is the same as PubMed’s regular Syst Rev filter (with both the older and newer versions combined) but tweaked for reproducibility: osf.io/z3ju7/ I.e., it gives you the same record set whenever you rerun the query 3/8
Read 8 tweets
Jul 12, 2021
1/ Both the Coldblooded and the City military practiced their initiation rituals. Among the former, an incision would be made in six strokes on the new adept’s left forearm by the most skillful local swordsman.
2/ The incision would heal leaving a lifelong scar that resembled a mirrored uppercase letter sigma half-doubled along the long axis.
3/ It was said that, should a Coldblooded betray their kind, the scar would open, and the traiter would die of unstoppable bleeding that could not be fixed even with surgery.
Read 6 tweets
Jul 12, 2021
1/ As the story tells, there were sometime the people called #Equiz. They lived in the country and did not know any technology. When firearms came to be, it somehow turned that many Equiz did not accept them.
2/ These have preserved the white arms as their weapon of choice and resisted technology ever since. Slaughter between the two factions has endured for many years, although the exact cause of it has now fallen into oblivion.
3/ With firearms came construction science, and its supporters founded the City, that has grown enormously with time. Surrounded with a titanic wall, the City is where maybe a half of all Equiz dwell.
Read 16 tweets

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