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Dr. Google
     Rafael Bravo Toledo
     Centro de Salud Linneo
   Madrid, 17 de Enero de 2013.
Internet como fuente de información




                                      2
Internet como fuente de información




                                      3
The online conversation
about health is being driven
forward by two forces:
1) the availability of social
    tools
2) the motivation, especially
    among people living with
    chronic conditions, to
    connect with each other.




                          5
6
7
8
9
10
Trasladando el valor de
este indicador al total de
la población,

29,9% de los
ciudadanos
utilizaría Internet
como fuente de
información en el
ámbito sanitario




                      11
12
13
14
Thirty‐five percent of U.S.
adults say that at one
time or another they have
gone online specifically to
try to figure out what
medical condition they or
someone else might have




                          15
16
17
18
Eight in 10 online health inquiries start at a search engine



                                                               19
20
21
IPEX (immunodeficiency, polyendocrinopathy,
 enteropathy, X-linked).




                                            Immunodeficiency,
                                            polyendocrinopathy,
  N Engl J Med. 2005; 353 (19): 2089-2090   enteropathy, X-linked).




                                                                      22
casi 2000 páginas


                    23
BMJ. 2006;333 (7579): 1143–1145.

                                   24
espectacular


               Percentage of correct
                diagnoses from Google
                searches (compared with the
                 diagnoses as published in the New
                 England Journal of Medicine).

               Google searches revealed
                the correct diagnosis in 15
                (58%)



                                                     25
….y los profanos




                                                                                                       26
The average diagnostic success of non-physicians was 22.1% (95% confidence interval [CI] 4.5-39.7%).
27
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Bouwman M G et al. Arch Dis Child 2010;95:642-644


                            The authors present two
                            cases in which concerned
                            parents made a correct
                            diagnosis of a lysosomal
                            storage disorder in their child
                            by searching the internet
                            after a long doctor’s delay.

                            These cases illustrate the utility of publicly
                            available internet search engines in
                            diagnosing rare disorders and in addition
                            illustrate the lengthy diagnostic odyssey
                            which is common in these disorders




                                                                             32
Bouwman M G et al. Arch Dis Child 2010;95:642-644



                                        Bouwman M G et al. Arch Dis Child 2010;95:642-644




                Patient A: angiokeratoma on the palmar side of the hands. Right hand ulnar side
                and left hand ulnar side and thenar.

                Patient B Bowed fingers on both hands on patient B.
                                                                                      .

©2010 by BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health               33
Postgrad Med J 2010;86:459-465
                                 34
35
no es oro todo lo que reluce




                               36
37
38
West J Emerg Med. 2011; 12(4): 442–447




                                         39
West J Emerg Med. 2011; 12(4): 442–447
                                         40
West J Emerg Med. 2011; 12(4): 442–447 41
42
Cyberchondria
   When the Patient Is a Googler




                                   43
Cyberchondria
    Utilizamos el término cyberchondria
   para referirse a la escalada infundada
          de preocupaciones sobre
    sintomatología común, basado en la
  revisión de resultados de búsqueda en
                   la Web

                                            44
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Dr Google

  • 1. Dr. Google Rafael Bravo Toledo Centro de Salud Linneo Madrid, 17 de Enero de 2013.
  • 2. Internet como fuente de información 2
  • 3. Internet como fuente de información 3
  • 4.
  • 5. The online conversation about health is being driven forward by two forces: 1) the availability of social tools 2) the motivation, especially among people living with chronic conditions, to connect with each other. 5
  • 6. 6
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  • 8. 8
  • 9. 9
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  • 11. Trasladando el valor de este indicador al total de la población, 29,9% de los ciudadanos utilizaría Internet como fuente de información en el ámbito sanitario 11
  • 12. 12
  • 13. 13
  • 14. 14
  • 15. Thirty‐five percent of U.S. adults say that at one time or another they have gone online specifically to try to figure out what medical condition they or someone else might have 15
  • 16. 16
  • 17. 17
  • 18. 18
  • 19. Eight in 10 online health inquiries start at a search engine 19
  • 20. 20
  • 21. 21
  • 22. IPEX (immunodeficiency, polyendocrinopathy, enteropathy, X-linked). Immunodeficiency, polyendocrinopathy, N Engl J Med. 2005; 353 (19): 2089-2090 enteropathy, X-linked). 22
  • 24. BMJ. 2006;333 (7579): 1143–1145. 24
  • 25. espectacular Percentage of correct diagnoses from Google searches (compared with the diagnoses as published in the New England Journal of Medicine). Google searches revealed the correct diagnosis in 15 (58%) 25
  • 26. ….y los profanos 26 The average diagnostic success of non-physicians was 22.1% (95% confidence interval [CI] 4.5-39.7%).
  • 27. 27
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  • 32. Bouwman M G et al. Arch Dis Child 2010;95:642-644 The authors present two cases in which concerned parents made a correct diagnosis of a lysosomal storage disorder in their child by searching the internet after a long doctor’s delay. These cases illustrate the utility of publicly available internet search engines in diagnosing rare disorders and in addition illustrate the lengthy diagnostic odyssey which is common in these disorders 32
  • 33. Bouwman M G et al. Arch Dis Child 2010;95:642-644 Bouwman M G et al. Arch Dis Child 2010;95:642-644 Patient A: angiokeratoma on the palmar side of the hands. Right hand ulnar side and left hand ulnar side and thenar. Patient B Bowed fingers on both hands on patient B. . ©2010 by BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 33
  • 34. Postgrad Med J 2010;86:459-465 34
  • 35. 35
  • 36. no es oro todo lo que reluce 36
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  • 38. 38
  • 39. West J Emerg Med. 2011; 12(4): 442–447 39
  • 40. West J Emerg Med. 2011; 12(4): 442–447 40
  • 41. West J Emerg Med. 2011; 12(4): 442–447 41
  • 42. 42
  • 43. Cyberchondria When the Patient Is a Googler 43
  • 44. Cyberchondria Utilizamos el término cyberchondria para referirse a la escalada infundada de preocupaciones sobre sintomatología común, basado en la revisión de resultados de búsqueda en la Web 44
  • 45. 45
  • 46. 46