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This is not surprising. An algorithm essentially describes a ‘central tendency’ and is therefore irreversible in nature. It is impossible to apply an algorithm to individuals.
All the EGFR algorithms suffer from this undisputable fallacy.
In addition it separates the physician from the patient – diagnosis becomes a number.
Aesculapius and
Hippocrates would turn in their tombs if he knew what is going
on in the Queen’s England!
Anders Kallner, MD, PhD (R)
Dept Clin Chem
Karolinska University Hospital
SE 176 71 Stockholm, SWEDEN
Phone: +46 8 51774943