論文

国際誌
2021年5月23日

Effects of a Differential Diagnosis List of Artificial Intelligence on Differential Diagnoses by Physicians: An Exploratory Analysis of Data from a Randomized Controlled Study.

International journal of environmental research and public health
  • Yukinori Harada
  • ,
  • Shinichi Katsukura
  • ,
  • Ren Kawamura
  • ,
  • Taro Shimizu

18
11
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/ijerph18115562

A diagnostic decision support system (DDSS) is expected to reduce diagnostic errors. However, its effect on physicians' diagnostic decisions remains unclear. Our study aimed to assess the prevalence of diagnoses from artificial intelligence (AI) in physicians' differential diagnoses when using AI-driven DDSS that generates a differential diagnosis from the information entered by the patient before the clinical encounter on physicians' differential diagnoses. In this randomized controlled study, an exploratory analysis was performed. Twenty-two physicians were required to generate up to three differential diagnoses per case by reading 16 clinical vignettes. The participants were divided into two groups, an intervention group, and a control group, with and without a differential diagnosis list of AI, respectively. The prevalence of physician diagnosis identical with the differential diagnosis of AI (primary outcome) was significantly higher in the intervention group than in the control group (70.2% vs. 55.1%, p < 0.001). The primary outcome was significantly >10% higher in the intervention group than in the control group, except for attending physicians, and physicians who did not trust AI. This study suggests that at least 15% of physicians' differential diagnoses were affected by the differential diagnosis list in the AI-driven DDSS.

リンク情報
DOI
https://doi.org/10.3390/ijerph18115562
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34070958
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8196999
ID情報
  • DOI : 10.3390/ijerph18115562
  • PubMed ID : 34070958
  • PubMed Central 記事ID : PMC8196999

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