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UpToDate, Inc. is a company in the
Wolters Kluwer Health Wolters Kluwer N.V. is a Dutch information services company. The company serves legal, business, tax, accounting, finance, audit, risk, compliance, and healthcare markets. Wolters Kluwer in its current form was founded in 1987 with a merger bet ...
division of
Wolters Kluwer Wolters Kluwer N.V. is a Dutch information services company. The company serves legal, business, tax, accounting, finance, audit, risk, compliance, and healthcare markets. Wolters Kluwer in its current form was founded in 1987 with a merger bet ...
, the main product of which is the eponymous UpToDate, a software system that is a point-of-care medical resource. The UpToDate system is an
evidence-based Evidence-based practice is the idea that occupational practices ought to be based on scientific evidence. The movement towards evidence-based practices attempts to encourage and, in some instances, require professionals and other decision-makers ...
clinical resource. It includes a collection of medical and patient information, access to Lexicomp drug monographs and drug-to-drug interactions, and a number of medical calculators. UpToDate is written by over 7,100 physician authors, editors, and
peer review Peer review is the evaluation of work by one or more people with similar competencies as the producers of the work (:wiktionary:peer#Etymology 2, peers). It functions as a form of self-regulation by qualified members of a profession within the ...
ers. It is available both via the Internet and offline on personal computers or mobile devices. It requires a subscription for full access. The company was launched in 1992 by Burton Rose along with Joseph Rush out of Rose's home. They started with
nephrology Nephrology is a specialty for both adult internal medicine and pediatric medicine that concerns the study of the kidneys, specifically normal kidney function (renal physiology) and kidney disease (renal pathophysiology), the preservation of kid ...
and have since added over twenty other specialties, with more in development.


Controversies

UpToDate's articles are anonymously peer-reviewed and it mandates the disclosure of
conflicts of interest A conflict of interest (COI) is a situation in which a person or organization is involved in multiple interests, financial or otherwise, and serving one interest could involve working against another. Typically, this relates to situations in whi ...
by the authors of its articles. In 2014, an article was published in the ''
Journal of Medical Ethics The ''Journal of Medical Ethics'' is a monthly peer-reviewed academic journal covering the field of bioethics that was established in 1975 and is published by BMJ. According to the ''Journal Citation Reports'', the journal has a 2023 impact factor ...
'' which scrutinised six articles on UpToDate and DynaMed focusing on conditions where the best means of management is contested, or which are treated mostly by branded drugs. The authors found that all six articles examined from UpToDate contained numerous potential conflicts of interest, with contributors having worked as consultants for or received research grants or speaking fees from manufacturers of drugs mentioned in the relevant UpToDate entry.


Access

Full access to the service requires a subscription, which costs US$559 a year as of 2021 for a physician in the
United States The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic of 50 U.S. state, states and a federal capital district, Washington, D.C. The 48 ...
(lower cost for longer term subscription). Through the Norwegian Electronic Health Library, people in
Norway Norway, officially the Kingdom of Norway, is a Nordic countries, Nordic country located on the Scandinavian Peninsula in Northern Europe. The remote Arctic island of Jan Mayen and the archipelago of Svalbard also form part of the Kingdom of ...
have free access to
BMJ Best Practice BMJ Best Practice is an online decision-support tool made for clinical decision making support. It was created in 2009 by BMJ''.'' Development BMJ launched Best Practice in 2009. Access BMJ offers personal and institutional subscriptions. ...
, UpToDate (through registered employers or educational institutions) and drug database
Micromedex Merative L.P., formerly IBM Watson Health, is an American medical technology company that provides products and services that help clients facilitate medical research, clinical research, real world evidence, and healthcare services, through the ...
. UpToDate was made available for free in New Zealand after the
2011 Christchurch earthquake A major earthquake occurred in Christchurch on Tuesday 22 February 2011 at 12:51 p.m. New Zealand Daylight Time, local time (23:51 Coordinated Universal Time, UTC, 21 February). The () earthquake struck the Canterbury Region ...
, in Haiti after the 2010 earthquake and in Nepal after the April 2015 earthquake. The
Global Health Delivery Project The Global Health Delivery Project is a project at Harvard University that aims to improve health among disadvantaged populations worldwide by improving practitioners' access to health delivery information. History GHD was founded in 2007 by Dr ...
at
Harvard University Harvard University is a Private university, private Ivy League research university in Cambridge, Massachusetts, United States. Founded in 1636 and named for its first benefactor, the History of the Puritans in North America, Puritan clergyma ...
administers access to UpToDate for those who offer medical care to poor or underserved populations outside the United States. Better Evidence by Ariadne labs provides health professionals from less developed countries full access for free.


See also

*
BMJ Best Practice BMJ Best Practice is an online decision-support tool made for clinical decision making support. It was created in 2009 by BMJ''.'' Development BMJ launched Best Practice in 2009. Access BMJ offers personal and institutional subscriptions. ...
* Dynamed *
eMedicine eMedicine is an online clinical medical knowledge base founded in 1996 by doctors Scott Plantz and Jonathan Adler, and computer engineers Joanne Berezin and Jeffrey Berezin. The eMedicine website consists of approximately 6,800 medical topic revi ...


References

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External links


UpToDate website
Medical websites Medical and health organisations based in the Netherlands Health information technology companies