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When Trials Find Implausible Results—The SCOT-HEART trial

Sensible Medicine

An imaging test. One group of patients with chest pain received standard stress testing; the other received standard stress testing plus a coronary CT scan (CCTA). Here is the 5-year survival curves for the composite endpoint of CV death and MI: How can a diagnostic test lead to this much benefit? Not a drug.

Tests 306
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Sepsis Causes Over 350,000 Deaths Annually. This Lab Test Can Reduce That By A Third.

Forbes Healthcare

Cytovale has developed a FDA-cleared, rapid diagnostic tool for sepsis, and it just raised $100 million to roll it out to hospital systems across the country.

Tests 360
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Friday Reflection 28: Four of the Things Patients Have Taught Me

Sensible Medicine

We read about diseases and their associated diagnostic tests and treatments. Clinical findings and blood tests hint at the diagnosis, but the only truly confirmatory test is a biopsy of the temporal artery – a small procedure but a procedure all the same. Diagnostic reasoning is supposed to my specialty.

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A (re)Visit to an Old-Fashioned Doctor

Sensible Medicine

A thoughtful H&P can avoid unnecessary tests that in turn produce false positive results that then demand further evaluation. There are cases when it is necessary to pore through old records, but the EMR and diagnostic technology has undermined this claim. Diagnostic reasoning is (at least partially) deductive reasoning.

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ED Nurses on How to Ask Tough Questions When Someone’s Life is on the Line

Scrubs

Terri Tanner, an emergency department nurse at Northwest Hospital in Maryland, remembers trying to talk to a patient who was suffering from an unknown condition during the eleventh hour of their stay. They underwent various diagnostic tests, all of which came back negative. ” I knew I couldn’t rush this. .

Tests 237
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“Holy Grail” of Cancer Detection Can Predict Tumors Over a Year Before They Appear

Scrubs

A new cancer detection tool known as the “holy grail” of early detection is currently being tested in hospitals throughout the U.K., It is the first pan-cancer blood test, according to Ashish Tripathi, founder and CEO of Tzar Labs and chairman of Epigeneres Biotech, an Indian firm that first developed the test in 2021. “We

Tests 246
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The AI Doctor Will Message You Now

Sensible Medicine

I’ve been following the general conversations and have been particularly interested in AI’s potential to improve diagnostic performance. Whatever great advances are ahead, I cannot foresee a time that people will be comfortable receiving counseling from a computer or receiving recommendations about diagnostics or treatments.