Erschienen in:
Open Access
01.12.2007 | Debate
The necessary shift from diagnostic to prognostic research
Erschienen in:
BMC Primary Care
|
Ausgabe 1/2007
Abstract
Background
Do doctors really need to establish an etiological diagnosis each time a patient presents? Or might it often be more effective to treat simply on the basis of symptoms and signs alone, relying on research and on our experience of outcomes for patients who presented in similar ways in the past?
Discussion
At a time of increase health care costs especially in pharmaceuticals and expensive diagnostic tests, this article uses examples from recent research to address this question. Our examples come from general practice, because that is where doctors frequently see patients presenting with a yet undifferentiated disease which is consequently difficult to diagnose. The examples include respiratory tract infections, low back pain and shoulder pain. Finally we discuss the 'something is wrong' feeling.
Summary
We conclude that, in addition to diagnostic research, a renewed focus on prognostic research is needed.