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Correlates of Prognosis

A Study of the Physician??s Clinical Judgment

Bibliographic Data

ID9102511
AuthorsBernard S Linn (University of Miami, corresponding author), Margaret W Linn (University of Miami), Lee Gurel (0009-0002-0018-0171, United States Department of Veterans Affairs)
Year1973
Volume11
Issue5
Pages430-435
Publication date1973-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197309000-00007
PMID4744979
OpenAlexW2064929706
LanguageEN
References cited1

As a step toward understanding and improving clinical judgment, this study clarifies the bases or physicians' prognostic judgments and evaluates accuracy of prognosis against an outcome criterion. Prognoses of improve, remain the same, and deteriorate or die were made for 477 mostly elderly patients being placed from a VA Hospital into 40 community nursing homes. It was found that prognosis was importantly influenced by a diagnosis of internal cancer, far more importantly, in fact, than was warranted by its relationship to outcome. Physical impairment was also a significant determinant of prognosis, but to a lesser degree than might have been anticipated considering its importance in diagnosis and treatment. Prognostic accuracy was found to be quite poor, a finding which supports the relevance of further inquiry into the problem of prognostic judgments

Clinical judgment · Intensive care medicine · Medical physics · Outcome (game theory) · Relevance (law) · Health Systems, Economic Evaluations, Quality of Life · Healthcare cost, quality, practices · Medical Malpractice and Liability Issues · Medicine

  • Cumulative Illness Rating Scale

    Open Access•Bernard S Linn, Margaret W Linn et al.•Journal of the American…•1968

Citation velocityhistorical
Highly citedNo

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