Key result
The prognosis of diseases depends more on psychosocial factors than biomedical factors, highlighting the importance of a biopsychosocial approach in clinical practice.
Integrating psychosocial and contextual factors is essential for accurate prognosis and patient management, as illustrated by the variable recommendations for rest in athletes with acute pericarditis.
May guide integrated prognostic assessment in primary care; leaves open prospective validation in cardiovascular cohorts.
Prognosis is a fundamental component of general medicine, however, research and reflection on the concept of prognosis is currently neglected, there is a lack of knowledge about how the pronostic process is made by medical experts, and there being no clear consensus on its systematization in practice, teaching and evaluation. A clinical case of acute pericarditis is presented, and some elements are induced about conceptual characteristics of the prognosis applicable to family medicine. It has been said the prediction about the evolution of a patient and the final result of the disease can only be done reliably through a statistical study that associates the prognosis with certain symptoms or clinical signs, but a clinical history is at the same time a story of a lifetime. The illness is unique for each individual, and so the prognosis can be seen as a science and an art: one can be objective in that subjective part of "art" through contextualization and individualization. Patient prognosis is determined by more than disease diagnosis. Prognosis can be highly variable in persons with a same particular diagnosis. There are different prognoses of the same symptom or disease according to contexts. The prognosis of diseases depends more on psychosocial factors that of biomedical factors. Given the fundamental importance of the prognosis in medical practice, it is recommended to move from a diagnosis-based medicine to one based on prognosis.
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José Luis Turabián (2018) conducted a review in Acute pericarditis. Biopsychosocial model of prognosis vs. Biomedical model was evaluated. The prognosis of diseases depends more on psychosocial factors than biomedical factors, highlighting the importance of a biopsychosocial approach in clinical practice.
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