Our stubborn quest for diagnostic certainty. A cause of excessive testing.

Absolute certainty in diagnosis is unattainable, no matter how much information we gather, how many observations we make, or how many tests we perform. A diagnosis is a hypothesis about the nature ...

[1]  H. Büller,et al.  Detection of deep-vein thrombosis by real-time B-mode ultrasonography. , 1989, The New England journal of medicine.

[2]  K. Kahn,et al.  The use and misuse of upper gastrointestinal endoscopy. , 1988, Annals of internal medicine.

[3]  W. Freudenburg.  Perceived risk, real risk: social science and the art of probabilistic risk assessment. , 1988, Science.

[4]  N. Wenger.  Quality of life issues in hypertension: consequences of diagnosis and considerations in management. , 1988, American heart journal.

[5]  H. Redman.  Deep venous thrombosis: is contrast venography still the diagnostic "gold standard"? , 1988, Radiology.

[6]  Ellwood Pm,et al.  Shattuck Lecture--outcomes management. A technology of patient experience. 1988. , 1997, Archives of pathology & laboratory medicine.

[7]  J P Kassirer,et al.  Dealing with uncertainty, risks, and tradeoffs in clinical decisions. A cognitive science approach. , 1988, Annals of internal medicine.

[8]  S G Pauker,et al.  Idiopathic Nephrotic Syndrome: Puncturing the Biopsy Myth , 1987 .

[9]  S D Nightingale,et al.  Risk Preference and Laboratory Use , 1987, Medical decision making : an international journal of the Society for Medical Decision Making.

[10]  D. Singer,et al.  Dipyridamole-thallium scanning in patients undergoing vascular surgery. Optimizing preoperative evaluation of cardiac risk. , 1987, JAMA.

[11]  A S Detsky,et al.  What's wrong with decision analysis? Can the left brain influence the right? , 1987, Journal of chronic diseases.

[12]  Electrocardiograms and decision aids in coronary care triage , 1987, Journal of general internal medicine.

[13]  J G Dolan,et al.  An Eualuation of Clinicians' Subjective Prior Probability Estimates , 1986, Medical decision making : an international journal of the Society for Medical Decision Making.

[14]  Steven Schwartz,et al.  Medical Thinking: The Psychology of Medical Judgment and Decision Making , 1986 .

[15]  Thomas S. Wallsten,et al.  Base rate effects on the interpretations of probability and frequency expressions , 1986 .

[16]  Amnon Rapoport,et al.  Measuring the Vague Meanings of Probability Terms , 1986 .

[17]  M. Liang,et al.  The erythrocyte sedimentation rate. Guidelines for rational use. , 1986, Annals of internal medicine.

[18]  A S Elstein,et al.  Comparison of physicians' decisions regarding estrogen replacement therapy for menopausal women and decisions derived from a decision analytic model. , 1986, The American journal of medicine.

[19]  V. Fuchs.  Has Cost Containment Gone Too Far? , 1985, The Milbank quarterly.

[20]  L. Thurow.  Learning to say "no". , 1984, The New England journal of medicine.

[21]  A R Feinstein,et al.  The 'chagrin factor' and qualitative decision analysis. , 1985, Archives of internal medicine.

[22]  D M Eddy,et al.  Variations in physician practice: the role of uncertainty. , 1984, Health affairs.

[23]  J. Katz,et al.  Why doctors don't disclose uncertainty. , 1984, The Hastings Center report.

[24]  J. Hershey,et al.  Derived Thresholds , 1983, Medical decision making : an international journal of the Society for Medical Decision Making.

[25]  J. Kassirer,et al.  Occult intracranial aneurysms in polycystic kidney disease. When is cerebral arteriography indicated? , 1983, The New England journal of medicine.

[26]  J P Kassirer,et al.  Adding insult to injury. Usurping patients' prerogatives. , 1983, The New England journal of medicine.

[27]  Robert J. Glaser,et al.  Misuse of laboratory tests and diagnostic procedures. , 1982, The New England journal of medicine.

[28]  L. Sjöberg.  Aided and unaided decision making: Improving intuitive judgement , 1982 .

[29]  A. Elstein.  Decision Making as Educational Subject Matter , 1982, Medical decision making : an international journal of the Society for Medical Decision Making.

[30]  D. Eddy.  Judgment under uncertainty: Probabilistic reasoning in clinical medicine: Problems and opportunities , 1982 .

[31]  S. Schroeder,et al.  Physician use of services for the hospitalized patient: a review, with implications for cost containment. , 1981, The Milbank Memorial Fund quarterly. Health and society.

[32]  H. Fineberg,et al.  When doctors meet numbers. , 1981, The American journal of medicine.

[33]  Jay J.J. Christensen-Szalanski,et al.  Physicians' use of probabilistic information in a real clinical setting. , 1981 .

[34]  H. Arkes,et al.  Impediments to accurate clinical judgment and possible ways to minimize their impact. , 1981, Journal of consulting and clinical psychology.

[35]  L. A. Thibodeau,et al.  A trial of two strategies to modify the test-ordering behavior of medical residents. , 1980, The New England journal of medicine.

[36]  M. Weinstein,et al.  Clinical Decision Analysis , 1980 .

[37]  J. Kassirer,et al.  The threshold approach to clinical decision making. , 1980, The New England journal of medicine.

[38]  G R Norman,et al.  Expressions of probability: words and numbers. , 1980, The New England journal of medicine.

[39]  J. Whalen.  Caldwell Radiology of the Abdomen: Lecture. Impact of new imaging methods. , 1979, AJR. American journal of roentgenology.

[40]  P. Griner.  Use of laboratory tests in a teaching hospital: long-term trends: reductions in use and relative cost. , 1979, Annals of internal medicine.

[41]  G. Gorry,et al.  Clinical problem solving: a behavioral analysis. , 1978, Annals of internal medicine.

[42]  L. Shulman,et al.  Medical Problem Solving: An Analysis of Clinical Reasoning , 1978 .

[43]  S. Lichtenstein,et al.  Do those who know more also know more about how much they know?*1 , 1977 .

[44]  R. Edwards,et al.  An evaluation of multiphasic screening on admission to hospital. Precis of a report to the National Health and Medical Research Council. , 1976, The Medical journal of Australia.

[45]  J. Kassirer,et al.  Therapeutic decision making: a cost-benefit analysis. , 1975, The New England journal of medicine.

[46]  G. Gorry,et al.  Decision analysis and clinical judgment. , 1973, The American journal of medicine.

[47]  H S Barrows,et al.  The diagnostic (problem solving) skill of the neurologist. Experimental studies and their implications for neurological training. , 1972, Archives of neurology.

[48]  M Rang,et al.  The Ulysses syndrome. , 1972, Canadian Medical Association journal.

[49]  S. Oskamp.  OVERCONFIDENCE IN CASE-STUDY JUDGMENTS. , 1965, Journal of consulting psychology.