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When will individuals meet their personalized probabilities? A philosophical note on risk prediction
Olaf M Dekkers1, Jesse M Mulder2
1Department Clinical Epidemiology LUMC Leiden (OMD), Leiden University Medical Center, Albinusdreef 2, 2333, Leiden, ZA, The Netherlands. o.m.dekkers@lumc.nl.
Perfect individual disease prediction in medicine is currently unattainable. This paper presents arguments showing that ultimate personalized risk prediction will ultimately fail for most conditions.
Area of Science:
- Medical Science
- Predictive Analytics
- Philosophy of Medicine
Background:
- Risk prediction is a core objective in modern medicine.
- Achieving perfect individual disease prediction remains a significant challenge across most medical conditions.
- The existence of inherent individual risks is a key assumption for personalized prediction.
Purpose of the Study:
- To challenge the feasibility of ultimate personalized prediction in medicine.
- To provide a multi-faceted argument against the possibility of perfect individual risk prediction.
- To explore the limitations of current medical prediction models.
Main Methods:
- The study employs pragmatic, epistemic, conceptual, and ontological arguments.
- It critically examines the foundational assumptions underlying individual risk assessment.
- A philosophical and theoretical analysis is conducted on the nature of prediction in medicine.
Main Results:
- The paper argues that perfect individual-level prediction is fundamentally unattainable.
- It demonstrates that the assumption of existing, knowable individual risks is flawed.
- The limitations extend across various medical conditions, not just specific diseases.
Conclusions:
- Ultimate personalized prediction in medicine faces insurmountable barriers.
- The pursuit of perfect prediction should be re-evaluated in favor of more realistic approaches.
- Understanding the inherent limitations is crucial for advancing medical risk assessment.
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