ワカバヤシ　ヒデタカ   Wakabayashi Hidetaka   若林　秀隆    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	総説
言語種別	英語
査読の有無	査読あり
表題	Diagnostic reasoning in rehabilitation nutrition: Position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication).
掲載誌名	正式名：Journal of general and family medicine 略　 称：J Gen Fam Med ISSNコード：21897948/21897948
掲載区分	国内
巻・号・頁	23(4),pp.205-216
著者・共著者	Wakabayashi Hidetaka, Maeda Keisuke, Momosaki Ryo, Kokura Yoji, Yoshimura Yoshihiro, Fujiwara Dai, Kosaka Shintaro, Suzuki Norio
担当区分	筆頭著者,責任著者
発行年月	2022/07
概要	Diagnostic reasoning is the thought process used to arrive at a diagnosis based on symptoms, examination findings, and laboratory values. Diagnosis is categorized as nonanalytic reasoning (intuition) and analytic reasoning (analysis). Rehabilitation nutrition involves the diagnosis of nutritional disorders, sarcopenia, and excess or deficient nutrient intake. There is usually only one correct answer for the presence or absence of these. On the other hand, there may be no single correct answer for the causes of anorexia, weight loss, or sarcopenia, and analytical reasoning is required. In this case, diagnostic reasoning involves hypotheses. Simply using nutritional supplements without performing diagnostic reasoning about these causes is like prescribing antipyretic analgesics to a patient with a headache without diagnosing the cause of the headache. To maximize function and quality of life in rehabilitation nutrition, it is necessary to suspect the common causes of anorexia, weight loss, and sarcopenia in all cases.
DOI	10.1002/jgf2.549
PMID	35800646