Diagnostic Bias in the COVID-19 Pandemic: A Series of Short Cases

Zieda, Anete; Sbardella, Silvia; Patel, Malika; Smith, Richard

doi:10.12890/2021_002575

Cited by 4 publications

(1 citation statement)

References 1 publication

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“…[ 5 ] It may lead to delayed or inaccurate diagnosis in those presenting with respiratory complaints without the virus and their consequent exposure to ‘positive’ wards. [ 6 ] Furthermore, by impeding or omitting treatment, especially in cases seeking delayed consultation, this approach impacts the morbidity and mortality of true diagnosis. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Desaturation during the pandemic: Covid or cognitive bias?

Dhiman

Nangia²,

Sethi³

2022

Journal of Family Medicine and Primary Care

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A BSTRACT The coronavirus pandemic has put an unprecedented strain on our health care system. An urgent need for timely and accurate diagnosis coupled with an inordinate caseload and myriad overlapping signs and symptoms with other differentials is leaving physicians fatigued. This often leads to the use of mental shortcuts – “heuristics” by the strained mind and the inadvertent use of intuitive thought processes rather than the more controlled analytical thinking to cope and speed up the decision-making process. Availability bias – making a recent or vivid patient diagnosis more readily accessible to the mind – and anchoring bias – relying too heavily on a single symptom for deducing diagnosis – are among the most prevalent cognitive biases. Therefore, it is not unexpected that any new cases of acute onset respiratory illness may be mis-diagnosed as coronavirus disease 2019 during the pandemic, significantly impacting the morbidity and mortality of true diagnosis. To reduce the risk of patient harm, it is therefore imperative that medical practitioners be aware of the existence and influence of cognitive bias in clinical decision making and maintain sight of a variety of differential diagnoses to ensure that no adverse condition is overlooked.

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Section: Discussionmentioning

confidence: 99%

Desaturation during the pandemic: Covid or cognitive bias?

Dhiman

Nangia²,

Sethi³

2022

Journal of Family Medicine and Primary Care

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Radiation Recall Pneumonitis: The Open Challenge in Differential Diagnosis of Pneumonia Induced by Oncological Treatments

Grassi

Granata

Fusco³

et al. 2023

JCM

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The treatment of primary and secondary lung neoplasms now sees the fundamental role of radiotherapy, associated with surgery and systemic therapies. The improvement in survival outcomes has also increased attention to the quality of life, treatment compliance and the management of side effects. The role of imaging is not only limited to recognizing the efficacy of treatment but also to identifying, as soon as possible, the uncommon effects, especially when more treatments, such as chemotherapy, immunotherapy and radiotherapy, are associated. Radiation recall pneumonitis is an uncommon treatment complication that should be correctly characterized, and it is essential to recognize the mechanisms of radiation recall pneumonitis pathogenesis and diagnostic features in order to promptly identify them and adopt the best therapeutic strategy, with the shortest possible withdrawal of the current oncological drug. In this setting, artificial intelligence could have a critical role, although a larger patient data set is required.

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Pulmonary Lymphangitis Poses a Major Challenge for Radiologists in an Oncological Setting during the COVID-19 Pandemic

Fusco

Simonetti

Ianniello

et al. 2022

JPM

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Due to the increasing number of COVID-19-infected and vaccinated individuals, radiologists continue to see patients with COVID-19 pneumonitis and recall pneumonitis, which could result in additional workups and false-positive results. Moreover, cancer patients undergoing immunotherapy may show therapy-related pneumonitis during imaging management. This is otherwise known as immune checkpoint inhibitor-related pneumonitis. Following on from this background, radiologists should seek to know their patients’ COVID-19 infection and vaccination history. Knowing the imaging features related to COVID-19 infection and vaccination is critical to avoiding misleading results and alarmism in patients and clinicians.

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Diagnostic Bias in the COVID-19 Pandemic: A Series of Short Cases

Cited by 4 publications

References 1 publication

Desaturation during the pandemic: Covid or cognitive bias?

Desaturation during the pandemic: Covid or cognitive bias?

Radiation Recall Pneumonitis: The Open Challenge in Differential Diagnosis of Pneumonia Induced by Oncological Treatments

Pulmonary Lymphangitis Poses a Major Challenge for Radiologists in an Oncological Setting during the COVID-19 Pandemic

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