Diagnostic testing keeps coming back to bite Archi, and that’s not just because of my probability-based failure regarding a small relative and a missed diagnosis of congenital heart disease. No, the problem with diagnostic tests and their use and abuse remains diffi cult because the methods of research, the quality of research and the consequence of bad research aren’t generally as high profi le as therapeutic failures. Perhaps we could help a bit by adopting a similar approach to evaluating diagnostic tests as we do new drugs: go for phase I, II and III studies.
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