The Law of Investigative Parsimony. | [Journal of Pakistan Medical Association • 2018]

Author(s):

1. Sanjay Kalra: Department of Endocrinology, Bharti Hospital, Karnal,

2. Banshi Saboo: Department of Diabetology, DiaCare, Ahmedabad, India

Abstract:

The Law of Investigative Parsimony, states: Minimal investigations should be employed for screening, diagnosis, monitoring and follow up of disease, provided this does not adversely affect patient well-being. This is based on the word 'parsimony', which means "the quality of being careful with money or resources", or "economy in the use of means to an end". The law of investigative parsimony is an extension of the laws of diagnostic and therapeutic parsimony, and is reflected in modern guidelines as well as clinical practice The Need for Parsimony The rise in prevalence of diabetes is accompanied by an increase in the costs of diabetes care. The economic impact of diabetes is such that it threatens even the most evolved health care systems in the world. The financial load on individuals and families who have no access to health insurance or to government funded medical facilities can only be imagined. In such situations, it makes sense to revisit the concept of parsimony.

Page(s): 817-818

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 68, Issue: 5, Year: 2018

Keywords:

Chronic kidney disease , Diabetes , Albumin creatinine ratio , glomerular function , Tubular function

References:

[1] Parsimony. (Online) Available from URL: https://www.merriamwebster. com/dictionary/parsimony. Last accessed on 19 October 2017.

[2] DrachmanDA,,2000,Dizziness among older adults: A possible geriatric syndrome,Ann Intern Med,132,403,5

[3] Bleakley A.Blunting,,2010,Occam's razor: Aligning medical education with studies of complexity,J Eval Clin Pract,16,849,55

[4] KalraS,GuptaY,SahayR.,,2016,The law of therapeutic parsimony,Ind J Endo Metab,20,283,

[5] Global guideline for type 2 diabetes. https://www.idf.org/elibrary/ guidelines.html. Last accessed on 19 October 2017.

[6] ChiodiniI,AlbaniA,AmbrogioAG,CampoM,De MartinoMC,MarcelliG,,2017,Six controversial issues on subclinical Cushing's syndrome,Endocrine,56,262,6

[7] KalraS,GanapathiM,MithalA,,,Glycemic monitoring with onceweekly Glucagon-like peptide 1 receptor agonist (GLP1RA) use,,,,

[8] Ind J EndoMetab,,2015,,,19,193,

[9] StevensLA,LeveyAS,,2009,Current status and future perspectives for CKD testing,Am J Kid Dis,53,S17,26

[10] LeveyAS,InkerLA,CoreshJ,,2014,GFR estimation: from physiology to public health,Am J Kid Dis,63,820,34

[11] DerhaschnigU,KittlerH,WoisetschlägerC,BurA,HerknerH,HirschlMM,,2002,Microalbumin measurement alone or calculation of the albumin/creatinine ratio for the screening of hypertension patients?,Nephrol Dial Transplan,17,81,5

[12] Urine,,2016,-creatinine ratio versus albumin excretion for albuminuria staging: a prospective longitudinal cohort study,Am J Kid Dis,67,70,8

[13] Sung KC, Ryu S, Lee JY, Lee SH, Cheong E, Hyun YY, et al. Urine albumin/creatinine ratio below 30 mg/g is a predictor of incident hypertension and cardiovascular mortality. J Am Heart Assoc. 2016; 5: e003245.

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