医疗干预应聚焦预后——医学中的动态预后控制

Medical intervention should focus on prognosis: Dynamic prognosis-control in medicine

  • 摘要: 临床治疗应以最优化患者预后为目标。干预者、干预手段和疾病风险三者共同决定了患者的预后。循证医学方法侧重于研究干预手段和疾病风险之间的关系,技术的进步使得将干预者因素纳入预后评价成为可能。因此,笔者提出“预控医学”的理念:以患者预后为最终导向,以统计分析与大数据、人工智能方法相结合,审慎评价疾病风险、干预手段、干预者三种因素及其相互作用对患者预后的影响,在患者可选择的范围内,判断最优干预者及相应最优干预手段预控疾病风险,最终实现患者利益的最大化。

     

    Abstract: The purpose of medical intervention is to achieve favorable prognosis of patients. Intervenor, intervening method and disease risk are the determinants of prognosis. Evidence-based medicine focuses on the relationship between intervening method and disease risk. However, with the development of technology, interventor may also be considered as a predictor for prognosis. This paper presents a new idea, named prognosis-control medicine, which takes the improvement of prognosis of patients as the final goal.Based on the statistical analysis, big data and artificial intelligence, the factors ofintervenor, intervening method and disease risk are discreetly analyzed to evaluate their effects on the prognosis. The new theory aims at helping patients to choose the best intervening method and intervenor, and at last maximize the benefits of patients.

     

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