DianaHealth.com, an On-Line Database Containing Appraisals of the Clinical Value and Appropriateness of Healthcare Interventions : Database Development and Retrospective Analysis
Bonfill, X. (Xavier) (Institut d'Investigació Biomèdica Sant Pau)
Osorio, Dimelza (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Solà, Ivan (Institut d'Investigació Biomèdica Sant Pau)
Pijoan, Jose Ignacio (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Balasso, Valentina (Institut d'Investigació Biomèdica Sant Pau)
Quintana Ruiz, Maria Jesús (Institut d'Investigació Biomèdica Sant Pau)
Puig, Teresa (Institut d'Investigació Biomèdica Sant Pau)
Bolibar i Ribas, Ignasi (Institut d'Investigació Biomèdica Sant Pau)
Urrútia, Gerard (Institut d'Investigació Biomèdica Sant Pau)
Zamora, Javier (Hospital Universitario Ramón y Cajal (Madrid))
Emparanza, José Ignacio (Biodonostia Osasun Ikerketako Institutura (País Basc))
Gómez de la Cámara, Agustín (Hospital Universitario 12 de Octubre (Madrid))
Ferreira-Gonzalez, Ignacio (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Universitat Autònoma de Barcelona

Data:	2016
Resum:	To describe the development of a novel on-line database aimed to serve as a source of information concerning healthcare interventions appraised for their clinical value and appropriateness by several initiatives worldwide, and to present a retrospective analysis of the appraisals already included in the database. Database development and a retrospective analysis. The database DianaHealth. com is already on-line and it is regularly updated, independent, open access and available in English and Spanish. Initiatives are identified in medical news, in article references, and by contacting experts in the field. We include appraisals in the form of clinical recommendations, expert analyses, conclusions from systematic reviews, and original research that label any health care intervention as low-value or inappropriate. We obtain the information necessary to classify the appraisals according to type of intervention, specialties involved, publication year, authoring initiative, and key words. The database is accessible through a search engine which retrieves a list of appraisals and a link to the website where they were published. DianaHealth. com also provides a brief description of the initiatives and a section where users can report new appraisals or suggest new initiatives. From January 2014 to July 2015, the on-line database included 2940 appraisals from 22 initiatives: eleven campaigns gathering clinical recommendations from scientific societies, five sets of conclusions from literature review, three sets of recommendations from guidelines, two collections of articles on low clinical value in medical journals, and an initiative of our own. We have developed an open access on-line database of appraisals about healthcare interventions considered of low clinical value or inappropriate. DianaHealth. com could help physicians and other stakeholders make better decisions concerning patient care and healthcare systems sustainability. Future efforts should be focused on assessing the impact of these appraisals in the clinical practice.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	PloS one, Vol. 11 (february 2016) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0147943
PMID: 26840451

14 p, 616.9 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
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