You Only Find What You Look For: Anchor Bias During the COVID-19 Pandemic

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2021 Jul 12

PMID 34249563

Citations 1

Authors

Mohammed A Abu-Rumaileh

Nada M Alsharif

Mohammad Abdulelah

Samuel Mueting

Husam Bader

Affiliations

Soon will be listed here.

Abstract

Hypersensitivity pneumonitis (HP) is an immune-mediated syndrome caused by allergen inhalation. High-resolution computed tomography (HRCT) of HP usually shows diffuse ground-glass opacities, but can show centrilobular ground-glass nodules, areas of air-trapping, or fibrotic changes. The clinical presentation of HP as well as the imaging findings can resemble coronavirus disease 2019 (COVID-19) pneumonia. This resemblance, in the absence of a high level of suspicion for other etiologies, led to anchor bias and delayed diagnosis in the case presented here.

Citing Articles

A Sensitive Approach to Managing Hypersensitivity Pneumonitis.

Ahlawat P, Upadhyay P, Madaan P Cureus. 2022; 14(9):e29738.

PMID: 36340528 PMC: 9621725. DOI: 10.7759/cureus.29738.

References

Makary M, Daniel M . Medical error-the third leading cause of death in the US. BMJ. 2016; 353:i2139. DOI: 10.1136/bmj.i2139. View

Saposnik G, Redelmeier D, Ruff C, Tobler P . Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016; 16(1):138. PMC: 5093937. DOI: 10.1186/s12911-016-0377-1. View

Wong H, Lam H, Ho-Tung Fong A, Leung S, Chin T, Lo C . Frequency and Distribution of Chest Radiographic Findings in Patients Positive for COVID-19. Radiology. 2020; 296(2):E72-E78. PMC: 7233401. DOI: 10.1148/radiol.2020201160. View

Peterson M, HOLBROOK J, Von Hales D, Smith N, Staker L . Contributions of the history, physical examination, and laboratory investigation in making medical diagnoses. West J Med. 1992; 156(2):163-5. PMC: 1003190. View

Goyal P, Choi J, Pinheiro L, Schenck E, Chen R, Jabri A . Clinical Characteristics of Covid-19 in New York City. N Engl J Med. 2020; 382(24):2372-2374. PMC: 7182018. DOI: 10.1056/NEJMc2010419. View

Kokkarinen J, Tukiainen H, Terho E . Effect of corticosteroid treatment on the recovery of pulmonary function in farmer's lung. Am Rev Respir Dis. 1992; 145(1):3-5. DOI: 10.1164/ajrccm/145.1.3. View

Magee A, Montner S, Husain A, Adegunsoye A, Vij R, Chung J . Imaging of Hypersensitivity Pneumonitis. Radiol Clin North Am. 2016; 54(6):1033-1046. PMC: 6571018. DOI: 10.1016/j.rcl.2016.05.013. View

Quirce S, Vandenplas O, Campo P, Cruz M, de Blay F, Koschel D . Occupational hypersensitivity pneumonitis: an EAACI position paper. Allergy. 2016; 71(6):765-79. DOI: 10.1111/all.12866. View

Summerton N . The medical history as a diagnostic technology. Br J Gen Pract. 2008; 58(549):273-6. PMC: 2277113. DOI: 10.3399/bjgp08X279779. View

10.

Hanak V, Golbin J, Ryu J . Causes and presenting features in 85 consecutive patients with hypersensitivity pneumonitis. Mayo Clin Proc. 2007; 82(7):812-6. DOI: 10.4065/82.7.812. View

11.

Ogdie A, Reilly J, Pang W, Keddem S, Barg F, Von Feldt J . Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Acad Med. 2012; 87(10):1361-7. PMC: 3703642. DOI: 10.1097/ACM.0b013e31826742c9. View

12.

Schiff G, Hasan O, Kim S, Abrams R, Cosby K, Lambert B . Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009; 169(20):1881-7. DOI: 10.1001/archinternmed.2009.333. View

13.

Raghu G, Remy-Jardin M, Ryerson C, Myers J, Kreuter M, Vasakova M . Diagnosis of Hypersensitivity Pneumonitis in Adults. An Official ATS/JRS/ALAT Clinical Practice Guideline. Am J Respir Crit Care Med. 2020; 202(3):e36-e69. PMC: 7397797. DOI: 10.1164/rccm.202005-2032ST. View

14.

Graber M, Franklin N, Gordon R . Diagnostic error in internal medicine. Arch Intern Med. 2005; 165(13):1493-9. DOI: 10.1001/archinte.165.13.1493. View

15.

Payne V, Crowley R, Crowley R . Assessing the use of cognitive heuristic representativeness in clinical reasoning. AMIA Annu Symp Proc. 2008; :571-5. PMC: 2656076. View

16.

Guan W, Ni Z, Hu Y, Liang W, Ou C, He J . Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020; 382(18):1708-1720. PMC: 7092819. DOI: 10.1056/NEJMoa2002032. View

17.

Sforza G, Marinou A . Hypersensitivity pneumonitis: a complex lung disease. Clin Mol Allergy. 2017; 15:6. PMC: 5339989. DOI: 10.1186/s12948-017-0062-7. View

18.

Tversky A, Kahneman D . Judgment under Uncertainty: Heuristics and Biases. Science. 1974; 185(4157):1124-31. DOI: 10.1126/science.185.4157.1124. View

19.

Munster V, Koopmans M, van Doremalen N, van Riel D, de Wit E . A Novel Coronavirus Emerging in China - Key Questions for Impact Assessment. N Engl J Med. 2020; 382(8):692-694. DOI: 10.1056/NEJMp2000929. View