Trip Database

An important collection of posts to help you use and understand Trip blog.tripdatabase.com/2022/02/15/an-…

Via AskTrip: Can eating avocados increase triglyceride levels in the blood? tripdatabase.com/ask/can-eating…

It is with a very heavy heart that I advise friends, and colleagues, and followers of Richard Lehman of his passing. His daughter Hannah wishes the news to be shared widely among his academic and medical circles. Richard had been unwell but was active and generous in supporting many of us, right until the end. He was also active on this platform, advocating for patients tirelessly. Richard, my friend, you will be missed. ❤️

Inspiring afternoon at the Digital SIG conference with @Nye_Ndebele, Shôn Lewis, Pauline Whelan, Rajeev Krishnadas, Mariana Pinto da Costa, Carolina Fialho & @DrRomyGad. Great demos from Careloop, Psyomics, SimFlow, @CNWLNHS, AskTrip, ThinkDivergent, Aisel Heath & RCPsychLibrary

Evidence-rich, uncertainty-heavy: what 250 cardiology questions tell us I know roughly what the evidence says in the typical patient – but my patient is not the typical one, so how do I apply it safely here? blog.tripdatabase.com/2026/05/13/evi…

Evidence-rich, uncertainty-heavy: what 250 cardiology questions tell us In cardiology, the evidence is often strong. But the patient is often complicated. blog.tripdatabase.com/2026/05/13/evi…

Evidence-rich, uncertainty-heavy: what 250 cardiology questions tell us blog.tripdatabase.com/2026/05/13/evi…

It's been a great week for AskTrip 703 Qs last week and 271 Qs on a single day! blog.tripdatabase.com/2026/05/12/rec…

Records tumble at AskTrip blog.tripdatabase.com/2026/05/12/rec…

Evidence-based medicine is very good at telling us what has been published. It is less good at telling us what clinicians are still uncertain about. AskTrip changes that: every question becomes a demand signal. blog.tripdatabase.com/2026/05/08/res…

“What is the best treatment for atrial fibrillation?” Asked four times, verbatim, by clinicians at different institutions. Not because AF lacks evidence. Because established knowledge still doesn’t reliably reach the clinician at the point of need. blog.tripdatabase.com/2026/05/08/res…

Functional Neurological Disorder appears to be a research gap. Clinicians are asking about treatment, inpatient costs, ward length of stay, adults, children. But too often the evidence is only Limited or Moderate. The Qs are there. The trials aren’t. blog.tripdatabase.com/2026/05/08/res…

Every AskTrip question is a signal. A clinician, somewhere, needed an answer they didn’t already have. At scale, those signals start to show the shape of clinical uncertainty itself. blog.tripdatabase.com/2026/05/08/res…

10,000 clinical questions reveal two very different problems. Research gap: clinicians ask, but the evidence is weak. Dissemination gap: clinicians ask, even though the evidence is strong. One needs funders. The other needs better delivery. blog.tripdatabase.com/2026/05/08/res…

Most of the infrastructure of evidence-based medicine is supply-side. Journals publish. Cochrane synthesises. Guideline bodies turn them into recommendations. But what are clinicians actually trying to find out? AskTrip gives us a demand-side view. blog.tripdatabase.com/2026/05/08/res…

Two failure modes. One dataset. Research gaps show where trials may need commissioning. Dissemination gaps show where existing evidence isn’t reaching clinicians. 10,000 AskTrip questions make both visible at scale. blog.tripdatabase.com/2026/05/08/res…

We talk a lot about research gaps. But there’s another kind of gap: the dissemination gap. That’s when the evidence exists, the guidelines exist, but clinicians are still asking the same questions. The knowledge hasn’t travelled the last mile. blog.tripdatabase.com/2026/05/08/res…

Not every clinical knowledge gap means “do more research”. Sometimes the evidence already exists. Sometimes the problem is that guidance is too long, too fragmented, too hard to find, or not available at the point of care. That is a dissemination gap. blog.tripdatabase.com/2026/05/08/res…

Evidence-based medicine is very good at telling us what has been published. It is less good at telling us what clinicians are still uncertain about. AskTrip changes that: every question becomes a demand signal. blog.tripdatabase.com/2026/05/08/res…

“What is the best treatment for atrial fibrillation?” Asked four times, verbatim, by clinicians at different institutions. Not because AF lacks evidence. Because established knowledge still doesn’t reliably reach the clinician at the point of need. blog.tripdatabase.com/2026/05/08/res…

Functional Neurological Disorder appears to be a research gap. Clinicians are asking about treatment, inpatient costs, ward length of stay, adults, children. But too often the evidence is only Limited or Moderate. The Qs are there. The trials aren’t. blog.tripdatabase.com/2026/05/08/res…