Reference-Class Problems Are Real: Health-Adjusted Reference Classes and Low Bone Mineral Density.
Elselijn Kingma argues that Christopher Boorse's biostatistical theory (the BST) does not show how the reference classes it uses are objective and naturalistic. Recently, philosophers of medicine have attempted to rebut Kingma's concerns. I argue that these rebuttals are theoretically unconvincing,...
| Publicado en: | Journal of Medicine & Philosophy Vol. 49; no. 2; pp. 128 - 147 |
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| Formato: | Artículo |
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Oxford University Press / USA
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=176041403&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 176041403 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 03605310 MPS jtl: Journal of Medicine & Philosophy issn: 03605310 maglogo: N pubinfo: dt: Apr2024 vid: 49 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 176041403 10.1093/jmp/jhae005 ppf: 128 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P size: 2.2MB tig: atl: Reference-Class Problems Are Real: Health-Adjusted Reference Classes and Low Bone Mineral Density. aug: au: Binney, Nicholas affil: Erasmus University Rotterdam , Rotterdam , The Netherlands su: Bone density Health literacy Body size Muscle mass Prior learning sug: subj: Bone density Health literacy Body size Muscle mass Prior learning keyword: Boorse Kingma low bone mineral density philosophy of medicine reference-class problem Werkhoven ab: Elselijn Kingma argues that Christopher Boorse's biostatistical theory (the BST) does not show how the reference classes it uses are objective and naturalistic. Recently, philosophers of medicine have attempted to rebut Kingma's concerns. I argue that these rebuttals are theoretically unconvincing, and that there are clear examples of physicians adjusting their reference classes according to their prior knowledge of health and disease. I focus on the use of age-adjusted reference classes to diagnose low bone mineral density in children. In addition to using the BST's age, sex, and species, physicians also choose to use other factors to define reference classes, such as pubertal status, bone age, body size, and muscle mass. I show that physicians calibrate the reference classes they use according to their prior knowledge of health and disease. Reference classes are also chosen for pragmatic reasons, such as to predict fragility fractures. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: © 2019 Journal of Medicine and Philosophy Inc.. item: Journal of Medicine & Philosophy holder: Oxford University Press / USA dt: @attributes: year: 2024 holdings: @attributes: islocal: N |
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