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Re:The Apple Watch heart monitor sends too many people to th... by Barrin92 on Friday October 02, 2020 @03:12PM (#24666019)
>Now if Apple can make this more accurate, then great. But if this saves even a few lives, then the fact that 9 out of 10 warnings are false positives still seems extremely worth it, no?

No, not by a long shot, because physicians are a pretty rare commodity, care is expensive and sending nine out of ten people to the doctor for no reason is a huge drain on the system and public healthcare resources.

if you see this as success I don't think you're familiar with the concept of opportunity costs. For people who don't have any symptoms, have no history of heart conditions or other underlying risks, running around with an EKG on your wrist is absolutely ridiculous. All it will do is inflate healthcare costs with little improvement in outcome, which is already the primary disease of the US healthcare sector. And of course apple's and the healthcare sectors primary motivation to sell these things to begin with.

Not every cardiac condition even requires immediate attention by a physician, I wager most of the anomalies that show in the 10% are benign arrhythmias that would have been picked up on a yearly routine checkup in due time.

Re:The Apple Watch heart monitor sends too many people to th... by Ancapistani on Friday October 02, 2020 @03:53PM (#24666428)
My GP is an “old school” family doctor in a small town. I’ve had similar inquiries in the past, and just scheduled an appointment with his receptionist. She had me describe the concern, his nurse - an NP, I think - approved the tests and the results were discussed at my next scheduled checkup. The actual physician had maybe an added couple of minutes demand on his time to view the results.

I don’t think this is anywhere near enough of an impact in terms of “false positives” to be a net negative.

Re:The Apple Watch heart monitor sends too many people to th... by throwmeaway_pls on Friday October 02, 2020 @03:28PM (#24666206)
Nine out of ten people are not being sent to the doctor for no reason. The rest of this comment is catastrophizing.

10% positive predictive value for something like this is pretty good. It’s certainly better than “hey look at this weird mole.”

Re:The Apple Watch heart monitor sends too many people to th... by unwoundmouse on Friday October 02, 2020 @03:55PM (#24666441)
50% of those 10% positive cases were atrial fibrillation which is pretty serious (can lead to stroke), and wouldn't be diagnosed at a routine checkup as it requires an ECG

https://academic.oup.com/jamia/article/27/9/1359/5911974

Re:The Apple Watch heart monitor sends too many people to th... by jtbayly on Friday October 02, 2020 @03:27PM (#24666191)
> sending nine out of ten people to the doctor

That's not happening. Only a small number of people went to the doctor. Of that number, 9 out of 10 ended up not being diagnosed with a (new) problem, but it seems that even some of them had related problems that were already diagnosed.

Regardless, we don't know the false positive rate. It's not 90%. You need to know the number of negatives before you can calculate it.

Re:The Apple Watch heart monitor sends too many people to th... by asdfasgasdgasdg on Friday October 02, 2020 @03:31PM (#24666236)
I had always been under the impression that the largest fraction of our spending was on people with chronic conditions or serious life-threatening medical issues like cancer? It's hard to imagine that people going to see the doctor once more per five years is really going to move the needle that much on resource consumption.
Re:The Apple Watch heart monitor sends too many people to th... by tuatoru on Friday October 02, 2020 @03:27PM (#24666187)
> >Now if Apple can make this more accurate, then great.

> No, not by a long shot, because... [opportunity costs, overloading the healthcare system]

Totally agree with all of that.

Why don't EKG salons exist (like nail and hair salons)? New market opportunity created by the Apple Watch?