Burke Pediatrics, LLC 2021
By MARY BROPHY MARCUS CBS NEWS
Ever hop online to find out what might be ailing you? Millions of other people have, too. It’s quick and easy to look up your symptoms and get an instant diagnosis. But can you trust the results?
A new study that looked at the output of those popular online symptom checkers found that calling a real doctor may be a much better choice.
Harvard researchers asked more than 230 doctors – a mix of pediatricians and internal medicine and family practice physicians – to diagnose conditions based on 45 medical vignettes. They included a mix of simple, medium-level and more complicated health conditions, everything from canker sores to appendicitis. The vignettes included a description of symptoms and the patient’s medical history but didn’t involve results from physical examinations or medical tests.
The same scenarios were also run through 23 popular symptom checker The researchers used reputable, free health-oriented sites they had assessed in a previous study, including WebMD, the Mayo Clinic’s Symptom Checker, AskMD, Drugs.com and others.
The doctors made a correct diagnosis more than twice as often as the online symptom checkers, according to the study results published in the Letters section of JAMA Internal Medicine.
Each clinical vignette was solved by at least 20 physicians. The doctors pinpointed the correct diagnosis first 72 percent of the time, compared with 34 percent of the time for the digital platforms. Eighty-four percent of the physicians named the correct diagnosis in the top three possibilities, compared with 51 percent for the symptom checkers.
Senior study investigator Dr. Ateev Mehrotra, an associate professor of health care policy at Harvard Medical School, told CBS News that he and colleagues pursued the research because some recent findings suggest doctors make a lot of mistakes and they wanted to explore whether computers could do it better.
“About 10 to 15 percent of the time a patient has a misdiagnosis. Doctors makediagnostic errors and there’s been this idea in the computer science world, in Silicon Valley and such, that can’t computers do it better?” Mehrotra said.
“The reason we were interested in these symptoms checkers is that they are used a lot. There’s more than 100 million uses of such tools,” he said.
The analysis is the first direct comparison between human and computer-based diagnoses, Mehrotra believes.
The online symptom checkers were more likely to make a correct diagnosis of simpler health conditions than the more complex ones, he noted.
He noted that while the study looked at almost two dozen sites, there may be other, better programs out there – or more to come in the future.
“Does this mean computers will never be as good as doctors? Probably not. They’re likely to improve as we go forward generations and generations and they may even surpass doctors – but not right now,” said Mehrotra.
Dr. Keri Peterson, an internist at Lenox Hill Hospital in New York City, said many of her patients tell her they go online to self-diagnose.
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