Document Detail


Prognostication--the lost skill of medicine.
MedLine Citation:
PMID:  18395158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Making a prognosis is one of the primary functions of the medical profession. At the end of the nineteenth century prognostication took up approximately ten percent of medical textbooks, by 1970 this had fallen to nearly zero. Given medical technology's awesome ability to prolong the process and suffering of dying today's patients need to know their prognosis in order to make choices about their treatment options. Whilst precise predictions of the future are obviously not possible, relatively simple mathematical modelling techniques can make reasonable estimates of likely outcomes for individual patients. The life expectancy of a patient of any age with any illness can be estimated provided the disease-specific mortality of the illness is known. Decision analysis or logistic regression models can then be used to determine the risks and benefits of various treatment options. A patient's prognosis does not just depend on their age and primary diagnosis, but also on the severity of their illness, their functional capacity both prior to and during the illness and the number of co-morbidities also suffered from. Several predictive instruments have been developed to help simplify the prediction of the outcome of individual patients. There are conflicting reports on how these models compare with doctors' intuition--whatever their strengths and weaknesses it is unlikely that they worsen clinical judgement. Therefore, all doctors should become familiar with them and use them appropriately.
Authors:
John Kellett
Related Documents :
18628188 - Decision-making role preferences of patients receiving adjuvant cancer treatment: a uni...
15047088 - The medical practice of patient autonomy and cancer treatment refusals: a patients' and...
16442428 - Developing skills for evidence-based surgery: ensuring that patients make informed deci...
25269218 - Bisphosphonate-related osteonecrosis of the jaw: what we have learned.
22493048 - Emergency department visits due to alcohol intoxication: characteristics of patients an...
24864078 - Importance of frailty in patients with cardiovascular disease.
Publication Detail:
Type:  Journal Article; Review     Date:  2007-11-05
Journal Detail:
Title:  European journal of internal medicine     Volume:  19     ISSN:  1879-0828     ISO Abbreviation:  Eur. J. Intern. Med.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-08     Completed Date:  2008-06-04     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  9003220     Medline TA:  Eur J Intern Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  155-64     Citation Subset:  IM    
Affiliation:
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland. jgkellett@eircom.net
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Comorbidity
Humans
Intuition
Life Expectancy / trends
Medicine / methods*
Models, Biological
Physicians / psychology
Predictive Value of Tests
Prognosis*
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Cancer survivorship: facing forward.
Next Document:  Cardiac resynchronisation therapy: evidence based benefits and patient selection.