November 10th, 2012

Podcast 159: Making the Clinical Diagnosis, But Blowing the Patient’s Treatment Preference

(8 votes, average: 3.25 out of 5)

Running time: 20 min.

In some diseases there are two diagnoses to make: the clinical diagnosis and the diagnosis of what the patient’s treatment preference is. The first is hard enough to make, and the widening choice of treatment choices complicates the second.

Welcome to the task of “preference diagnosis,” which can lead to disappointment and worse if missed in diseases like breast or prostate cancer.

We talk this week with the authors of an essay on the topic in BMJ. They offer some advice and some resources you’ll find useful.



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