{"id":15108,"date":"2013-08-06T11:37:29","date_gmt":"2013-08-06T15:37:29","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=15108"},"modified":"2013-08-06T14:40:01","modified_gmt":"2013-08-06T18:40:01","slug":"400-years-behind-updated-bigtime","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2013\/08\/400-years-behind-updated-bigtime.html","title":{"rendered":"“I’d be 400 years behind” – updated, bigtime"},"content":{"rendered":"

One of the most-quoted eye-opening quotes in “Doc Tom” Ferguson’s e-Patient White Paper is this:<\/p>\n

As Donald Lindberg, director of the National Library of Medicine, explains, \u201cIf I read and memorized two medical journal articles every night, by the end of a year I\u2019d be 400 years behind.\u201d<\/p><\/blockquote>\n

It’s in a section titled “Clinicians can no longer go it alone.”\u00a0It makes the point that it’s entirely reasonable for engaged, informed e-patients to extend the reach of their clinicians, by seeking all the information they can find.<\/p>\n

I just got a great update to that statistic. I’m at the annual ABIM Foundation Forum, and Maureen Bisognano (president of the Institute for Healthcare Improvement) just showed this:<\/p>\n

\"Clinical<\/a>

Clinical trials per year, 1950-2007 (Bastian, Chalmers et al, PLoS One)<\/p><\/div>\n

 <\/p>\n

27,000 published clinical trials per year. Can anyone\u00a0possibly<\/em>\u00a0keep up with it, by relying only on what’s in their memory?<\/p>\n

Then there are “case reports” etc – the many other published reports that people might find, to inform the best decisions:<\/p>\n

\"Case<\/a>

Case Reports etc, by year<\/p><\/div>\n

Look at that: over 150,000 a year. 3,000 a week.<\/p>\n

Here’s the epiphany that people need to understand, to let patients help:<\/p>\n

It’s no insult to a clinician if a patient has seen evidence that the clinician hasn’t. There’s too much for anyone to know everything.<\/i><\/p>\n

In a participatory, collegial, partner relationship, each partner welcomes information that the other has dug up.<\/i><\/p>\n

Citation: Bastian H, Glasziou P, Chalmers I (2010) Seventy-Five Trials and Eleven Systematic Reviews a Day: How Will We Ever Keep Up? PLoS Med 7(9): e1000326. doi:10.1371\/journal.pmed.1000326 \u00a0Link:\u00a0http:\/\/www.plosmedicine.org\/article\/info%3Adoi%2F10.1371%2Fjournal.pmed.1000326<\/a><\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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