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BMC Primary Care
Published in: BMC Primary Care 1/2007

Open Access 01-12-2007 | Debate

The necessary shift from diagnostic to prognostic research

Authors: Geert-Jan GJ Dinant, Frank F Buntinx, Chris CC Butler

Published in: BMC Primary Care | Issue 1/2007

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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.
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Metadata
Title
The necessary shift from diagnostic to prognostic research
Authors
Geert-Jan GJ Dinant
Frank F Buntinx
Chris CC Butler
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2007
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-8-53

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