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Syndrome--a changing concept.

S Jablonski1

  • 1National Library of Medicine, Bethesda, Maryland.

Bulletin of the Medical Library Association
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

The medical term "syndrome" has evolved from describing complex conditions to a broadly applied descriptor. This has led to irrelevant literature and diminished its value as a specific medical search term.

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Area of Science:

  • Medical Terminology
  • Medical History
  • Information Science

Background:

  • The term "syndrome" has a long history in medicine, traditionally denoting complex medical conditions with multiple concurrent symptoms.
  • Mid-twentieth century shifts altered its usage, initially favoring descriptive names over physician eponyms.
  • However, new forms of eponyms emerged, including non-medical references, and the definition broadened.

Purpose of the Study:

  • To analyze the historical evolution of the term "syndrome" in medical and non-medical contexts.
  • To investigate the impact of broadened usage on medical literature and database searchability.
  • To assess the deterioration of "syndrome" as a specific MeSH (Medical Subject Headings) term.

Main Methods:

  • Historical analysis of medical nomenclature and terminology.

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  • Review of the definition and application of the term "syndrome" over time.
  • Examination of literature databases (e.g., MEDLARS) and MeSH term utility.
  • Main Results:

    • The term "syndrome" expanded beyond its original medical scope to include social, behavioral, and cultural phenomena.
    • This broadened application resulted in a significant increase in irrelevant literature.
    • The specificity and utility of "syndrome" as a MeSH term have consequently declined.

    Conclusions:

    • The unrestrained and broadened use of "syndrome" has diluted its medical specificity.
    • This has led to a proliferation of ambiguous literature and compromised its effectiveness as a precise search parameter in medical databases.
    • Re-evaluation of syndrome nomenclature and usage is necessary to restore its clinical and informational value.