Visualizing evidence-based disagreement over time: the landscape of a public health controversy 2002-2014.

Tzu-Kun Hsiao, Yuanxi Fu, Jodi Schneider
Author Information
  1. Tzu-Kun Hsiao: School of Information Sciences, University of Illinois at Urbana Champaign, USA.
  2. Yuanxi Fu: School of Information Sciences, University of Illinois at Urbana Champaign, USA.
  3. Jodi Schneider: School of Information Sciences, University of Illinois at Urbana Champaign, USA.

Abstract

Systematic reviews answer specific questions based on primary literature. However, systematic reviews on the same topic frequently disagree, yet there are no approaches for understanding why at a glance. Our goal is to provide a visual summary that could be useful to researchers, policy makers, and health care professionals in understanding why health controversies persist in the expert literature over time. We present a case study of a single controversy in public health, around the question: "Is reducing dietary salt beneficial at a population level?" We define and visualize three new constructs: the overall , which consists of the evidence summarized by systematic reviews (the ) and the unused evidence (. Our network visualization shows at a glance what evidence has been synthesized by each systematic review. Visualizing the temporal evolution of the network captures two key moments when new scientific opinions emerged, both associated with a turn to new sets of evidence that had little to no overlap with previously reviewed evidence. Limited overlap between the evidence reviewed was also found for systematic reviews published in the same year. Future work will focus on understanding the reasons for limited overlap and automating this methodology for medical literature databases.

References

  1. Nature. 2018 Jun;558(7710):361-364 [PMID: 29925978]
  2. Heart. 2014 Nov;100(21):e2 [PMID: 23213171]
  3. BMJ. 2009 Nov 24;339:b4567 [PMID: 19934192]
  4. Crit Rev Clin Lab Sci. 2016;53(1):52-67 [PMID: 26376619]
  5. Int J Epidemiol. 2016 Feb;45(1):251-60 [PMID: 26888870]
  6. Lancet Respir Med. 2016 Nov;4(11):868-869 [PMID: 27743867]
  7. Eur J Epidemiol. 2019 Jun;34(6):543-546 [PMID: 30852716]
  8. Proc Assoc Inf Sci Technol. 2020;57(1): [PMID: 34316510]

Grants

  1. R01 LM010817/NLM NIH HHS

Word Cloud

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