PDF - www.pnas.org

Dwight Oxley oxley.dwight at GMAIL.COM
Wed Aug 24 21:06:02 UTC 2016


But you just said that failure to suspect is the commonest error, and a second opinion obviously is a corrective for this situation.

Dwight Oxley
> On Aug 24, 2016, at 10:31 AM, Jain, Bimal P.,M.D. <BJAIN at PARTNERS.ORG> wrote:
> 
> 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> [mailto: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 <mailto:IMPROVEDX at list.improvediagnosis.org>
> Subject: [IMPROVEDX] Fwd: PDF - www.pnas.org <http://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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