Fwd: PDF - www.pnas.org

Jain, Bimal P.,M.D. BJAIN at PARTNERS.ORG
Wed Aug 24 15:31:10 UTC 2016


Hi Mark,

This article is about a very limited area of diagnosis which appears to be about greater accuracy achieved by double or group reading visually of lesions seen on mammograms or on skin. I do not think it has any relevance to diagnosis in general where the commonest cause of error appears to be failure to suspect a disease for various reasons.

Bimal

From: graber.mark at GMAIL.COM [mailto:graber.mark at GMAIL.COM]
Sent: Tuesday, August 23, 2016 12:17 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: [IMPROVEDX] Fwd: PDF - www.pnas.org

Thanks to Nick Argy for bringing this article to attention.   The methods and findings are a bit hard to follow, but if I understand things correctly, the article finds that diagnostic accuracy can be improved by second opinions or larger groups if the diagnosticians have similarly high skill levels, but that accuracy is degraded to the extent that the variability increases.  I'd really like to hear what others get out of this paper, because these findings have important implications for recommendations to move in the direction of getting more second opinions, or using the new group-based diagnosis approaches.

Mark





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