DianaHealth.com, an on-line database containing appraisals of the clinical value and appropriateness of healthcare interventions: Database development and retrospective analysis

Xavier Bonfill; Dimelza Osorio; Ivan Solà; Jose Ignacio Pijoan; Valentina Balasso; Maria Jesús Quintana; Teresa Puig; Ignasi Bolibar; Gerard Urrútia; Javier Zamora; José Ignacio Emparanza; Agustín Gómez De La Cámara; Ignacio Ferreira-González

doi:10.1371/journal.pone.0147943

DianaHealth.com, an on-line database containing appraisals of the clinical value and appropriateness of healthcare interventions: Database development and retrospective analysis

Xavier Bonfill, Dimelza Osorio, Ivan Solà, Jose Ignacio Pijoan, Valentina Balasso, Maria Jesús Quintana, Teresa Puig, Ignasi Bolibar, Gerard Urrútia, Javier Zamora, José Ignacio Emparanza, Agustín Gómez De La Cámara, Ignacio Ferreira-González

Metabolism and Systems Research

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

Abstract

Objective: 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. Methods and Findings: 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. Conclusions: 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.

Original language	English
Article number	e0147943
Journal	PLoS ONE
Volume	11
Issue number	2
DOIs	https://doi.org/10.1371/journal.pone.0147943
Publication status	Published - 1 Feb 2016

Bibliographical note

Funding Information:
The website is financially independent and not for profit. It does not receive financial support of any kind from the pharmaceutical or technology industries. It has been partially funded by the CIBERESP, a governmental research consortium in Spain (see the Funding section at the end of the article).

Publisher Copyright:
© 2016 Bonfill et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ASJC Scopus subject areas

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10.1371/journal.pone.0147943

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Bonfill, X., Osorio, D., Solà, I., Pijoan, J. I., Balasso, V., Quintana, M. J., Puig, T., Bolibar, I., Urrútia, G., Zamora, J., Emparanza, J. I., De La Cámara, A. G., & Ferreira-González, I. (2016). DianaHealth.com, an on-line database containing appraisals of the clinical value and appropriateness of healthcare interventions: Database development and retrospective analysis. PLoS ONE, 11(2), Article e0147943. https://doi.org/10.1371/journal.pone.0147943

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abstract = "Objective: 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. Methods and Findings: 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. Conclusions: 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.",

author = "Xavier Bonfill and Dimelza Osorio and Ivan Sol{\`a} and Pijoan, {Jose Ignacio} and Valentina Balasso and Quintana, {Maria Jes{\'u}s} and Teresa Puig and Ignasi Bolibar and Gerard Urr{\'u}tia and Javier Zamora and Emparanza, {Jos{\'e} Ignacio} and {De La C{\'a}mara}, {Agust{\'i}n G{\'o}mez} and Ignacio Ferreira-Gonz{\'a}lez",

note = "Funding Information: The website is financially independent and not for profit. It does not receive financial support of any kind from the pharmaceutical or technology industries. It has been partially funded by the CIBERESP, a governmental research consortium in Spain (see the Funding section at the end of the article). Publisher Copyright: {\textcopyright} 2016 Bonfill et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.",

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Bonfill, X, Osorio, D, Solà, I, Pijoan, JI, Balasso, V, Quintana, MJ, Puig, T, Bolibar, I, Urrútia, G, Zamora, J, Emparanza, JI, De La Cámara, AG & Ferreira-González, I 2016, 'DianaHealth.com, an on-line database containing appraisals of the clinical value and appropriateness of healthcare interventions: Database development and retrospective analysis', PLoS ONE, vol. 11, no. 2, e0147943. https://doi.org/10.1371/journal.pone.0147943

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T1 - DianaHealth.com, an on-line database containing appraisals of the clinical value and appropriateness of healthcare interventions

T2 - Database development and retrospective analysis

AU - Bonfill, Xavier

AU - Osorio, Dimelza

AU - Solà, Ivan

AU - Pijoan, Jose Ignacio

AU - Balasso, Valentina

AU - Quintana, Maria Jesús

AU - Puig, Teresa

AU - Bolibar, Ignasi

AU - Urrútia, Gerard

AU - Zamora, Javier

AU - Emparanza, José Ignacio

AU - De La Cámara, Agustín Gómez

AU - Ferreira-González, Ignacio

N1 - Funding Information: The website is financially independent and not for profit. It does not receive financial support of any kind from the pharmaceutical or technology industries. It has been partially funded by the CIBERESP, a governmental research consortium in Spain (see the Funding section at the end of the article). Publisher Copyright: © 2016 Bonfill et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Objective: 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. Methods and Findings: 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. Conclusions: 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.

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DianaHealth.com, an on-line database containing appraisals of the clinical value and appropriateness of healthcare interventions: Database development and retrospective analysis

Abstract

Bibliographical note

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