Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Internal and Emergency Medicine
Published in: Internal and Emergency Medicine 2/2018

01-03-2018 | CE - Clinical Notes

Understanding and improving decisions in clinical medicine (II): making sense of reasoning in practice

Authors: Fabrizio Elia, Franco Aprà, Vincenzo Crupi

Published in: Internal and Emergency Medicine | Issue 2/2018

Login to get access

Excerpt

The most refined logical model for clinical reasoning is the combination of Bayes’ theorem and expected utility theory. Briefly put, it implies that the probabilities of an exhaustive list of initial diagnostic hypotheses be updated through the collection of data, and that treatment for a condition becomes justified when the probability of such condition exceeds the threshold where expected clinical benefit outweighs potential harm [1]. …
Literature
1.
Pauker SG, Kassirer JP (1980) The threshold approach to clinical decision making. N Engl J Med 302:1109–1117CrossRefPubMed
2.
Crupi V, Elia F (2017) Understanding and improving decisions in clinical medicine (I): reasoning, heuristics, and error. Intern Emerg Med 12:689–691CrossRefPubMed
3.
4.
Simons DJ, Chabris CF (1999) Gorillas in our midst: sustained inattentional blindness for dynamic events. Perception 28:1059–1074CrossRefPubMed
5.
Zamir E (2014) The bias of the question posed: a diagnostic “invisible gorilla”. Diagnosis 1:245–248CrossRef
Metadata
Title
Understanding and improving decisions in clinical medicine (II): making sense of reasoning in practice
Authors
Fabrizio Elia
Franco Aprà
Vincenzo Crupi
Publication date
01-03-2018
Publisher
Springer International Publishing
Published in
Internal and Emergency Medicine / Issue 2/2018
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI
https://doi.org/10.1007/s11739-017-1740-7

Other articles of this Issue 2/2018

Internal and Emergency Medicine 2/2018 Go to the issue

EM - ORIGINAL

Impact of red blood cell transfusion on acute coronary syndrome: a meta-analysis

IM - ORIGINAL

Predictive modeling of inpatient mortality in departments of internal medicine

EM - ORIGINAL

Novel ECG changes in acute coronary syndromes. Would improvement in the recognition of ‘STEMI-equivalents’ affect time until reperfusion?

IM - ORIGINAL

Early decrease of oxidative stress by non-invasive ventilation in patients with acute respiratory failure

IM - CASE RECORD

The clinical eye

EM - ORIGINAL

Impact of the 2014–2015 influenza season on the activity of an academic emergency department
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits