What is evidence in diagnosis

Jain, Bimal P.,M.D. BJAIN at PARTNERS.ORG
Wed Mar 21 17:00:04 UTC 2018


In this attached paper, I discuss how evidence is assessed during diagnosis in practice .I argue that evidence is not assessed by a probability as prescribed because a probability which is a frequency in a population fails to represent evidence for a disease in a given, individual patient in whom diagnosis is performed. Instead evidence is assessed in terms of likelihood ratio and a disease diagnosed from it in practice as we see in all published CPCs and clinical problem solving exercises.
Please review and comment on this paper.
Thanks.

Bimal

Bimal P Jain MD
Northshore Medical Center
Lynn MA 01904.


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