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Re: [Gnumed-devel] Clinicians: indications, again
From: |
Karsten Hilbert |
Subject: |
Re: [Gnumed-devel] Clinicians: indications, again |
Date: |
Thu, 17 Jun 2010 23:53:55 +0200 |
User-agent: |
Mutt/1.5.20 (2009-06-14) |
On Thu, Jun 17, 2010 at 02:12:11PM -0700, Jim Busser wrote:
> > I do appreciate your concern on precision but also maintain
> > that this is "pragmatically correct" in the sense of typical
> > clinical use, no ?
>
> This argument is not an edge case... I would put it (from the North American
> perspective) as upside down from what I am accustomed to:
>
> your indication = what you are trying to prevent
> vs
> my indication = what pre-existing condition justifies to use/do this
>
> So while the ASA clinical outcome effects (purpose, end points) include
>
> reduce the rate of myocardial infarction
> reduce the rate of (recurrent) transient ischemic brain attacks
>
> we do not prescribe ASA for every individual... we may require
>
> history of myocardial infarction, TIA or stroke
> high cardiovascular risk score
>
> ... and it is the last-named above that I (and many colleagues) think of as
> the "indication" ... the justification or "approval factor" for why to give
> it. This is in distinction to what is achieved as the desired outcome.
>
> The corollary is the contra-indication. The contra-indication is the
> pre-existing condition or risk group that makes you want to avoid giving
> something. A history of egg allergy is a contra-indication. If a person
> already has natural immunity (from previous infection) to Hepatitis A, they
> do not have an indication (a justifiable reason) to give Hepatitis A vaccine.
1) How *would* you name it ?
2) Observe the screenshots. Do they make sense ?
Karsten
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- [Gnumed-devel] Clinicians: indications, again, Karsten Hilbert, 2010/06/17
- Re: [Gnumed-devel] Clinicians: indications, again, Jim Busser, 2010/06/17
- Re: [Gnumed-devel] Clinicians: indications, again, Karsten Hilbert, 2010/06/17
- Re: [Gnumed-devel] Clinicians: indications, again, Jim Busser, 2010/06/17
- Re: [Gnumed-devel] Clinicians: indications, again,
Karsten Hilbert <=
- Re: [Gnumed-devel] Clinicians: indications, again, Karsten Hilbert, 2010/06/17
- Re: [Gnumed-devel] Clinicians: indications, again, Jim Busser, 2010/06/17
- Re: [Gnumed-devel] Clinicians: indications, again, Karsten Hilbert, 2010/06/18
- Re: [Gnumed-devel] Clinicians: indications, again, Jim Busser, 2010/06/18
- Re: [Gnumed-devel] Clinicians: indications, again, Karsten Hilbert, 2010/06/19
- Re: [Gnumed-devel] Clinicians: indications, again, Karsten Hilbert, 2010/06/18
- Re: [Gnumed-devel] Clinicians: indications, again, Sebastian Hilbert, 2010/06/18
- Re: [Gnumed-devel] Clinicians: indications, again, Sebastian Hilbert, 2010/06/18
- Re: [Gnumed-devel] Clinicians: indications, again, Sebastian Hilbert, 2010/06/18
- Re: [Gnumed-devel] Clinicians: indications, again, Sebastian Hilbert, 2010/06/18