INTRODUCTION: The ideal of evidence-based medicine includes the integration of clinical experience and patient values with research evidence. We introduce clinical decision science, a new framework that includes patient social context to demonstrate this integration, which has been absent from evidence-based medicine sources. METHODS: This is an observational study comparing published articles within the domains of clinical decision science and evidence-based medicine. In a standardized manner, investigators identified and counted instances of social interaction within the publications. RESULTS: Publications of Clinical Decision Science had a higher number of markers of social interaction per paper and greater proportion of papers that included any markers of social interaction compared to publications in the Evidence-based medicine domain. DISCUSSION: We identified a framework that allows exploration of a new scientific domain that includes both research evidence and individual patient social context.
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2020.04.23: Appendix A has been updated to accurately reflect the list of Social determinants of health used in the original study. - JNF
WEAVER K, DIEBOLD M, RIZK Z, MUSTAPHA G, ALGAHMI W, RIVKIN A, YEE N, MEZA JP. Clinical Decision Science emphasizes unique social context in a way that Evidence-Based Medicine does not. Clin. Res. Prac. Apr 22 2020;6(1):eP2384. https://doi.org/10.22237/crp/1586477100