Prognosis

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WikiDoc Resources for Prognosis

Articles

Most recent articles on Prognosis

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Review articles on Prognosis

Articles on Prognosis in N Eng J Med, Lancet, BMJ

Media

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Evidence Based Medicine

Cochrane Collaboration on Prognosis

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TRIP on Prognosis

Clinical Trials

Ongoing Trials on Prognosis at Clinical Trials.gov

Trial results on Prognosis

Clinical Trials on Prognosis at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Prognosis

NICE Guidance on Prognosis

NHS PRODIGY Guidance

FDA on Prognosis

CDC on Prognosis

Books

Books on Prognosis

News

Prognosis in the news

Be alerted to news on Prognosis

News trends on Prognosis

Commentary

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Definitions

Definitions of Prognosis

Patient Resources / Community

Patient resources on Prognosis

Discussion groups on Prognosis

Patient Handouts on Prognosis

Directions to Hospitals Treating Prognosis

Risk calculators and risk factors for Prognosis

Healthcare Provider Resources

Symptoms of Prognosis

Causes & Risk Factors for Prognosis

Diagnostic studies for Prognosis

Treatment of Prognosis

Continuing Medical Education (CME)

CME Programs on Prognosis

International

Prognosis en Espanol

Prognosis en Francais

Business

Prognosis in the Marketplace

Patents on Prognosis

Experimental / Informatics

List of terms related to Prognosis

Overview

Prognosis (older Greek πρόγνωσις, modern Greek πρόγνωση - literally fore-knowing, foreseeing) is a medical term denoting the doctor's prediction of how a patient's disease will progress, and whether there is chance of recovery. Since the 20th century, the word has been increasingly used in non-medical contexts as well, for example in corporate finance.

Methodology

Disease and Prognostic Indicators

In medicine today, doctors search for methods of predicting how a patient (given their condition) may respond to treatment. Symptoms and tests may indicate favorable treatment with standard therapies. Likewise, a number of symptoms, health factors, and tests may indicate a less favorable treatment result with standard treatment - this may indicate that a more aggressive treatment plan may be desired.

Two areas where this type of prognosis prediction, or the use of prognostic indicators, is with Hodgkin's lymphoma and Non-Hodgkin lymphoma. Specifically with Non-Hodgkin lymphoma, physicians have developed the International Prognostic Index to predict patient outcome.

Prognostic scoring is also used for other cancer outcome predictions. A Manchester score is an indicator of prognosis in small cell lung cancer.

Other medical areas prognostic indicators are used is in Drug-Induced Liver Injury (DILI) (Hy's Law) and use of an exercise stress test as a prognostic indicator after myocardial infarction.

End of Life

Large areas of medicine are still missing statistical figures on the exact prognosis - in these matters the doctor's previous experiences largely guides pronouncements in this matter. Medical studies have demonstrated that most doctors are overly optimistic when giving prognostic information, that is, they tend to overstate how long the patient might live. For patients who are critically ill, particularly those in an intensive care unit, there are numerical prognostic scoring systems that are more accurate. The most famous of these is the APACHE II scale. However, this scale is most accurate in the seven days prior to a patient's predicted death.

Knowing the prognosis helps determine whether it makes more sense to attempt certain treatments or to withhold them, and thus plays an important role in end-of-life decisions.

History

For the great 19th century physicians, particularly the French school, the main aim of medicine was not to cure disease, but rather to diagnose it and achieve a satisfying prognosis of the patient's chances. Only several decades later did the focus of efforts in Western medicine shift to curing disease.

See also

Cost Effectiveness of Prognosis

| group5 = Clinical Trials Involving Prognosis | list5 = Ongoing Trials on Prognosis at Clinical Trials.govTrial results on PrognosisClinical Trials on Prognosis at Google


| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Prognosis | list6 = US National Guidelines Clearinghouse on PrognosisNICE Guidance on PrognosisNHS PRODIGY GuidanceFDA on PrognosisCDC on Prognosis


| group7 = Textbook Information on Prognosis | list7 = Books and Textbook Information on Prognosis


| group8 = Pharmacology Resources on Prognosis | list8 = AND (Dose)}} Dosing of PrognosisAND (drug interactions)}} Drug interactions with PrognosisAND (side effects)}} Side effects of PrognosisAND (Allergy)}} Allergic reactions to PrognosisAND (overdose)}} Overdose information on PrognosisAND (carcinogenicity)}} Carcinogenicity information on PrognosisAND (pregnancy)}} Prognosis in pregnancyAND (pharmacokinetics)}} Pharmacokinetics of Prognosis


| group9 = Genetics, Pharmacogenomics, and Proteinomics of Prognosis | list9 = AND (pharmacogenomics)}} Genetics of PrognosisAND (pharmacogenomics)}} Pharmacogenomics of PrognosisAND (proteomics)}} Proteomics of Prognosis


| group10 = Newstories on Prognosis | list10 = Prognosis in the newsBe alerted to news on PrognosisNews trends on Prognosis</small>


| group11 = Commentary on Prognosis | list11 = Blogs on Prognosis

| group12 = Patient Resources on Prognosis | list12 = Patient resources on PrognosisDiscussion groups on PrognosisPatient Handouts on PrognosisDirections to Hospitals Treating PrognosisRisk calculators and risk factors for Prognosis


| group13 = Healthcare Provider Resources on Prognosis | list13 = Symptoms of PrognosisCauses & Risk Factors for PrognosisDiagnostic studies for PrognosisTreatment of Prognosis

| group14 = Continuing Medical Education (CME) Programs on Prognosis | list14 = CME Programs on Prognosis

| group15 = International Resources on Prognosis | list15 = Prognosis en EspanolPrognosis en Francais

| group16 = Business Resources on Prognosis | list16 = Prognosis in the MarketplacePatents on Prognosis

| group17 = Informatics Resources on Prognosis | list17 = List of terms related to Prognosis


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