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[Prognostication : prophecy or medical practice ?]
Camilla Janett-Pellegri1, Boris Cantin2
1Service de médecine interne, Hôpital fribourgeois, 1708 Fribourg.
Abstract:
The issue of prognostication is seldom approached in medical education, even though it represents an important question for the patients. Clinical assessment alone is inaccurate and systematically over-optimistic, especially if the question is formulated in temporal terms (how long will the patient live ?). The inaccuracy augments if the doctor has known the patient for a long time. However, other ways of addressing the question exist, and several validated clinical tools are available to improve the accuracy of the prognosis. The patients' self-rating and the evaluation by the nursing staff should also be considered as valuable information.
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