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International Journal of Epidemiology 2001;30:1253-1258
© International Epidemiological Association 2001


Reprints and Reflections

Commentary: Treatment of bladder stones and probabilistic reasoning in medicine: an 1835 account and its lessons for the present

Jan P Vandenbroucke

Department of Clinical Epidemiology, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands. E-mail: j.p.vandenbroucke@lumc.nl

The 1835 paper ‘by Dr Civiale’ (1792–1867) that was translated by Angela Swaine Verdier is an historical gem.1 Many possible comments are possible about this paper. In the following, I have commented upon the text as such—without the benefit of any comparative study of similar papers, or reactions to this paper in the contemporary literature of the time, except for general historical and medical references that I had immediately at hand.

In brief, the paper is a narrative commenting upon the work of Dr Civiale that was presented to the ‘Académie de Médecine’. The comments were made by four people who were members of the ‘Académie’ and they present the work of their colleague in the form of a review. The first part of this ‘review’ describes the numerical data presented by the author, with some remarks on its strengths and weaknesses. The essence of that first part is a . . . [Full Text of this Article]

Urinary Bladder Stones and their Treatment

The Presentation of the Work

Lithotomy versus Lithotripty

Probabilistic Reasoning in Medicine

Conclusions

References


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