Pietarinen Ahti-Veikko, Stanley Donald E
Department of Religion and Philosophy, Centre for Applied Ethics, Hong Kong Baptist University, HKBU, Kowloon, Hong Kong.
Maine Medical Center, Portland, Maine, USA.
J Eval Clin Pract. 2025 Aug;31(5):e70219. doi: 10.1111/jep.70219.
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.
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.
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.
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.
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.
手术病理学中的诊断推理对于准确识别疾病至关重要，尤其是对于罕见病症。尽管方法学有所进步，但诊断延迟仍然显著，这凸显了提高推理技能的必要性。
本研究探讨溯因推理在手术病理学诊断过程中的作用。提出了一个将溯因与演绎和归纳相结合的理论框架，以提高诊断准确性并加快治疗干预。
本文对诊断推理过程进行定性分析，强调溯因、演绎和归纳的相互联系。借鉴历史哲学观点，特别是查尔斯·S·皮尔斯的观点，探讨这些推理类型如何有助于有效的临床决策。
研究结果强调了溯因推理在生成可检验假设方面的重要性，即使初始结论可能不正确。研究表明，虽然归纳和演绎提供了结构，但溯因促进了创造力并拓宽了可能诊断的范围，特别是在存在不确定性的情况下。
将溯因推理纳入手术病理学实践对于改善诊断结果至关重要。通过强调溯因的生成潜力，该框架旨在减少诊断延迟并加强临床决策制定，最终使患者护理受益。该研究主张将这种推理方法纳入医学专业，以使医疗保健专业人员更好地应对复杂的诊断情况。
