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• W2941126932 abstract "<h3>Importance</h3> The language of medical research appears to be intrinsically tied to the culture of medical research and provides a unique window into broader trends in the culture of medicine. <h3>Objective</h3> To analyze medical language from 5 premier medical journals and investigate broader changes in the culture of clinical investigation during the last 40 years. <h3>Design, Setting, and Participants</h3> In this qualitative study using a data-driven analysis, 302 293 PubMed records were extracted from<i>JAMA</i>,<i>The Lancet</i>,<i>Annals of Internal Medicine</i>, the<i>BMJ</i>, and<i>New England Journal of Medicine</i>from January 1, 1976, through December 31, 2015, to identify key trends in medical language. A frequency analysis was applied across the 40-year time frame in<i>JAMA</i>to assess the major trends in all publication types. Patient-centered language was analyzed in clinical trials in the flanking time periods (1976-1980 and 2011-2015) across the 5 journals. Data were analyzed from November 16, 2016, through November 9, 2018. <h3>Main Outcomes and Measures</h3> Increasing or decreasing frequency of words (monograms) and word pairs (bigrams) and the proportion of patient-centric words in journal article titles. <h3>Results</h3> In<i>JAMA</i>, 50 277 articles of all publication types were included. In the frequency analysis, the most increased terms were reflective of the language of epidemiological research. The bigram analysis revealed a decline in causal language (−2.42/100 000 words to −2.03/100 000 words; false discovery rate [FDR], <0.01) and an increased description of patients in the plural form (6.92/100 000 words to 11.4/100 000 words; FDR, <0.01). A trend to separate patient from disease was observed; for example, there was a decrease in describing a patient as a<i>diabetic</i>(−2.21/100 000 words; FDR, <0.01) compared with<i>a patient with diabetes</i>. In the analysis of clinical trials in all 5 journals, 3125 titles were identified (range, 193-932 per journal). In 4 of the 5 journals, use of patient-centric keywords increased significantly (absolute increase, 18.9%-34.3%;<i>P</i> < .001 for 3 journals;<i>P</i> = .01 for 1 journal), with the<i>New England Journal of Medicine</i>as the exception. This finding reflects a change from shorter disease-centric titles to longer titles that describe patients with a disease. <h3>Conclusions and Relevance</h3> Trends in medical language reflect the rise of evidence-based medicine, a shift in focus from individuals to populations, and a separation of patient and disease. Data-driven analysis of medical language provides a unique window into the changing landscape of medical culture." @default.
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• W2941126932 date "2019-03-22" @default.
• W2941126932 modified "2023-10-02" @default.
• W2941126932 title "Trends in the Use of Common Words and Patient-Centric Language in the Titles of Medical Journals, 1976-2015" @default.
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• W2941126932 doi "https://doi.org/10.1001/jamanetworkopen.2019.1083" @default.
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