Harnessing Internet Search Data as a Potential Tool for Medical Diagnosis: Literature Review.

IF 4.8 2区 医学 Q1 PSYCHIATRY
Jmir Mental Health Pub Date : 2025-02-11 DOI:10.2196/63149
Gregory J Downing, Lucas M Tramontozzi, Jackson Garcia, Emma Villanueva
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引用次数: 0

Abstract

Background: The integration of information technology into health care has created opportunities to address diagnostic challenges. Internet searches, representing a vast source of health-related data, hold promise for improving early disease detection. Studies suggest that patterns in search behavior can reveal symptoms before clinical diagnosis, offering potential for innovative diagnostic tools. Leveraging advancements in machine learning, researchers have explored linking search data with health records to enhance screening and outcomes. However, challenges like privacy, bias, and scalability remain critical to its widespread adoption.

Objective: We aimed to explore the potential and challenges of using internet search data in medical diagnosis, with a specific focus on diseases and conditions such as cancer, cardiovascular disease, mental and behavioral health, neurodegenerative disorders, and nutritional and metabolic diseases. We examined ethical, technical, and policy considerations while assessing the current state of research, identifying gaps and limitations, and proposing future research directions to advance this emerging field.

Methods: We conducted a comprehensive analysis of peer-reviewed literature and informational interviews with subject matter experts to examine the landscape of internet search data use in medical research. We searched for published peer-reviewed literature on the PubMed database between October and December 2023.

Results: Systematic selection based on predefined criteria included 40 articles from the 2499 identified articles. The analysis revealed a nascent domain of internet search data research in medical diagnosis, marked by advancements in analytics and data integration. Despite challenges such as bias, privacy, and infrastructure limitations, emerging initiatives could reshape data collection and privacy safeguards.

Conclusions: We identified signals correlating with diagnostic considerations in certain diseases and conditions, indicating the potential for such data to enhance clinical diagnostic capabilities. However, leveraging internet search data for improved early diagnosis and health care outcomes requires effectively addressing ethical, technical, and policy challenges. By fostering interdisciplinary collaboration, advancing infrastructure development, and prioritizing patient engagement and consent, researchers can unlock the transformative potential of internet search data in medical diagnosis to ultimately enhance patient care and advance health care practice and policy.

利用互联网搜索数据作为医学诊断的潜在工具:文献综述。
背景:除其他因素外,社会经济差距、专业医疗专业人员有限、缺乏患者教育等因素阻碍了获得准确的医疗诊断。在获得高质量医疗保健服务方面的不平等加剧了这些挑战,往往导致健康结果的差异。错过或不准确的诊断可能导致延迟或不必要的治疗,有可能使病情恶化。历史上对直接的医患互动进行诊断的依赖往往无法弥合这些差距。20世纪后半叶互联网和数字数据的出现开始改变这一格局。早期的研究强调了互联网在患者教育方面的早期潜力,为越来越多地依赖在线健康信息奠定了基础,但在信息准确性、访问和利益以及隐私方面仍然存在问题。互联网搜索数据是人们寻求的最大健康数据来源之一。截至2023年年中,b谷歌的日搜索量超过85亿次。大约5%的谷歌搜索与健康相关,大约77%的新诊断患者使用搜索引擎。这些数据和其他数据促使开展了一系列研究项目,探讨利用互联网搜索数据寻求保健服务的可行性和效用。尽管使用患者搜索数据只是正在探索的技术的一个方面,以帮助获得有关患者病情的更及时和准确的数据,但本文只关注使用互联网搜索数据的研究。目的:探讨利用互联网搜索数据进行医学诊断的潜力和挑战,通过评估研究现状,识别差距和局限性,并提出未来的研究方向,重点关注伦理、技术和政策方面的考虑,以推进这一新兴领域的发展。方法:对同行评议文献进行综合分析,以检查互联网搜索数据在医学研究中的利用情况。在PubMED(2023年10月至12月)上发表的同行评议文献进行了搜索。结果:根据预先确定的标准进行系统选择,在2499条已确定的引文中纳入了40篇文章。该分析揭示了医疗诊断中互联网搜索数据研究的新兴领域,其特点是分析和数据集成方面的进步。然而,诸如偏见、数据隐私和基础设施限制等重大挑战阻碍了其广泛采用。新出现的举措可能为重塑数据收集方法和隐私保护提供变革潜力。结论:在某些疾病和病症中发现了与诊断因素相关的信号,表明此类数据有可能增强临床诊断能力。然而,利用互联网搜索数据来改善早期诊断和医疗保健结果,需要有效地解决道德、技术和政策方面的挑战。通过促进跨学科合作、推进基础设施发展、优先考虑患者的参与和同意,研究人员可以释放互联网搜索数据在医疗诊断中的变革潜力,最终增强患者护理,推进医疗保健实践和政策。临床试验:
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Jmir Mental Health
Jmir Mental Health Medicine-Psychiatry and Mental Health
CiteScore
10.80
自引率
3.80%
发文量
104
审稿时长
16 weeks
期刊介绍: JMIR Mental Health (JMH, ISSN 2368-7959) is a PubMed-indexed, peer-reviewed sister journal of JMIR, the leading eHealth journal (Impact Factor 2016: 5.175). JMIR Mental Health focusses on digital health and Internet interventions, technologies and electronic innovations (software and hardware) for mental health, addictions, online counselling and behaviour change. This includes formative evaluation and system descriptions, theoretical papers, review papers, viewpoint/vision papers, and rigorous evaluations.
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