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  1. The quality of medical textbooks : Bladder cancer diagnosis as a case study.

    Article - En anglais

    Purpose 

    This study was conducted to determine whether there is an inherent bias in medical texts that influences physicians to favor certain signs and symptoms over others when evaluating patients with bladder cancer.

    Materials and Methods 

    Numerous sources, primarily textbooks from various medical specialties, were reviewed (italics are added for emphasis).

    Attention was paid to the criteria the authors suggested for use in the diagnosis of bladder cancer.

    Results 

    Although most authors agree on a core of presenting signs and symptoms, some concentrate strongly on hematuria with the result of down playing the importance of other findings such as irritative voiding symptoms.

    The concern is that this approach may lead to delay in the diagnosis of tumors, some of which may be highly aggressive, which present with dysuria and pyuria but no hematuria.

    Conclusions 

    Inconsistencies do exist in the literature regarding which diagnostic criteria to use in selecting those patients to be evaluated for bladder cancer.

    Recommendations are made for ways to improve standardization.

    Mots-clés Pascal : Carcinome, Vessie urinaire, Diagnostic, Symptomatologie, Enseignement professionnel, Médecine, Publication primaire, Biais cognitif, Critère décision, Etude critique, Revue bibliographique, Homme, Tumeur maligne, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Formation professionnelle

    Mots-clés Pascal anglais : Carcinoma, Urinary bladder, Diagnosis, Symptomatology, Occupational education, Medicine, Primary publication, Cognitive bias, Decision criterion, Critical study, Bibliographic review, Human, Malignant tumor, Urinary system disease, Urinary tract disease, Bladder disease, Occupational training

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0050192

    Code Inist : 002B14D02. Création : 31/05/1999.