{"title":"Diagnostic Reasoning in Surgical Pathology","authors":"Ahti-Veikko Pietarinen, Donald E. Stanley","doi":"10.1111/jep.70219","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Rationale</h3>\n \n <p>Diagnostic reasoning in surgical pathology is critical for accurate disease identification, particularly for rare conditions. Despite advancements in methodologies, the diagnostic lag remains significant, highlighting the need for improved reasoning skills.</p>\n </section>\n \n <section>\n \n <h3> Aims and Objectives</h3>\n \n <p>This study examines the role of abductive reasoning in diagnostic processes within surgical pathology. A theoretical framework that integrates abduction with deduction and induction to increase diagnostic accuracy and expedite therapeutic interventions is proposed.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This paper employs a qualitative analysis of the diagnostic reasoning process, emphasizing the interconnectedness of abduction, deduction and induction. It draws on historical philosophical perspectives, particularly those of Charles S. Peirce, to explore how these reasoning types contribute to effective clinical decision-making.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The findings underscore the importance of abductive reasoning in generating testable hypotheses, even when initial conclusions may be incorrect. The study reveals that while induction and deduction provide structure, abduction fosters creativity and broadens the scope of possible diagnoses, particularly in cases of uncertainty.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The integration of abductive reasoning into surgical pathology practices is essential for improving diagnostic outcomes. By emphasizing the generative potential of abduction, this framework aims to reduce diagnostic delays and enhance clinical decision-making, ultimately benefiting patient care. The study advocates the incorporation of this reasoning approach into medical profession to better equip healthcare professionals in navigating complex diagnostic scenarios.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70219","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70219","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Rationale
Diagnostic reasoning in surgical pathology is critical for accurate disease identification, particularly for rare conditions. Despite advancements in methodologies, the diagnostic lag remains significant, highlighting the need for improved reasoning skills.
Aims and Objectives
This study examines the role of abductive reasoning in diagnostic processes within surgical pathology. A theoretical framework that integrates abduction with deduction and induction to increase diagnostic accuracy and expedite therapeutic interventions is proposed.
Methods
This paper employs a qualitative analysis of the diagnostic reasoning process, emphasizing the interconnectedness of abduction, deduction and induction. It draws on historical philosophical perspectives, particularly those of Charles S. Peirce, to explore how these reasoning types contribute to effective clinical decision-making.
Results
The findings underscore the importance of abductive reasoning in generating testable hypotheses, even when initial conclusions may be incorrect. The study reveals that while induction and deduction provide structure, abduction fosters creativity and broadens the scope of possible diagnoses, particularly in cases of uncertainty.
Conclusion
The integration of abductive reasoning into surgical pathology practices is essential for improving diagnostic outcomes. By emphasizing the generative potential of abduction, this framework aims to reduce diagnostic delays and enhance clinical decision-making, ultimately benefiting patient care. The study advocates the incorporation of this reasoning approach into medical profession to better equip healthcare professionals in navigating complex diagnostic scenarios.
期刊介绍:
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.