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Commentary

Our stubborn quest for diagnostic certainty.

Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.

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June 1, 1989
Kassirer JP. N Engl J Med. 1989;320(22):1489-1491.
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The topic of uncertainty has been largely neglected in the literature despite an understanding that diagnostic reasoning is largely probabilistic. This commentary acknowledges how uncertainty drives reasoning, test overuse, and physician discomfort to culminate in waste and reduced quality.

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Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211.