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Querying Databases on the Internet

Robert Sikorski, MD, PhD; Richard Peters, MD, PhD

JAMA. 1997;277(12):959-960.

Abstract
In the new patient clinic, an oncology fellow sees a 60-year-old man who was diagnosed with gastric cancer 1 year earlier. The patient underwent surgical resection and reports that all of his tumor was removed. He has had no medical care in the interim. Since the fellow does not see many patients with gastric cancer in the clinic, he is unsure of the current treatment recommendations. Does the patient need follow-up computed tomographic (CT) scans? If so, how often? Would adjuvant chemotherapy be beneficial for this type of cancer? After seeing the patient, the physician decides to use the Internet to perform a literature search on the topic.

Author Affiliations
From the National Cancer Institute, Bethesda, Md (Dr Sikorski; e-mail: rss@nchgr.nih.gov); and the Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Mass (Dr Peters, e-mail: rhp@solvig.med.harvard.edu).

Footnotes
Edited by William M. Silberg, Editorial Director, New Media Office, AMA Scientific Information and Multimedia Group.

Mention of a Web site, company, or product in this article or the accompanying table does not imply endorsement by the authors, editors, JAMA, or the American Medical Association.

Corresponding author: Robert Sikorski, MD, PhD, Bldg 49, Room 4B56, National Cancer Institute, Bethesda, MD 20892.

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